Randomized, Controlled Clinical Trial With Cross-over on the Efficacy of Cervical Pillows and an Educational Intervention in Patients With Chronic Non-specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 4
- 主要终点
- Changes in neck pain over time at 4, 8 and 12 weeks
研究概览
简要总结
This randomized controlled with cross-over trial aims to investigate the efficacy of a cervical pillow (the "Viscospring PostuRite" made by SOFF-ART S.r.l. Via Maestri del Lavoro 49 - 05100 Terni, Italy) versus education in non-specific chronic neck pain. More specifically, effectiveness will be measured using the following outcome measures: pain, disability, sleep quality, cervical pillow satisfaction, and global perception of the treatment effectiveness.
详细描述
The cervical pillow intervention will consist of the delivery and use of a particular cervical pillow ("Viscospring Postural") to be used during nighttime sleep. Each intervention will include an individual meeting with a physical therapist who will explain how to use and maintain the pillow, will last half an hour, and will be supported by the delivery of a user manual. There will be an opportunity to clarify any concerns and to receive answers to questions.
The educational intervention will be conducted by a physical therapist and will consist of advice on proper positions, movements, and activities recommended or not recommended for people with chronic neck pain, both in the workplace and in leisure time, including nighttime postures. Each educational intervention will be carried out individually, will last half an hour, and will be supported by the delivery of an informative brochure. There will be an opportunity to clarify any concerns and to receive answers to questions.
Participants will be required during the duration of the study refrain from modifying the dosage or type of prescribed analgesic or anti-inflammatory drugs they may be taking at the time the study starts and to refrain from initiating new drugs.
Participants will also be required refrain from undertaking any physical therapy or manipulative treatment for neck pain and to pursue their usual activities: work, recreation and physical activity.
Participants will also be required to complete a daily diary of pain for the duration of the study in order to monitor the development of any exclusion criterion during the period of study.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Crossover
- 主要目的
- Treatment
- 盲法
- Double (Investigator, Outcomes Assessor)
盲法说明
The principal investigator will receive the results of outcome measures without any information of the group assignement.
The outcome assessors will be masked on the group assignment, because they will receive only the list of participants,without the group assignment.
入排标准
- 年龄范围
- 18 Years 至 80 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Nonspecific chronic neck pain (neck pain from 3 months or more, not related to specific pathologies);
- •Neck pain, with or without irradiation to the upper limb or to the head, noted as ≥2 on a scale of 0-10;
- •Good comprehension of written and spoken Italian language;
- •Informed consent.
排除标准
- •Acute or sub-acute neck pain;
- •Specific causes of cervical pain (trauma, herniated disc, vertebral deformity, fractures, dislocations);
- •Central or peripheral neurological signs;
- •Systemic pathologies;
- •Rheumatic disorders;
- •Neuromuscular pathologies;
- •Cognitive deficits;
- •Surgical interventions in the last six months prior to the study;
- •Physiotherapeutic treatments in the last six months prior to the study;
- •To modify the type or the dosage of analgesic or anti-inflammatory drugs taken at baseline or new drug intakes;
- •Using no pillow or 2 pillows during night time sleep.
结局指标
主要结局
Changes in neck pain over time at 4, 8 and 12 weeks
时间窗: At baseline, and at 3 follow-ups (after 4, 8, and 12 weeks)
0-100 Numerical Rating Scale for neck, shoulders, thoracic pain, and headache. Frequency of neck, shoulders, thoracic pain, and headache.
次要结局
- Changes in neck disability over time at 4, 8 and 12 weeks(At baseline, and at 3 follow-ups (after 4, 8, and 12 weeks))
- Changes in Global Perceived Effect (GPE) over time at 4 and 12 weeks(After 4 and 12 weeks from baseline)
- Changes in Neck Pillow Satisfaction (NPS) over time at 4 and 12 weeks(After 4 and 12 weeks from baseline)
- Changes in sleep quality over time at 4, 8 and 12 weeks(At baseline, and at 3 follow-ups (after 4, 8, and 12 weeks))
研究者
Paolo Pillastrini
Professore ordinario
University of Bologna