Neck Pain
Conditions
Keywords
neck pain, chronic pain
Brief summary
In this study the efficacy of Tai Chi will be tested in comparison to conventional neck exercises and usual care in a randomized controlled trial. Tai Chi and neck exercises will be lead by a trained exercise therapist and Tai Chi instructor, both groups receive 12 weeks of training, once weekly for 60-90 min in a group setting. Pain, Disability, quality of life, wellbeing, stress perception, psychological distress will be used to determine effects.
Detailed description
see above
Interventions
traditional chinese martial art meditative movement technique
group exercises for strengthening and stretching neck and back muslces to alleviate neck pain
Sponsors
Study design
Eligibility
Inclusion criteria
* chronic non specific neck pain (3 months at least) * 45mm pain intensity on average on the visual analog scale
Exclusion criteria
* specific neck pain due to * inflammatory diseases * rheumatic diseases * neurological diseases * prolapse or protrusion * oncological disease * trauma (whiplash) * congenital deformity of the spine * severe comorbidity (somatic, psychiatric) * pregnancy * participation in other clinical trials * regular practice of tai chi, qigong, yoga in the past 6 months * medication with opioids
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | week 12 | pain intensity on a visual analogue scale (0-100mm) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| pain intensity | week 24 | pain intensity on a visual analogue scale (0-100mm) |
| pain on movement | week 12, week 24 | pain intensity on a visual analogue scale (0-100mm) evoked by head movement into 6 directions POM validated by Lauche et al., 2014, Pain Medicine |
| neck disability | week 12, week 24 | neck disability index (NDI), Vernon et al. |
| health related quality of life | week 12, week 24 | short form quality of life questionnaire (SF-36), Bullinger and Kirchberger |
| Anxiety and Depression | week 12, week 24 | Hospital Anxiety and Depression Scale (HADS) |
| Wellbeing | week 12, week 24 | Wellbeing on the FEW16 Questionnaire |
| interoceptive awareness | week 12, week 24 | The Multidimensional Assessment of Interoceptive Awareness (MAIA) |
| Postural Awareness | week 12, week 24 | Postural Awareness Questionnaire (PAS) |
| Safety | week 24 | All adverse and serious adverse events |
| pain intensity ratings | week 12 | daily rating of pain intensity, visual analog scales |
| use of analgetics | week 12 | daily information on use of analgetics |
| use of concomitant therapies | week 12 | daily information on use of concomitant therapies for neck pain |
| Stress | week 12, week 24 | Subjective stress perception, Perceived Stress Scale (PSS) |
Other
| Measure | Time frame | Description |
|---|---|---|
| Experiences | Week 24 | Experiences with Tai Chi and neck exercises, qualitative interviews |
Countries
Germany