Effects of a Self-administered Program in Chronic Neck Pain Patients
试验速览
- 阶段
- 不适用
- 入组人数
- 50
- 试验地点
- 1
- 主要终点
- Trigger points examination
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Experimental group
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.
干预措施: self-administered program (Other)
Control group
Those patients allocated to the control group received a booklet with information regarding neck pain and explaining basic exercises for active mobilization and stretching with pictures and a short text.
结局指标
主要结局
Trigger points examination
时间窗: 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
次要结局
- Functionality(Change from baseline functionality at 4 weeks)
- Health related quality of life(Change from baseline health related quality of life at 4 weeks)
- Fear avoidance beliefs(Change from baseline fear avoidance beliefs at 4 weeks)
- Anxiety and depression(Change from baseline anxiety and depression at 4 weeks)
- Pain severity(Change from baseline pain at 4 weeks)
- Cervical range of motion(Change from baseline cervical range of motion at 4 weeks)
研究者
Marie Carmen Valenza
Principal investigator
Universidad de Granada