Rehabilitation of women with neck-shoulder pain: effect of individualized training and treatment

Not Applicable

Completed

• Conditions: on specific neck-shoulder pain, with evidence of impaired physical functioning in terms of self-rated neck disability and work capacity.; Musculoskeletal Diseases; Pain, not elsewhere classified

• Registration Number: ISRCTN49348025
• Lead Sponsor: The Swedish Council for Working Life and Social Research (Sweden)

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2011-08-02
• Last Update Posted: 7 November 2016

Recruitment & Eligibility

• Status: Completed
• Sex: Female
• Target Recruitment: 160

Inclusion Criteria

Participants with neck-shoulder pain:
1. Women, age 20-65 years
2. Non-specific neck-shoulder pain with duration of at least six weeks
3. Decreased physical functioning, = 10 and = 68 (0-100) on the Neck Disability Index (NDI)4. Self-rated impaired capacity on the quality or quantity to work the preceding month due to neck problems (measured with two questions according to Martimo et al. 2009)

Control group for baseline comparisons:
1. Women, age 20-65 years
2. Healthy volunteers without neck or back pain

Exclusion Criteria

Participants with neck-shoulder pain:
1. Trauma to the head and neck associated with the onset or with any worsening of the symptoms (self-ratings)
2. Cervical rhizopathy or vestibular dysfunction (according to specific diagnostic criteria)
3. Conditions of psychiatric, inflammatory, endocrinal, rheumatic, cancer, neurological or connective tissue disorders, stroke, heart infarct or type 1-diabetes (diagnosed by medical doctor)
4. Concurrent low back pain (defined according to pain drawing (Margolis et al. 1986) and a specific decision algorithm (Nyman et al. 2009)
5. Fibromyalgia/generalized pain according to the criteria of the American College of Rheumatology
6. Low treatment expectation or catastrophizing ?most? or ?all of the time? (5-point ordinal scale)
7. Anxiety or depression (assessed by the Hospital Anxiety and Depression Scale with cut off values of 10 for anxiety and 8 for depression (Lisspers et al. 1997)
8. Temporomandibular disorders (Criteria according to Storm and Wänman 2006)
9. Surgery the last 3 years in the neck, back or shoulder
10. Fracture in the neck or fracture the last 3 years in the shoulder or back
11. Luxation of a shoulder joint the last year
12. Severely restricted range of motion in cervical rotation (< 30° in any direction) or shoulder flexion (< 110°)

Baseline control group:
1. Trauma that has caused considerable problems in the head, neck or shoulder
2. Conditions of psychiatric, inflammatory, endocrinal, rheumatic, cancer, neurological or connective tissue disorders, stroke, heart infarct or type 1-diabetes (diagnosed by medical doctor)
3. Evidence of back, neck or shoulder operation or fracture

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
1. Physical functioning, measured using the Neck Disability Index (NDI) <br>2. Average pain intensity last week, measured using the Numeric Rating Scale (NRS) (0 = no pain, 10 = worst imaginable pain)