Effect of Group Pilates and Yoga Exercise Classes for Chronic Cervical Pain

Not Applicable

Completed

• Conditions: Cervical Pain
• Interventions: Other: Yoga Group Exercise; Other: Pilates Group Mat Exercise

• Registration Number: NCT01999283
• Lead Sponsor: Wayne State University

Brief Summary

Exercise has been found to be effective in alleviating back and neck pain. Two exercise methods which are available in the community in a group format are Yoga and Pilates. While there is some research on the efficacy of these exercise methods for low back pain, there is no definitive research on the use of Yoga or Pilates group exercise for individuals with chronic cervical pain.This study investigated the effect of group Yoga and Pilates exercise compared to a wait-listed control group on impairments and function related to neck pain for individuals with chronic cervical pain.

Detailed Description

Individuals reporting chronic mild to moderate neck pain for more than 3 months were assigned to a pilates, yoga or wait-listed control group. The exercise group consisted of 12 one hour small group sessions instructed by experienced Physical Therapists with additional yoga or pilates training. Participants were evaluated at baseline, 6 weeks, and 12 weeks. Exercise participants also completed a follow up 6 weeks after completion.

Study Timeline

• Study Start: 2010-07
• Primary Completion: 2013-05
• Study Completion: 2013-05
• Status Verified: 2013-11
• Study First Submitted: 2013-11-19
• Study First Submitted QC: 2013-11-25
• Last Update Submitted: 2013-11-25
• Study First Posted: 2013-12-03
• Last Update Posted: 2013-12-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 88

Inclusion Criteria

• Able to attend at 12 exercise class sessions (once a week for an hour)
• Stable moderate to severe neck pain (3/10- 8/10) present for > 3 months
• Able to get up and down off the floor
• Able to ambulate in the community without an assistive device
• Medically stable and cleared to participate in exercise

Exclusion Criteria

• Neck Pain that is easily aggravated with exercise
• Neurological symptoms in the arms or legs (numbness, tingling, weakness)
• History of recent whiplash, spine surgery, diagnosed osteoporosis, cervical stenosis with leg symptoms
• Any medical conditions which does not allow active exercise
• Unable to make medical decisions independently or have memory problems
• Regularly attending Pilates or Yoga classes or individual sessions

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Yoga Group Exercise	Yoga Group Exercise	Yoga group exercise will be taught by a licensed Physical Therapist. Groups consist of 4-8 individuals with 12 sessions once weekly over 12 weeks.
Pilates Group Mat Exercise	Pilates Group Mat Exercise	Pilates mat exercise will be taught by a licensed Physical Therapist with additional Rehabilitation Pilates certification.

Primary Outcome Measures

Name	Time	Method
Change from baseline Neck Disability Index	Baseline, 6 weeks, 12 weeks, 18 weeks	Self reported Neck Disability Index questionnaire

Secondary Outcome Measures

Name	Time	Method
Change from baseline Dynamic Gait Index score	Baselin, week 6, week 12, week 18	Series of functional gait activities including walking, walking at different speeds, stepping over and around an obstacle, turning the head and tilting the head while walking scored by an observer.
Change from baseline in Activities Balance Confidence Scale score	Baseline, week 6, week 12, week 18	Self reported confidence in maintaining balance for functional activities.
Change from baseline differences between habitual and self corrected postural position	Baseline, week 6, week 12, week 18	Sagittal plane position measured for Upper Cervical angle, forward head position, and thoracic width using the Cervical range of motion device.
Change from baseline in time for the Timed up and go test	Baseline, week 6, week 12, week 18	Time to stand from a chair and walk to a standardized distance, return and sit down
Change in Number of days of pain medication use in the past week	Baseline, week 6, week 12	Self report
Change from baseline in Neck Pain Ratings (NPR) experienced on average over the past week	Baseline, week 6, week 12, week 18	Average pain experienced over the past week (general, worst pain and experienced with functional activities - sustained positions, upper extremity movement, work, recreation)
Change from baseline Cervical range of motion measurements	Baseline, week 6, week 12, week 18	Measured with the Cervical Range of Motion instrument (CROM)

Trial Locations

Locations (4)

Oakland Physical Therapy; 🇺🇸 Novi, Michigan, United States

Equilibrium Studio; 🇺🇸 Bloomfield Hills, Michigan, United States

Wayne State University; 🇺🇸 Detroit, Michigan, United States

Older Persons Commission; 🇺🇸 Rochester, Michigan, United States