Effect of Combined Neck Strength Exerciser Plus Physiotherapy in Treatment of Patients With Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Cervicalgia
- Sponsor
- Shin Kong Wu Ho-Su Memorial Hospital
- Enrollment
- 80
- Locations
- 1
- Primary Endpoint
- Change from Baseline in Visual analog scale (VAS) at three-month interval
- Status
- Completed
- Last Updated
- 11 years ago
Overview
Brief Summary
-
Chronic neck pain is common in general population.
- High health care source expenditure
- Multiple therapeutic approaches available with limited evidence
- Previous studies showed active strengthening exercise improved pain (VAS) and functional performance (NDI)
- Muscle strengthening exercise with biofeedback technique showed more long-lasting effect in patients with chronic neck pain
-
The investigators hypothesize that daily use of the neck strength exerciser (NSE), combined biofeedback technique with muscle strengthening exercise posture adjustment, in addition to traditional physiotherapy, could have more long-lasting and prominent effect on pain and functional improvement in patients with chronic neck pain.
Detailed Description
1. A randomized single-blinded trial to compare the effect of combined home-based NSE with physiotherapy could be more effective to treat people with chronic neck pain * The NSE is a simple equipment that is easy to learn and safe to apply as home-based program * The NSE will apply to the patients in the NSE group for 6 weeks, and we will compare the target variables to see if it brings better improvement by correction of maladaptive habitual posture and daily postural muscle exercise
Investigators
Eligibility Criteria
Inclusion Criteria
- •Adult, ≧20 yr.
- •Constantly or frequently occurring neck pain for more than 3 months in the last 1 year.
- •Motivated and willing to participate in rehabilitation therapy
- •Sign written informed consent.
Exclusion Criteria
- •Neck or shoulder surgery.
- •Clinical evidence of cervical radiculopathy or myelopathy.
- •History of disk disease, degenerative joint disease, fracture, or dislocation in the cervical vertebrae.
- •Severe pathological change in the cervical vertebrae, including inflammatory rheumatic disease and tumor.
- •History of poor diet, hypothyroidism, or other severe systemic disorders.
- •Cognitive deficit and severe psychiatric illness.
Outcomes
Primary Outcomes
Change from Baseline in Visual analog scale (VAS) at three-month interval
Time Frame: day 0; day 42; 12 weeks
a 10-point horizontal line with 0 represented the expressions "no pain at all, and 10 represented "the most intense pain imaginable"
Secondary Outcomes
- Cervical active ROM(day 0; day 42; 12 weeks)
- Amount of sick leave(day 42; 12 weeks)
- Patient global assessment (PGA)(day 0; day 42; 12 weeks)
- Effect of the intervention on the neck pain(day 42; 12 weeks)
- Neck Disability Index (NDI)(day 0; day 42; 12 weeks)
- Amount of analgesics(day 42; 12 weeks)