Pain Neurophysiology Education and Exercise for Adolescents With Chronic Idiopathic Neck Pain

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Other: neurophysiology of pain education and exercises

• Registration Number: NCT02827994
• Lead Sponsor: Aveiro University

Brief Summary

This study compared the effectiveness of pain neurophysiology education and neck/shoulder exercises with no intervention in adolescents with chronic idiopathic neck pain (CINP).

Detailed Description

Forty three adolescents with chronic idiopathic neck pain were randomly allocated to receive pain neurophysiology education and shoulder/neck exercises (n=21) or no intervention (n=22). Data on pain intensity (Visual Analogue Scale), pain disability, neck flexor and extensor muscles endurance, scapulae stabilizers endurance, pain catastrophizing (Pain catastrophizing Scale), trait and state anxiety (State-Trait Anxiety Inventory) and knowledge of pain neurophysiology (Neurophysiology of Pain Questionnaire) were collected. Measurements were taken before and after the intervention.

Statistical analysis were performed using a mixed-methods ANOVA.

Study Timeline

• Study Start: 2015-03
• Primary Completion: 2015-06
• Study Completion: 2015-06
• Study First Submitted: 2016-06-23
• Status Verified: 2016-07
• Study First Submitted QC: 2016-07-06
• Last Update Submitted: 2016-07-06
• Study First Posted: 2016-07-11
• Last Update Posted: 2016-07-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 43

Inclusion Criteria

• To be invited to enter the study participants had to have chronic idiopathic neck/shoulder pain, defined as pain felt in the neck/shoulder regions at least once a week in the previous 3 months.

Exclusion Criteria

• No exclusion criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Education and exercise	neurophysiology of pain education and exercises	The intervention included neurophysiology of pain education and exercises.

Primary Outcome Measures

Name	Time	Method
Pain intensity	5 weeks	Method of assessment - Visual analogue scale

Secondary Outcome Measures

Name	Time	Method
Neck pain frequency	5 weeks	Method of assessment - a question on neck pain frequency in the previous week (never, seldom, occasionally, often, always)
Neck flexor muscles endurance test	5 weeks	Method of assessment - physical test; the participant is in supine and he/she is asked to flex the upper cervical spine, move their head away from the couch approximately 2.5 cm and then maintain this position for as long as possible. The test result is the time (in seconds) that each participant holds the position.
Pain Catastrophizing Scale	5 weeks	Method of assessment - scale
Neurophysiology of pain questionnaire	5 weeks	Method of assessment - questionnaire
Neck pain duration	5 weeks	Method of assessment - a question on neck pain duration (how long have you have neck pain?)
Patients' Global Impression of Change	5 weeks	Method of assessment - scale
Neck extensor muscles endurance test	5 weeks	Method of assessment - physical test; the participant is in prone and position, head neutral, and supporting 2 Kg weight hanging from it. Participants were asked to support this weight for as long as possible while maintaining the neutral head positioning. The test result is the time (in seconds) that each participant holds the position.
State-trait anxiety inventory	5 weeks	Method of assessment - scale
Neck pain associated disability	5 weeks	Method of assessment - a disability index with 5 questions on neck pain associated disability
Scapular stabilizers' endurance test	5 weeks	Method of assessment - physical test; Method of assessment - physical test; Participants were standing with the shoulders and elbows flexed at 90º, while pulling both extremities of a dynamometer to reach 1 Kg of force. The test result is the time (in seconds) that each participants was able to hold this position.