GPR vs Manual PT for Chronic Neck Pain

Not Applicable

Completed

• Conditions: Nonspecific Chronic Neck Pain
• Interventions: Other: Global Postural Re-education; Other: Standard manual physical therapy

• Registration Number: NCT01947231
• Lead Sponsor: University of Bologna

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.

Study Timeline

• Study Start: 2013-09
• Study First Submitted: 2013-09-03
• Study First Submitted QC: 2013-09-17
• Study First Posted: 2013-09-20
• Primary Completion: 2014-11
• Study Completion: 2014-11
• Status Verified: 2017-01
• Last Update Submitted: 2017-01-29
• Last Update Posted: 2017-01-31

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 100

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: CROSSOVER

Arm && Interventions

Group	Intervention	Description
Global Postural Re-education	Global Postural Re-education	Global Postural Re-education is delivered in a single treatment session each week for nine weeks.
Standard manual physical therapy	Standard manual physical therapy	Standard manual physical therapy is delivered in a single treatment session each week for 9 weeks.

Primary Outcome Measures

Name	Time	Method
Pain	9 weeks after start of intervention	The investigators assessed this outcome with a Visual Analogue Scale (VAS).
Cervical Functional Limitations	9 weeks after start of intervention	The investigators assessed this outcome with the Neck Disability Index.

Secondary Outcome Measures

Name	Time	Method
Cervical Range of Motion	9 weeks after start of intervention	The investigators assessed this outcome with the CROM-Deluxe which is an inclinometer that is placed on the subject's head to measure cervical range of motion.
Patient Satisfaction	9 weeks after start of intervention	The investigators assessed this outcome with the Physical Therapy Patient Satisfaction Questionnaire - Italian Version which has established psychometric properties.
Kinesiophobia	9 weeks after start of intervention	The investigators assessed this outcome with the Tampa Scale of Kinesiophobia.
Self-reported Global Effect of the Intervention	9 weeks after start of intervention	The investigators assessed this outcome with a Global Perceived Effect scale which measures the subject's self-reported improvement or deterioration following the intervention.

Trial Locations

Locations (1)

Policlinico S. Orsola-Malpighi; 🇮🇹 Bologna, Emiglia-Romagna, Italy