Chronic Neck Pain
Conditions
Keywords
Chronic neck pain, Physical Exercise, Kinesiophobia, Cervical strength, Adherence to treatment
Brief summary
Nonspecific chronic neck pain is the third most frequent problem in Spain. It has an annual presence between 15% and 50% where women are the most affected. This pain influences the psychosocial state of the person. Physical exercise has been shown to be effective in a wide variety of chronic pain conditions, including improving quality of life and emotional problems. Design: Single-blind, controlled, randomized clinical trial. Methods: The study will be approached in the Faculty of Nursing and Physiotherapy of the University of Alcalá. 52 subjects with nonspecific chronic neck pain will be selected and randomly divided into two groups. The first group should perform 5 exercises that have been shown to be effective in the management of neck pain selected by the physiotherapist focused on neck pain. The second group must choose, from a list of exercises that have been shown to be effective in the management of neck pain, 5 exercises. Both groups should record the pain, the number of repetitions and the series performed. The duration of the intervention will be a total of 8 weeks with evaluations pre-intervention, post-intervention and 4 weeks after the end of the intervention. The objective of this study is to evaluate if the exercise chosen by the patient is better than the exercises selected by the physiotherapist for the variables chronic neck pain, strength of the affected muscles, kinesiophobia and adherence to treatment.
Interventions
the therapist chooses the five exercises to do
the patient chooses the five exercises to perform among fifteen possibilities
Sponsors
Study design
Eligibility
Inclusion criteria
* chronic neck pain
Exclusion criteria
* Spine surgery, shoulder girdle or cervical area surgery, whether traumatic or not. * Rheumatic pathology. * Impaired cognitive function. * Vascular pathology that prevents exercise. * Cardiopulmonary pathology that prevents exercise. * Fear of any of the tests or measurements to be carried out. * Pregnant
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Disability | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | using the Neck Disability Index Questionnaire. It is a scale whose values range from 0 to 50. The higher the score, the greater the disability. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changes in kinesiophobia | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | using Tampa scale of kinesiophobia (TSK-11). It is a scale whose values range from11 to 44. The higher the score, the greater the kinesiophobia. |
| Changes in muscular endurance | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | using Grimmer test |
| Adherence to treatment | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | using a journal entry |
| changes in pain | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | Using the visual analog scale. It is a 100-mm long horizontal line. Zero means no pain, 100-mm means the worst pain imaginable. |
Countries
Spain