Randomized Controlled Trial of Global Postural Re-education vs. Standard Manual Physical Therapy for Non-specific Chronic Neck Pain With Cross-over
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Nonspecific Chronic Neck Pain
- Sponsor
- University of Bologna
- Enrollment
- 100
- Locations
- 1
- Primary Endpoint
- Pain
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
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.
Detailed Description
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.
Investigators
paolo pillastrini
Associate Professor and President of Baccaluareate Course in Physiotherapy
University of Bologna
Eligibility Criteria
Inclusion Criteria
- •nonspecific neck pain lasting at least 3 months
Exclusion Criteria
- •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
Outcomes
Primary Outcomes
Pain
Time Frame: 9 weeks after start of intervention
The investigators assessed this outcome with a Visual Analogue Scale (VAS).
Cervical Functional Limitations
Time Frame: 9 weeks after start of intervention
The investigators assessed this outcome with the Neck Disability Index.
Secondary Outcomes
- 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)