Self-administered Program in Chronic Neck Pain
- Conditions
- Chronic Neck Pain
- Interventions
- Other: self-administered program
- Registration Number
- NCT03702075
- Lead Sponsor
- Universidad de Granada
- Brief Summary
Neck pain is a complex biopsychosocial disorder often precipitated or aggravated by neck movements or sustained neck postures. The onset and course of this pain are influenced by environmental and personal factors. Many studies report that participants preferred self-care measures for the management of neck pain and they sought professional help only when those measures fail.
- Detailed Description
Neck pain is the fourth leading cause of disability worldwide causing an enormous impact on individuals and their families, communities and healthcare systems.While neck pain can be severely disabling and costly, treatment options have shown moderate evidence of effectiveness. No previous study has used foam roller in patients with neck pain. In addition, it has been suggested that neurodynamic interventions provide a peripheral stimulus, reducing the pressure existing within the nerve, improving blood flow, axonal transport and nerve conduction. It was hypothesized that a self-administered intervention focused on myofascial release of main muscles related to neck pain and upper-limb active neurodynamics could reduce the presence of active trigger points and pain, improving functionality and active mobility.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 50
- Chronic neck pain (at least 3 months' duration) not related to trauma of at least 3 on a visual analogue scale
- Participants' symptoms had to be reproduced by median nerve upper-limb neurodynamic test.
- Exclusion Criteria:
- Whiplash related neck pain
- Previous cervical surgical intervention
- Cognitive impairments which prevent them to follow instructions
- Visual or acoustic limitations
- Physical therapy in the previous six months
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Experimental group self-administered program Patients allocated to the experimental group were included in a self-administered program combining self-myofascial release using foam rollers and roller balls and active upper limb neurodynamic exercises. It consisted of three sessions of 50-60 minutes per week for 4 consecutive weeks.
- Primary Outcome Measures
Name Time Method Trigger points examination Change from baseline trigger points examination at 4 weeks Trigger points will be explored bilaterally by a blinded assessor in suboccipital, scalene, levator scapulae and upper trapezius muscles
- Secondary Outcome Measures
Name Time Method Pain severity Change from baseline pain at 4 weeks Pain will be assessed using the Brief Pain Inventory. It measures the degree of interference of pain with various aspects of life, including mobility and social activities (reactive pain) and pain severity (sensory pain).
Cervical range of motion Change from baseline cervical range of motion at 4 weeks Cervical range of motion will be measured using a cervical goniometer. Subjects perform neck movements to the fullest extent of their mobility of flexion, extension, right and left lateroflexion, and right and left rotation.
Functionality Change from baseline functionality at 4 weeks Functionality will be assessed by the Neck Outcome Score. This is a reliable, valid and responsive measure of self-reported disability for patients with neck pain. It includes 34 items divided into 5 subscales: Mobility, symptoms, sleep disturbance, every day activity and pain and participation in everyday life.
Health related quality of life Change from baseline health related quality of life at 4 weeks Health related quality of life will be measured by euroQol-5D. It contains two sections, a descriptive section and a valuation section.
Fear avoidance beliefs Change from baseline fear avoidance beliefs at 4 weeks Fear avoidance beliefs will be assessed by the the Fear Avoidance Beliefs Questionnaire (FABQ). It consists of 16 sentences related to physical activity (first 5 items) and work (last 11 items).
Anxiety and depression Change from baseline anxiety and depression at 4 weeks Anxiety and depression was evaluated by the the Hospital Anxiety and Depression Scale (HAD).It contains 14 items describing symptoms of depression (7 items) and anxiety (7 items)
Trial Locations
- Locations (1)
Faculty of Health Sciences. University of Granada.
🇪🇸Granada., Granada, Spain