Neck Pain
Conditions
Keywords
exercise, neck pain, neurodynamic, elderly
Brief summary
This is a randomized, parallel, double-blind clinical trial. The main objective is to compare the efficacy of multimodal exercise with specific neurodynamic exercises and multimodal exercise with non-specific exercises in disability and neck pain in women older than 65 years. The intervention in both groups will be carried out for 4 weeks, with three weekly sessions. Two evaluations will be carried out, a pre-intervention evaluation and a post-intervention evaluation. We will assess neck pain, disability, upper limb strength, cervical mobility, cervical pressure pain thresholds, kinesiophobia and catastrophism.
Interventions
PROCEDUREspecific neurodynamic exercises
Specific neurodynamic exercises in women older than 65 years with neck pain
PROCEDUREmultimodal exercise
Multimodal and nonspecific exercises in women older than 65 years with neck pain
Sponsors
University of Salamanca
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Masking description
Single blind masking with blinded assessor.
Intervention model description
Longitudinal prospective, controlled, single-blind study
Eligibility
Sex/Gender
FEMALE
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* Women older than 65 years. * Neck pain
Exclusion criteria
* Tumors * Pacemakers * Fibrillations * Cardiac pathology or uncontrolled hypertension * History of severe trauma/recent cervical surgery * Uncontrolled systemic and inflammatory pathologies * Congenital collagen compromise * Presence of difficulties in performing the Initial Evaluation tests * Language barriers * Pending litigation or legal claim
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | four weeks. | Numerical Pain Rating Scale (NPRS) will be used. It is a scale used to quantify the patient's pain level on an 11-point numerical scale 0-10 with 0 being no pain and 10 being the worst possible pain. |
| Neck disability | four weeks | The Neck Disability Index (NDI) will be used. It is a modification of the Oswestry Low Back Pain Disability Index. It is a scale used to measure disability associated with cervical pain due to acute or chronic conditions. He has 10 items: 7 related to activities of daily living, 2 related to pain and 1 related to concentration. The test can be interpreted with a maximum score of 50. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| upper limb strength | four weeks | The strength in upper limb movements will be recorded with the device wireless MicroFET 2: Hand-held dynamometer for force assessment. |
| Pressure pain threshold | four weeks | Pressure algometry measurements will be performed with a digital algometer to assess pressure pain thresholds. (Algometer model: Pain Test™ FPIX 10). |
| Cervical range of motion | four weeks | The Cervical Range of Motion (CROM) device (Performance Attainment Associates, USA) will be used to measure the cervical range of motion, including flexion, extension, lateral flexion and rotation. |
| Catastrophism | four weeks | Pain Catastrophizing Scale (PCS) will be used. People are asked to indicate the degree to which they have the above thoughts and feelings when they are experiencing pain using the 0 (not at all) to 4 (all the time) scale. A total score is yielded (ranging from 0-52). |
| Kinesiophobia | four weeks | The Tampa Scale for kinesiophobia (TSK-13) will be used. It is a patient-reported outcome measure designed to help identify kinesiophobia. This version is a 13-item questionnaire aimed at the assessment of fear of movement/re-injury. Each item is provided with a 4-points Likert scale with scoring alternatives ranging from strongly disagree \[0\] to strongly agree \[4\] . This gives a possible total raw score range from 0 to 52. |
| Hand grip strength | four weeks | The strength will be recorded with Jamar Plus: Digital dynamometer to assess grip strength. |
Countries
Spain
Outcome results
None listed