Effects of Resistance Training on Pain, Function and Work Ability in Patients With Moderate to Severe Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 74
- 试验地点
- 1
- 主要终点
- Neck-related disability as assessed by the neck disability index
研究概览
简要总结
The purpose of this study is to investigate if high-intensity resistance training can induce additional beneficial effects, for patients with moderate to severe long term pain in the neck, when added to a multidisciplinary treatment program.
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 (Investigator)
入排标准
- 年龄范围
- 16 Years 至 65 Years（Child, Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Referred to the multidisciplinary clinic for treatment of pain in the neck
- •Long term (≥ 3months) or recurrent (≥ 2 periods of ≥ 4 weeks the past year) non-specific neck pain,
- •Pain intensity ≥ 4 on numerical rating scale (0-10)
排除标准
- •Severe somatic condition (unstable injury, malignity, infectious disease, active rheumatic disease, severe osteoporosis)
- •Psychiatric condition/disease that severely impairs group functioning
- •Insufficient comprehension of Norwegian language to participate in group sessions and fill out questionnaires
- •Awaiting surgery of neck
- •Alcohol or drug abuse
- •Ongoing compensation case or applying for disability benefits due to pain in the neck
- •Engaged in high-intensity resistance training on a regular basis the last 6 months
- •Contra-indications for high-intensity resistance training (i.e. shoulder complications)
研究组 & 干预措施
High-intensity resistance training
Full body, progressive strength training with Theraband® Elastic bands. Three times per week for 12 weeks - 3 weeks with supervised sessions at the clinic, and 9 weeks of home training.Three guided sessions will be offered during the home training period.
干预措施: High-intensity resistance training (Behavioral)
High-intensity resistance training
Full body, progressive strength training with Theraband® Elastic bands. Three times per week for 12 weeks - 3 weeks with supervised sessions at the clinic, and 9 weeks of home training.Three guided sessions will be offered during the home training period.
干预措施: Multidisciplinary rehabilitation program (Behavioral)
General physical activity
12 weeks of general physical activity - 3 weeks with supervised sessions at the clinic, and 9 weeks of individually adjusted home training. This include circle-training, low-intensity resistance exercises, endurance exercises, ball playing, body awareness, stretching, and relaxation techniques, and similar activities. Neither moderate nor high-intensity resistance exercise is included for participants in this group.Three guided sessions will be offered during the home training period.
干预措施: General physical activity (Behavioral)
General physical activity
12 weeks of general physical activity - 3 weeks with supervised sessions at the clinic, and 9 weeks of individually adjusted home training. This include circle-training, low-intensity resistance exercises, endurance exercises, ball playing, body awareness, stretching, and relaxation techniques, and similar activities. Neither moderate nor high-intensity resistance exercise is included for participants in this group.Three guided sessions will be offered during the home training period.
干预措施: Multidisciplinary rehabilitation program (Behavioral)
结局指标
主要结局
Neck-related disability as assessed by the neck disability index
时间窗: 12 weeks
Neck disability index
次要结局
- Patient's' perceived effect of the treatment assessed by the Patient specific functioning scale(3 and 12 weeks + 6 and 12 months)
- Work ability assessed by Work ability index(3 and 12 weeks + 6 and 12 months)
- Fear avoidance beliefs assessed by Fear Avoidance Beliefs Questionnaire(3 and 12 weeks + 6 and 12 months)
- Anxiety and depression assessed by Hopkins symptom checklist(3 and 12 weeks + 6 and 12 months)
- Quality of life assessed by EQ-5D-5L(3 and 12 weeks + 6 and 12 months)
- Pain assessed by the Numerical Pain Rating Scale(3 and 12 weeks + 6 and 12 months)
- Physical activity level assessed by a questionnaire from the HUNT study(3 and 12 weeks + 6 and 12 months)
- Use of analgesics assessed by a questionnaire from the HUNT study(3 and 12 weeks + 6 and 12 months)
- Pressure pain threshold of the tibialis anterior muscle measured using an algometer(3 and 12 weeks + 6 and 12 months)
- Strength in the neck measured using a handheld dynamometer(3 and 12 weeks + 6 and 12 months)
- Grip strength measured using a handheld dynamometer(3 and 12 weeks + 6 and 12 months)
- Patient's' perceived effect of the treatment assessed by the Global rating of change scale(3 and 12 weeks + 6 and 12 months)
- Neck-related disability as assessed by the neck disability index(3 weeks + 6 and 12 months)