Effectiveness of Specific Neurodynamic Exercises Compared With Non-specific Exercises on Disability and Neck Pain in Women Older Than 65 Years
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 56
- 试验地点
- 1
- 主要终点
- Pain intensity
研究概览
简要总结
This is a randomized, parallel, double-blind clinical trial. The main objective is to compare the efficacy of multimodal exercise with specific neurodynamic exercises and multimodal exercise with non-specific exercises in disability and neck pain in women older than 65 years.
The intervention in both groups will be carried out for 4 weeks, with three weekly sessions. Two evaluations will be carried out, a pre-intervention evaluation and a post-intervention evaluation. We will assess neck pain, disability, upper limb strength, cervical mobility, cervical pressure pain thresholds, kinesiophobia and catastrophism.
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
- Double (Participant, Outcomes Assessor)
盲法说明
Single blind masking with blinded assessor.
入排标准
- 年龄范围
- 65 Years 至 —（Older Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •Women older than 65 years.
- •Neck pain
排除标准
- •Pacemakers
- •Fibrillations
- •Cardiac pathology or uncontrolled hypertension
- •History of severe trauma/recent cervical surgery
- •Uncontrolled systemic and inflammatory pathologies
- •Congenital collagen compromise
- •Presence of difficulties in performing the Initial Evaluation tests
- •Language barriers
- •Pending litigation or legal claim
研究组 & 干预措施
neurodynamics specific exercise group
The experimental group will perform a multimodal therapeutic physical exercise program. The components of balance, walking, cardiovascular endurance, strength and flexibility will be worked globally, in addition to including respiratory exercises.
Specific neurodynamic exercises oriented to the treatment of the main nerves of the brachial plexus will be included as part of the exercise sessions. The specific neurodynamic program will consist of the following exercises:
- Opening of the cervical conjunction holes with cranio-cervical and cervical flexion movements, cervical lateroflexions and lateral vertebral sliding self-mobilizations.
- Opening of the thoracic passages of the brachial plexus with stretching of the scalene muscles, opening of the costoclavicular space and stretching of the pectoralis minor muscles.
- Specific exercises of neurodynamic sliding of the nerves of the upper limb: median, radial and ulnar nerves.
干预措施: specific neurodynamic exercises (Procedure)
The nonspecific exercise group
The nonspecific exercise group performed balance, cardiovascular endurance, stability, upper and lower limb strength, flexibility, and breathing exercises.
干预措施: multimodal exercise (Procedure)
结局指标
主要结局
Pain intensity
时间窗: four weeks.
Numerical Pain Rating Scale (NPRS) will be used. It is a scale used to quantify the patient's pain level on an 11-point numerical scale 0-10 with 0 being "no pain" and 10 being the "worst possible pain."
Neck disability
时间窗: four weeks
The Neck Disability Index (NDI) will be used. It is a modification of the Oswestry Low Back Pain Disability Index. It is a scale used to measure disability associated with cervical pain due to acute or chronic conditions. He has 10 items: 7 related to activities of daily living, 2 related to pain and 1 related to concentration. The test can be interpreted with a maximum score of 50.
次要结局
- Kinesiophobia(four weeks)
- Pressure pain threshold(four weeks)
- upper limb strength(four weeks)
- Cervical range of motion(four weeks)
- Hand grip strength(four weeks)
- Catastrophism(four weeks)
研究者
Roberto Méndez Sánchez
Associate Professor
University of Salamanca