Chronic Pain, Neck Pain
Conditions
Keywords
neck pain, exercise, Endurance, Training, Intervention
Brief summary
It is an interventional study that proves the eficacy of the manual therapy with active manual therapy and combined with exercise in cervical pain.
Detailed description
The study will be divided in two different groups: * A control group (group A) : they will receive a treatment with manual therapy and physical exercise. * An experimental group (group B) : they will receive the previous treatment, but also the pacient's do active muscle active contraction. The exercise is compound by a home program of several exercises with diferent difficulties. The contraction will consist on a combination of concentric and isometric work. being the patient's pain threshold the one that will guide us to the choice of the predominance of concentric or isometric contraction . Both groups will be joined by a five-minute work on pain education.
Interventions
OTHERManual therapy active
massage or ischemic compression with active contraction, tha will be isometric or concentric.
OTHERManual therapy
massage or isquemic compression without contraction
Sponsors
Alexander Achalandabaso
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
blind
Eligibility
Sex/Gender
ALL
Age
18 Years to 60 Years
Healthy volunteers
Yes
Inclusion criteria
* accept to participate in the study, through informed consent * subjects with chronic nonspecific neck pain lasting equal to or more than 3 months
Exclusion criteria
* Present neck pain caused by serious pathology such as: inflammatory, congenital, infectious, metabolic and neoplastic diseases. * Cervical pathology of traumatic origin with less than 6 months of evolution. * Rheumatic diseases. * Neck pain with neurological signs such as: radiculopathy and myelopathy. * Previous surgery of the cervical spine. * Pregnancy. * Have received physiotherapeutic treatment in the cervical region during the month prior to the inclusion of the study. * Have the intention of receiving other physiotherapeutic treatments different from the one proposed during the study period. * Present serious mental disorders.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Neck disability | Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement. | Using the Neck Disability Index (NDI). It is made up of 10 items and each item is scored on a 6-point Likert scale (0 to 5), leading to a total score ranging from 0 to 50 (0 to 4 = no disability; 5 to 14 = mild disability; 15 to 24 = moderate disability; 25 to 34 = severe disability; and 35 to 50 = complete disability). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change in Range of motion (ROM) | Baseline, 1 month (primary timepoint) and 2 months after intervention commencement. | Using a inclinometer |
| Change in craniocervical flexion | Baseline, 1 month (primary timepoint) and 2 months after intervention commencement. | Using the craniocervical flexion test (CCFT) we make a evaluation of the strength of the deep cervical flexor muscles. From 22 to 30 mmHg of preasure. |
| Change in pain perception | Baseline, 1 month (primary timepoint), 2 months and 5 months after intervention commencement. | Using the Visual Analog Scale (VAS) from 0 to 10 |
| Change in Catastrophism | Baseline, 1 month (primary timepoint), 2 months and 5 months after intervention commencement. | Using the Pain catastrophizing scale from 0 to 56 |
| Change in Sleep Quality | Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement. | Using the Pittsburgh Sleep Quality Index |
| Change in kinesophobia | Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement. | Using the Tampa Scale for Kinesiophobia-11 (TSK-11), self-report of 17 items that address fear of movement and injury relapse. Four of the items are negatively written and scored inverse (4, 8, 12 and 16). The scores are added together to obtain a total score, with higher values reflecting greater kinesiophobia. |
Countries
Spain
Outcome results
None listed