Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain: Randomized Clinical Trial.
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 54
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
The purpose of this study is to evaluate the clinical results in pain intensity, neck disability, range of motion, endurance deep cervical muscles, forward head position and kinesiophobia through thoracic spine mobility, deep neck muscles and thoracic strength training and pain education protocol versus a thoracic spine mobility, thoracic strength training and pain education protocol in patients with chronic non-specific neck pain.
详细描述
The cervical spine is the most mobile region of the spine and must be strong enough to support the weight of the skull and thoracic spine is the most stiff region. In addition, patients often catastrophize their pain, it has a major impact on quality of life. Strength deficits of the deep cervical muscles are related to different clinical conditions, such as non-specific neck pain. Training and education protocols can help to improve pain, function, posture and cross-sectional area. However, there are no multimodal protocols in subjects with chronic non-specific neck pain including deep neck extensor and flexor muscles, thoracic spine mobility and pain education.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Non-specific neck pain for at least the last 12 weeks.
- •Pain intensity equal to or greater than 4 on the visual analog scale (VAS).
- •Mild-moderate disability in the Neck Disability Index.
- •Not reaching phase 2 in Craniocervical flexion test.
- •Availability and skill to do video calls.
- •Understanding Spanish.
排除标准
- •Other type of neck pain.
- •Previous neck surgery.
- •Diagnosed metabolic diseases.
- •Red flags (infection, tumors, rheumatic arthritis, or cardiovascular disease).
- •History of cardio-respiratory disease that contraindicates high-intensity exercise.
- •Fibromyalgia
- •Pregnancy
- •Physiotherapeuthic treatment continued in the last 3 month.
研究组 & 干预措施
Experimental group
Thoracic spine mobility, deep cervical flexor and extensor muscles strength training, thoracic muscles strength training and pain education through telerehabilitation.
干预措施: Thoracic and neck specific exercise program and education (Other)
Control group
Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation.
干预措施: Thoracic exercise program and education (Other)
结局指标
主要结局
Pain intensity
时间窗: Baseline, 6 weeks, 1 month follow-up
Measured by Visual Analogue Scale.
Neck Disability
时间窗: Baseline, 6 weeks, 1 month follow-up
Measured by the Spanish version of Neck Disability Index Questionnaire.
次要结局
- Activation of deep neck flexors muscles.(Baseline, 6 weeks, 1 month follow-up)
- Forward head posture(Baseline, 6 weeks, 1 month follow-up)
- Cervical range of motion(Baseline, 6 weeks, 1 month follow-up)
- Kinesiophobia(Baseline, 6 weeks, 1 month follow-up)
- Global Rating of Change(1 month follow-up)
研究者
Daniel Pantaleón Hernández
Associate Teacher in Physiotherapy
Universitat Internacional de Catalunya