Comparison of the Additional Effects of Using TENS and Interferential Currents for the Treatment of Individuals With Chronic Nonspecific Neck Pain.
- Conditions
- Neck PainChronic Pain
- Registration Number
- NCT05400486
- Lead Sponsor
- University of Nove de Julho
- Brief Summary
In the current clinical and scientific reality, conservative treatment is the most coherent clinical management with a view to the proper rehabilitation of patients with chronic neck pain, with a trend towards the use of therapeutic exercise. However, some uncertainty about the effectiveness of therapeutic exercises still remains, requiring further studies with high methodological rigor, especially with regard to multimodal treatment, such as the combination of therapeutic exercises with photobiomodulation. Thus, the objective of this project is to evaluate the effects of adding photobiomodulation to a program of specific therapeutic exercises for the treatment of individuals with chronic non-specific neck pain. To this end, 60 participants will be randomized into three groups: therapeutic exercise group + photobiomodulation (n = 20), and therapeutic exercise group. There will be 8 treatment sessions and participants will be evaluated before, after the 8 sessions, and 4 weeks after the end of treatment using the Numerical Pain Scale, Neck Disability Index, Catastrophic Thoughts about Pain Scale, and Tampa Kinesiophobia Scale. In the statistical analysis, a linear mixed model will be applied, considering the interaction between the time and group factors. Finally, the addition of photobiomodulation to a therapeutic exercise program is expected to generate clinical improvements for patients with chronic neck pain.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 75
- With chronic neck pain (for more than 90 days)
- Identified according to the following criteria: NDI score ≥ 5
- Numerical Pain Scale (END) score ≥ 3 at rest or during active neck movement
- Individuals who had a history of cervical trauma; head, face, or cervical surgery
- Degenerative diseases of the spine
- Pain radiating to the upper limbs
- Having been submitted to physiotherapeutic treatment for the cervical region in the last three months
- Use of analgesics, anti-inflammatory drugs, or muscle relaxants in the last week; the presence of systemic diseases
- medical diagnosis of fibromyalgia.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method Functional disability Change from Baseline after 8 weeks of intervention and 4 weeks after the end of the intervention.] The NDI will be used to verify the degree of disability due to neck pain.
Numerical Pain Scale Change from Baseline after 8 weeks of intervention and 4 weeks after the end of the intervention.] The Numerical rating pain scale, a simple, easily administered scale evaluates the perceived intensity of pain, using an 11-point scale from 0, representing 'no pain', to 10, which is the 'worst possible pain'.
- Secondary Outcome Measures
Name Time Method Catastrophic Thoughts about Pain Scale Change from Baseline after 8 weeks of intervention and 4 weeks after the end of the intervention.] The Catastrophic Thoughts About Pain Scale will be used to assess pain-related catastrophizing.
Kinesiophobia Tampa Scale Change from Baseline after 8 weeks of intervention and 4 weeks after the end of the intervention.] Tampa Kinesiophobia Scale will be used to assess fear of movement and injury recurrence.
The Copenhagen Neck Functional Disability Scale (CNFDS) Change from Baseline after 8 weeks of intervention and 4 weeks after the end of the intervention.] The CNFDS is a one-dimensional self-report scale consisting of 15 items that assess the degree of disability in activities of daily living in patients diagnosed with neck pain. When calculating the CNFDS score, the following procedures should be considered: For items 1 to 5, the answer "yes" = 0, "sometimes" = 1 and "no" = 2; For items 6 to 15, the answer "yes" = 2, "sometimes" = 1 and "no" = 0. Thus, the total score ranges from 0 to 30, the higher the score, the greater the disability.
Global Perception of Change Scale Change from Baseline after 8 weeks of intervention and 4 weeks after the end of the intervention.] The perception of the global effect of the treatment by the research participant will be evaluated by the Global Perception of Change Scale. The Global Perception of Change Scale is a direct scale on the patient's self-perception when the intervention is performed. This scale is composed of 11 points, ranging from -5 (worse compared to the start of treatment), 0 (neutral) and +5 (improvement compared to the start of treatment), using the Portuguese version.
Trial Locations
- Locations (1)
University of Nove de Julho
🇧🇷São Paulo, Brazil
University of Nove de Julho🇧🇷São Paulo, Brazil