Evaluation of the Efficacy of Cervical Pillows in Subjects With Non-specific Chronic Neck Pain
- Conditions
- Neck Pain
- Interventions
- Other: EducationDevice: Viscospring PostuRite - "medium" model
- Registration Number
- NCT03165669
- Lead Sponsor
- University of Bologna
- Brief Summary
This randomized controlled with cross-over trial aims to investigate the efficacy of a cervical pillow (the "Viscospring PostuRite" made by SOFF-ART S.r.l. Via Maestri del Lavoro 49 - 05100 Terni, Italy) versus education in non-specific chronic neck pain. More specifically, effectiveness will be measured using the following outcome measures: pain, disability, sleep quality, cervical pillow satisfaction, and global perception of the treatment effectiveness.
- Detailed Description
The cervical pillow intervention will consist of the delivery and use of a particular cervical pillow ("Viscospring Postural") to be used during nighttime sleep. Each intervention will include an individual meeting with a physical therapist who will explain how to use and maintain the pillow, will last half an hour, and will be supported by the delivery of a user manual. There will be an opportunity to clarify any concerns and to receive answers to questions.
The educational intervention will be conducted by a physical therapist and will consist of advice on proper positions, movements, and activities recommended or not recommended for people with chronic neck pain, both in the workplace and in leisure time, including nighttime postures. Each educational intervention will be carried out individually, will last half an hour, and will be supported by the delivery of an informative brochure. There will be an opportunity to clarify any concerns and to receive answers to questions.
Participants will be required during the duration of the study refrain from modifying the dosage or type of prescribed analgesic or anti-inflammatory drugs they may be taking at the time the study starts and to refrain from initiating new drugs.
Participants will also be required refrain from undertaking any physical therapy or manipulative treatment for neck pain and to pursue their usual activities: work, recreation and physical activity.
Participants will also be required to complete a daily diary of pain for the duration of the study in order to monitor the development of any exclusion criterion during the period of study.
After the administration of the interventions (after 4 weeks of treatment - "Time one"), the first follow-up will be performed, with the administration of these questionnaires: Neck Disability Index (NDI-I), 0-100 Numerical Rating Scale, Pittsburg Sleep Quality Index (PSQI), Global Perceived Effect (GPE), Neck Pillow Satisfaction (NPS).
After four weeks from the " Time one" of the study, another follow-up will be performed, with the administration of the following questionnaires: Neck Disability Index (NDI-I), 0-100 Numerical Rating Scale, Pittsburg Sleep Quality Index (PSQI), and crossover will be performed, which consists in the exchange of treatments between the two groups: the group that did the first intervention will receive the second, and vice versa.
Four weeks after the cross-over, the third follow-up will be performed ("Time three"). In this final phase of the study, these questionnaires will be administrated: Neck Disability Index (NDI-I), 0-100 Numerical Rating Scale, Pittsburg Sleep Quality Index (PSQI), Global Perceived Effect (GPE), Neck Pillow Satisfaction (NPS).
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 70
- Nonspecific chronic neck pain (neck pain from 3 months or more, not related to specific pathologies);
- Neck pain, with or without irradiation to the upper limb or to the head, noted as ≥2 on a scale of 0-10;
- Good comprehension of written and spoken Italian language;
- Informed consent.
- Acute or sub-acute neck pain;
- Specific causes of cervical pain (trauma, herniated disc, vertebral deformity, fractures, dislocations);
- Central or peripheral neurological signs;
- Systemic pathologies;
- Rheumatic disorders;
- Neuromuscular pathologies;
- Tumors;
- Cognitive deficits;
- Surgical interventions in the last six months prior to the study;
- Physiotherapeutic treatments in the last six months prior to the study;
- To modify the type or the dosage of analgesic or anti-inflammatory drugs taken at baseline or new drug intakes;
- Using no pillow or 2 pillows during night time sleep.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description Education Education The educational intervention will be conducted by a physical therapist and will consist of a advice on positions, movements and activities recommended or not recommended for people with chronic neck pain, both in the workplace and in leisure time, including nighttime postures. Each educational intervention will be carried out individually, will last half an hour and will be supported by the delivery of an informative brochure. Cervical pillow Viscospring PostuRite - "medium" model The cervical pillow is known as the Viscospring PostuRite - "medium" model, made by SOFF-ART S.r.l. - Via Maestri del Lavoro 49 - 05100 Terni, Italy. The "Viscospring PostuRite" pillow is externally made of viscoelastic polyurethane and internally 60 independent, individually coated harmonic phosphate-coated steel springs, are thought to promote correct posture of the cervical spine, due to the adaptation of the pillow to the shape and movements of the head. Each intervention will be supported by a 30-minutes informative session delivered by a physical therapist, and will be completed by the delivery of an informative brochure.
- Primary Outcome Measures
Name Time Method Changes in neck pain over time at 4, 8 and 12 weeks At baseline, and at 3 follow-ups (after 4, 8, and 12 weeks) 0-100 Numerical Rating Scale for neck, shoulders, thoracic pain, and headache. Frequency of neck, shoulders, thoracic pain, and headache.
- Secondary Outcome Measures
Name Time Method Changes in neck disability over time at 4, 8 and 12 weeks At baseline, and at 3 follow-ups (after 4, 8, and 12 weeks) Neck Disability Index - Italian version
Changes in Global Perceived Effect (GPE) over time at 4 and 12 weeks After 4 and 12 weeks from baseline One question on a 7 points Likert scale
Changes in Neck Pillow Satisfaction (NPS) over time at 4 and 12 weeks After 4 and 12 weeks from baseline One question on a 7 points Likert scale
Changes in sleep quality over time at 4, 8 and 12 weeks At baseline, and at 3 follow-ups (after 4, 8, and 12 weeks) Pittsburgh Sleep Quality Index - Italian version
Trial Locations
- Locations (2)
Policlinico S.Orsola-Malpighi
🇮🇹Bologna, Emilia Romagna, Italy
University of Bologna
🇮🇹Bologna, Emilia-Romagna, Italy