Neck Pain
Conditions
Brief summary
The objective of this study is to evaluate the impact of visual feedback of the posterior region of the cervical spine on pain intensity and range of motion.
Detailed description
60 patients with chronic idiopathic neck pain will be randomly assigned into one of two groups: a group receiving visual feedback when performing 10 repetitions of each of neck movements (flexion, extension, side-flexion and rotation) and a group performing the same task without visual feedback. Participants will be assessed for pain intensity, pain location, disability, range of motion, kinesiophobia, catastrophizing and anxiety both at baseline and after visual the intervention (i.e., neck movements with and without visual feedback).
Interventions
Visual feedback of the neck will be given to participants using two mirrors while performing neck movements.
Participants will be asked to perform active movements of their neck with the mirrors covered.
Sponsors
Study design
Eligibility
Inclusion criteria
* To have idiopathic neck pain defined as neck pain unrelated to any known pathology or lesion felt at least once a week in the last 3 months, located between the nuchal line and a horizontal line passing through T1 and pain intensity of at least 3 in the visual analogue scale.
Exclusion criteria
* History of cervical or facial trauma, radiculopathy, history of surgery in the vertebral segment in question, congenital anomalies involving the spine (cervical, thoracic and lumbar spine) or any neurological or rheumatic pathology, and, finally, evidence of significant visual changes, or of deficits not corrected by lenses or glasses.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Neck pain intensity | Baseline | Measured using a 10 cm visual analogue scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Time for pain to return to baseline levels | Immediately after the intervention (at 30 minutes) | Measured with a chronometer |
| Pain disability | Baseline | Measured using the Neck Disability Questionnaire (range: 0-50 and higher scores are indicative of more disability) |
| Neck range of motion | Baseline | Measured using a goniometer |
| Pain location | Baseline | Measured using a body chart |
| Catastrophyzing | Baseline | Measured using the Pain Catastrophyzing Scale (range: 0-52 and higher scores and indicative of higher pain catastrophyzing) |
| Anxiety | Baseline | Measured using the State-Trait Anxiety Scale, which consists of 2 sub-scales, one measures trait anxiety and the other measures state anxiety; both scales have an independent score that ranges from 20 to 80 and higher scores are indicative of higher anxiety. |
| Neck perception | Baseline | Assessed by asking participants to draw their neck as they perceive it to be |
| Kinesiophobia | Baseline | Measured using the Tampa Scale of Kinsesiophobia (Range: 13-52 and higher values are indicative of a higher fear of movement. |
Countries
Portugal