Randomized Controlled Trial of Global Postural Re-education vs. Standard Manual Physical Therapy for Non-specific Chronic Neck Pain With Cross-over
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 100
- 试验地点
- 2
- 主要终点
- Pain
研究概览
简要总结
Effective treatment for nonspecific chronic neck pain is a clinical challenge. Patients will be randomized into two groups to compare the outcomes of Global Postural Re-education (GPR) with standard manual physical therapy on with respect to pain, function, kinesiophobia, range of motion, perceived effect, and satisfaction.
详细描述
These study will use two groups: one to receive GPR which is a systematic method of addressing musculoskeletal pain and related functional deficits and the other to receive "usual care" manual PT which will be individualized to the patient's condition. Usual care will include techniques commonly used in clinical practice selected by the physical therapist after initial examination. After nine weeks of treatment, baseline measures will be re-evaluated. After conclusion of the first phase of the study, patients who were randomized to the "usual care" group will cross-over and receive GPR.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Single (Investigator)
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •nonspecific neck pain lasting at least 3 months
排除标准
- •acute or subacute cervical pain
- •specific or known cause of pain
- •central or peripheral neurological signs
- •systemic pathology
- •rheumatologic pathology
- •neuromuscular pathology
- •cognitive impairment
- •surgical intervention in the last 6 months prior to study
- •physical therapy treatment in the last 6 months prior to study
结局指标
主要结局
Pain
时间窗: 9 weeks after start of intervention
The investigators assessed this outcome with a Visual Analogue Scale (VAS).
Cervical Functional Limitations
时间窗: 9 weeks after start of intervention
The investigators assessed this outcome with the Neck Disability Index.
次要结局
- Cervical Range of Motion(9 weeks after start of intervention)
- Patient Satisfaction(9 weeks after start of intervention)
- Kinesiophobia(9 weeks after start of intervention)
- Self-reported Global Effect of the Intervention(9 weeks after start of intervention)
研究者
paolo pillastrini
Associate Professor and President of Baccaluareate Course in Physiotherapy
University of Bologna