Neck Pain
Conditions
Keywords
chronic pain
Brief summary
Neck pain is a complex biopsychosocial disorder often precipitated or aggravated by neck movements or sustained neck postures. The onset and course of this pain is influenced by environmental and personal factors.Many studies report that participants preferred self-care measures for the management of neck pain and they sought professional help only when those measures fail.
Detailed description
Neck pain is the fourth leading cause of disability worldwide causing an enormous impact on individuals and their families, communities and healthcare systems.While neck pain can be severely disabling and costly, treatment options have shown moderate evidence of effectiveness. No previous study has used foam roller in patients with neck pain. In addition, it has been suggested that neurodynamic interventions provide a peripheral stimulus, reducing the pressure existing within the nerve, improving blood flow, axonal transport and nerve conduction. It was hypothesized that a self-administered intervention focused on myofascial release of main muscles related to neck pain and upper-limb active neurodynamics could reduce the presence of active trigger points and pain, improving functionality and active mobility.
Interventions
OTHERself-managmeent program
One session was a session supervised by a physical therapist in the Faculty of Health Sciences. The program contents were educative information about chronic neck pain and healthy lifestyle habits (application of local heat/cold, and sleeping face down, using correct sitting posture, alternating body position, and using correct lifting technique (…), which were complemented by a problem-based session.
Sponsors
Universidad de Granada
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Chronic neck pain (at least 6 months' duration) not related to trauma .
Exclusion criteria
* Whiplash related neck pain * Previous cervical surgical intervention * Cognitive impairments which prevent them to follow instructions * Visual or acoustic limitations * Physical therapy in the previous six months
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Disability | Change from baseline pain at 3 weeks | Disability will be explored using the Neck Disability Index. The patients rated their current pain and average pain over the past week on a 0-10 numerical rating scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Fear avoidance beliefs | Change from baseline fear avoidance beliefs at 4 weeks | Fear avoidance beliefs will be assessed by the the Fear Avoidance Beliefs Questionnaire (FABQ). It consists of 16 sentences related to physical activity (first 5 items) and work (last 11 items). |
| Pain severity | Change from baseline pain at 3 weeks | Pain will be assessed using the Brief Pain Inventory. It measures the degree of interference of pain with various aspects of life, including mobility and social activities (reactive pain) and pain severity (sensory pain). |
| Health related quality of life | Change from baseline health related quality of life at 4 weeks | Health related quality of life will be measured by euroQol-5D. It contains two sections, a descriptive section and a valuation section. |
| Anxiety and depression | Change from baseline anxiety and depression at 4 weeks | Anxiety and depression was evaluated by the the Hospital Anxiety and Depression Scale (HAD).It contains 14 items describing symptoms of depression (7 items) and anxiety (7 items) |
Outcome results
None listed