Chronic Neck Pain, Non-specific Neck Pain
Conditions
Keywords
Neck muscles, Chronic neck pain, Telerehabilitation, Exercise therapy, Pain education
Brief summary
The purpose of this study is to evaluate the clinical results in pain intensity, neck disability, range of motion, endurance deep cervical muscles, forward head position and kinesiophobia through thoracic spine mobility, deep neck muscles and thoracic strength training and pain education protocol versus a thoracic spine mobility, thoracic strength training and pain education protocol in patients with chronic non-specific neck pain.
Detailed description
The cervical spine is the most mobile region of the spine and must be strong enough to support the weight of the skull and thoracic spine is the most stiff region. In addition, patients often catastrophize their pain, it has a major impact on quality of life. Strength deficits of the deep cervical muscles are related to different clinical conditions, such as non-specific neck pain. Training and education protocols can help to improve pain, function, posture and cross-sectional area. However, there are no multimodal protocols in subjects with chronic non-specific neck pain including deep neck extensor and flexor muscles, thoracic spine mobility and pain education.
Interventions
OTHERThoracic exercise program and education
Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation.
OTHERThoracic and neck specific exercise program and education
Thoracic spine mobility, deep cervical flexor and extensor muscles strength training, thoracic muscles strength training and pain education through telerehabilitation.
Sponsors
Universitat Internacional de Catalunya
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Intervention model description
This will be a randomized controlled trial with 2 different groups.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
* Non-specific neck pain for at least the last 12 weeks. * Pain intensity equal to or greater than 4 on the visual analog scale (VAS). * Mild-moderate disability in the Neck Disability Index. * Not reaching phase 2 in Craniocervical flexion test. * Availability and skill to do video calls. * Understanding Spanish.
Exclusion criteria
* Other type of neck pain. * Previous neck surgery. * Diagnosed metabolic diseases. * Red flags (infection, tumors, rheumatic arthritis, or cardiovascular disease). * History of cardio-respiratory disease that contraindicates high-intensity exercise. * Fibromyalgia * Pregnancy * Physiotherapeuthic treatment continued in the last 3 month.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity | Baseline, 6 weeks, 1 month follow-up | Measured by Visual Analogue Scale. |
| Neck Disability | Baseline, 6 weeks, 1 month follow-up | Measured by the Spanish version of Neck Disability Index Questionnaire. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cervical range of motion | Baseline, 6 weeks, 1 month follow-up | Measured by CROM(Cervical Range-of-Motion Instrument). Cervical flexion, extension, right/left side bending and right/left rotation. |
| Activation of deep neck flexors muscles. | Baseline, 6 weeks, 1 month follow-up | Measured by Cranio-cervical flexion test |
| Global Rating of Change | 1 month follow-up | Measured by Global Rating of Change Scale |
| Kinesiophobia | Baseline, 6 weeks, 1 month follow-up | Measured with Spanish version of Tampa Scale |
| Forward head posture | Baseline, 6 weeks, 1 month follow-up | Measured by craniovertebral angle. |
Countries
Spain
Contacts
Primary ContactDaniel Pantaleon-Hernandez
Outcome results
None listed