Neck Pain
Conditions
Keywords
Exercise therapy, Resistance training, Multidisciplinary treatment
Brief summary
The purpose of this study is to investigate if high-intensity resistance training can induce additional beneficial effects, for patients with moderate to severe long term pain in the neck, when added to a multidisciplinary treatment program.
Interventions
BEHAVIORALGeneral physical activity
BEHAVIORALMultidisciplinary rehabilitation program
BEHAVIORALHigh-intensity resistance training
Sponsors
St. Olavs Hospital
Norwegian Fund for Postgraduate Training in Physiotherapy
Kommunal Landspensjonskasse
Norwegian University of Science and Technology
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Eligibility
Sex/Gender
ALL
Age
16 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Referred to the multidisciplinary clinic for treatment of pain in the neck * Long term (≥ 3months) or recurrent (≥ 2 periods of ≥ 4 weeks the past year) non-specific neck pain, * Pain intensity ≥ 4 on numerical rating scale (0-10)
Exclusion criteria
* Severe somatic condition (unstable injury, malignity, infectious disease, active rheumatic disease, severe osteoporosis) * Psychiatric condition/disease that severely impairs group functioning * Insufficient comprehension of Norwegian language to participate in group sessions and fill out questionnaires * Awaiting surgery of neck * Alcohol or drug abuse * Ongoing compensation case or applying for disability benefits due to pain in the neck * Engaged in high-intensity resistance training on a regular basis the last 6 months * Contra-indications for high-intensity resistance training (i.e. shoulder complications)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck-related disability as assessed by the neck disability index | 12 weeks | Neck disability index |
Secondary
| Measure | Time frame |
|---|---|
| Quality of life assessed by EQ-5D-5L | 3 and 12 weeks + 6 and 12 months |
| Work ability assessed by Work ability index | 3 and 12 weeks + 6 and 12 months |
| Pain assessed by the Numerical Pain Rating Scale | 3 and 12 weeks + 6 and 12 months |
| Fear avoidance beliefs assessed by Fear Avoidance Beliefs Questionnaire | 3 and 12 weeks + 6 and 12 months |
| Patient's' perceived effect of the treatment assessed by the Patient specific functioning scale | 3 and 12 weeks + 6 and 12 months |
| Use of analgesics assessed by a questionnaire from the HUNT study | 3 and 12 weeks + 6 and 12 months |
| Anxiety and depression assessed by Hopkins symptom checklist | 3 and 12 weeks + 6 and 12 months |
| Strength in the neck measured using a handheld dynamometer | 3 and 12 weeks + 6 and 12 months |
| Pressure pain threshold of the tibialis anterior muscle measured using an algometer | 3 and 12 weeks + 6 and 12 months |
| Grip strength measured using a handheld dynamometer | 3 and 12 weeks + 6 and 12 months |
| Patient's' perceived effect of the treatment assessed by the Global rating of change scale | 3 and 12 weeks + 6 and 12 months |
| Neck-related disability as assessed by the neck disability index | 3 weeks + 6 and 12 months |
| Physical activity level assessed by a questionnaire from the HUNT study | 3 and 12 weeks + 6 and 12 months |
Countries
Norway
Outcome results
None listed