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The Effect of Experimental Neck Pain in Healthy Participants

Not Applicable
Conditions
Neck Pain
Healthy
Interventions
Other: Injection of Isotonic saline
Other: Injection of NGF
Registration Number
NCT03848247
Lead Sponsor
Aalborg University
Brief Summary

This study investigates if/how an experimentally applied muscle pain/soreness, lasting for some days may affect brain activity, balance, movement patterns, muscle function and pain sensitivity in a healthy population

Detailed Description

All included healthy volunteers will participate in test-sessions on 4 separate days over approximately 2 weeks.

During the study participants will be randomised into and either a control group (injection of isotonic saline into a neck muscle) or neck pain group (injection of Nerve Growth Factor (NGF) into a neck muscle).

Alle participants tested with regards to:

Brain activity related to neck muscles will be estimated using TMS Balance will be tested using a force place Body movements will be recorded using 3D tracking Muscle activity will be estimated using electromyography (EMG)

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Healthy men and women aged 18-50 years
  • Only for sub-projects 1 and 2: Right-handed
  • Able to speak, read and understand Danish and English
Exclusion Criteria
  • Pain from the neck or shoulder area during the past 6 months
  • Experience of delayed onset muscle soreness (DOMS) during the week leading up to the test session
  • Former surgery in neck or shoulder
  • Current or previous chronic or recurrent pain condition
  • Pregnancy
  • Drug addiction defined as the use of cannabis, opioids or other drugs
  • Previous neurologic, musculoskeletal or mental illnesses
  • Regular use of analgesics
  • Abnormally disrupted sleep in the last 24 hours preceding the experiment
  • Lack of ability to cooperate
  • Unable to pass the TASS safety screening questionnaire for TMS

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control groupInjection of Isotonic salineParticipants will be injected with 0.5ml Isotonic saline into a neck muscle
Neck painInjection of NGFParticipants will be injected with 0.5ml NGF into the a neck muscle
Primary Outcome Measures
NameTimeMethod
Change in motor evoked potentialsDay 0, 4 and 15

Trans cranial magnetic stimulation (TMS) is used to asses motor evoked potentials of neck muscles

Change in pressure pain threshold (PPT) measured with a handheld pressure algometerDay 0, 2,4 and 15

PPT will be assessed over head, neck, arm and leg sites.

Change in Body movementDay 0, 4 and 15

3D recordings of body movements

Secondary Outcome Measures
NameTimeMethod
The Big Five Inventory (BFI)Day 2

BFI questionnaire investigates five general traits personality: extraversion, agreeableness, conscientiousness, neuroticism and openness. The BFI consists of 44 items that are answered on a 5 point Likert scale (1=Disagree strongly, 2=Disagree a little, 3=Neither agree or disagree, 4=Agree a little, 5=Agree strongly). This is not good/bad score in this questionnaire as it only assess personality traits.

Change in standing balanceDay 0, 4 and 15

Standing balance is measured on a force platform

DisabilityDay 0, 2,4 and 15

Neck disability Index will be scored. Body movements will be scored on a modified 6-point Likert scale (0 = not difficult at all; 1 = minimally difficult; 2 = somewhat difficult; 3 = fairly difficult; 4 = very difficult; 5 = unable to perform)

Pain Catastrophizing Scale (13 item questionnaire)Day 2

Pain Catastrophizing Scale (PCS) questionnaire. 13 items that can be answered with a Likert scale (0 = not at all, 1 = to a slight degree, 2= to a moderate degree, 3 = to a great degree, 4 = all the time).

The PCS is scored by summing responses to all 13 items with scores ranging from 0 - 52.

Change in muscle activity (EMG)Day 0, 4 and 15

EMG of axioscapular muscles \& trunk during arm movements

Change in perceived pain: McGill Pain QuestionnaireDay 0, 2,4 and 15

Pain will be scored using a scale from 0-10 with 0 being no pain and 10 being worst imaginable pain, by drawing on body charts and choosing words from the McGill Pain Questionnaire.

Trial Locations

Locations (1)

Dept. Of Health Science and Technology, SMI, Aalborg University

🇩🇰

Aalborg, Denmark

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