Chronic Neck Pain
Conditions
Brief summary
The aim of this study is to compare the effectiveness of Pilates compared with Cognitive Functional Therapy in adults with chronic neck pain.
Detailed description
Firstly, people being informed about the study and those who determine eligibility criteria they written informer consent. After this, the participants will be randomized by a single-blind assessor in a 1:1 ration to pilates exercises and cognitive functional therapy. The participants of both groups will receive therapy twice a week for eight weeks.
Interventions
OTHERPilates
The application of pilates aims to correct real-time deviations observed in the body during movement, to maintain stability, to maintain stability, to gradually form proper sensorimotor ability and improve cervical dysfunction. Pilates is an important part but also a primary point in the stages of rehabilitation, since through it the execution of movement is encouraged earlier thus providing help for the later stages of rehabilitation. Pilates exercises concern movements at all levels of body movement and in various positions.
Cognitive component: Educating patients about their perceptions of pain, explaining diagnosis and diagnostic findings, answering questions about their problem and symptoms, progressively challenge their customers in a non-judgmental way, education for multifactorial and biopsychosocial spectrum of pain, encouraging participants to movement and for active participation in daily activities, if receiving a self-management plan participation in activities with a degree of difficulty 2-3/10, tips for more effective sleep Specific functional training: Understanding pain modification through relaxation exercises, awareness and body control, modified body positions for better control of the cervical spine with parallel relaxation of the thoracic spine to participate in fearful or painful activities, engaging in movements of daily activities Lifestyle changes: Gradual increase in physical activity based on patient preferences, stress management and social interaction
Sponsors
European University Cyprus
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 64 Years
Healthy volunteers
No
Inclusion criteria
* Age 18-64 * Pain in neck area for more than 3 months * Pain in NPRS more than 40/100 * Independently mobility (with or without aid), to be capable of participating in a rehabilitation program twice a week
Exclusion criteria
* Serious psychological pathology * Recently surgery on shoulder or neck area (\<6 months) * Pain relieving procedures such as injection based therapy and day case procedures (e.g. rhizotomy) in the last 3 months * Pregnancy * Rheumatologic/inflammatory disease (e.g. rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis, lupus, Scheuermann's disease) * Progressive neurological disease (e.g. Multiple Sclerosis, Parkinson's disease, Motor Neuron Disease) * Unstable Cardiac Conditions * Red flags disorders (malignancy/cancer, acute traumas like fracture (\<6 months ago) or infection, spinal cord compression/cauda equina)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Rating Scale | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization | Measured pain intensity with 0 (no pain) and 100 (the worst pain ever). |
| Neck Disability Index | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization | This questionnaire informed us about the affection to have the neck pain in human ability to manage it in everyday life. Measured neck disability with 4 (absence of disability) and \>35 (full disability). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| EuroQol (EQ-5D) | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization | An EQ-5D health state is the state of responses to the 5 dimensions of EQ-5D as completed by a patient, with 0 (the worst imaginable health state) and 100 (the best imaginable health state) |
| Fear Avoidance Beliefs Questionnaire | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization | This questionnaire informed us how a patient's fear avoidance beliefs about physical activity and work may affect and contribute to their cervical pain and resulting disability, with 96 (high levels of patient fear) and 0 (absence of patient fear). |
| Isometric Strength | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization | Strength in all cervical movements (flexion, extension, side flexion, rotations) |
| Range of Motion | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization | Range of motion in all cervical movements (flexion, extension, side flexion, rotations) |
| Short Form 12 | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization | This questionnaire assessed the impact of health on an individual's everyday life, with 0-42 indicates the possible existence of clinical depression and \<42 indicates good psychological as well as physical functioning. |
Countries
Cyprus
Outcome results
None listed