Effects of a Self-management Program in Patients With Chronic Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 53
- 主要终点
- Disability
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 is 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 6 months' duration) not related to trauma .
排除标准
- •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-management program and manual therapy program
干预措施: self-managmeent program (Other)
Control group
The intervention consisted of 45-minute manual therapy sessions. Manual therapy included "hands-on" muscular mobilization techniques (aimed at improving soft tissue function), specific articular mobilization techniques (to improve overall joint function and decrease any restrictions in movement at single or multiple segmental levels in the cervical spine), and coordination or stabilization techniques (to improve postural control, coordination, and movement patterns by using the stabilizing cervical musculature)
干预措施: self-managmeent program (Other)
结局指标
主要结局
Disability
时间窗: Change from baseline pain at 3 weeks
Disability will be explored using the Neck Disability Index. The patients rated their current pain and average pain over the past week on a 0-10 numerical rating scale
次要结局
- Pain severity(Change from baseline pain at 3 weeks)
- Fear avoidance beliefs(Change from baseline fear avoidance beliefs at 4 weeks)
- Health related quality of life(Change from baseline health related quality of life at 4 weeks)
- Anxiety and depression(Change from baseline anxiety and depression at 4 weeks)
研究者
Marie Carmen Valenza
PhD
Universidad de Granada