Cervical Pain
Conditions
Keywords
Cervical pain, yoga, pilates, exercise
Brief summary
Exercise has been found to be effective in alleviating back and neck pain. Two exercise methods which are available in the community in a group format are Yoga and Pilates. While there is some research on the efficacy of these exercise methods for low back pain, there is no definitive research on the use of Yoga or Pilates group exercise for individuals with chronic cervical pain.This study investigated the effect of group Yoga and Pilates exercise compared to a wait-listed control group on impairments and function related to neck pain for individuals with chronic cervical pain.
Detailed description
Individuals reporting chronic mild to moderate neck pain for more than 3 months were assigned to a pilates, yoga or wait-listed control group. The exercise group consisted of 12 one hour small group sessions instructed by experienced Physical Therapists with additional yoga or pilates training. Participants were evaluated at baseline, 6 weeks, and 12 weeks. Exercise participants also completed a follow up 6 weeks after completion.
Interventions
OTHERYoga Group Exercise
Yoga poses and postures modified to diminish stress on the cervical region and improve flexibility. Breathing and mind-body focus to address stress-related discomfort. A general Hatha yoga style will be used with components from Ashtanga Yoga. Intensity and range of motion will be progressively increased as tolerated.
OTHERPilates Group Mat Exercise
The Pilates mat exercises focus on both spinal muscle activation and stability, progressive endurance of the stabilizing muscles with arm and leg challenges and dynamic mobility. The exercises are progressed from more supported to anti-gravity position, slow increases in arm weights and flexibility.
Sponsors
Wayne State University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Able to attend at 12 exercise class sessions (once a week for an hour) * Stable moderate to severe neck pain (3/10- 8/10) present for \> 3 months * Able to get up and down off the floor * Able to ambulate in the community without an assistive device * Medically stable and cleared to participate in exercise
Exclusion criteria
* Neck Pain that is easily aggravated with exercise * Neurological symptoms in the arms or legs (numbness, tingling, weakness) * History of recent whiplash, spine surgery, diagnosed osteoporosis, cervical stenosis with leg symptoms * Any medical conditions which does not allow active exercise * Unable to make medical decisions independently or have memory problems * Regularly attending Pilates or Yoga classes or individual sessions
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Neck Disability Index | Baseline, 6 weeks, 12 weeks, 18 weeks | Self reported Neck Disability Index questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from baseline Cervical range of motion measurements | Baseline, week 6, week 12, week 18 | Measured with the Cervical Range of Motion instrument (CROM) |
| Change from baseline in time for the Timed up and go test | Baseline, week 6, week 12, week 18 | Time to stand from a chair and walk to a standardized distance, return and sit down |
| Change from baseline Dynamic Gait Index score | Baselin, week 6, week 12, week 18 | Series of functional gait activities including walking, walking at different speeds, stepping over and around an obstacle, turning the head and tilting the head while walking scored by an observer. |
| Change from baseline in Activities Balance Confidence Scale score | Baseline, week 6, week 12, week 18 | Self reported confidence in maintaining balance for functional activities. |
| Change in Number of days of pain medication use in the past week | Baseline, week 6, week 12 | Self report |
| Change from baseline in Neck Pain Ratings (NPR) experienced on average over the past week | Baseline, week 6, week 12, week 18 | Average pain experienced over the past week (general, worst pain and experienced with functional activities - sustained positions, upper extremity movement, work, recreation) |
| Change from baseline differences between habitual and self corrected postural position | Baseline, week 6, week 12, week 18 | Sagittal plane position measured for Upper Cervical angle, forward head position, and thoracic width using the Cervical range of motion device. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Frequency of types of potential adverse drug responses in patients with chronic mechanical neck pain | Baseline | Identification of potential adverse drug responses by Pharmacist from medication review |
| Number of participants with identified potential for adverse drug responses | Baseline | Descriptive analysis of number of participants with potential for adverse drug responses based on review of medication by Pharmacist |
| Identification of frequency of types of medication use in individuals with chronic neck pain | Baseline | Descriptive analysis of medication used both for pain relief and co-morbidities |
Countries
United States
Outcome results
None listed