- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03702075
Self-administered Program in Chronic Neck Pain
October 10, 2018 updated by: Marie Carmen Valenza, Universidad de Granada
Effects of a Self-administered Program in Chronic Neck Pain Patients
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 are 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.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
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.
Study Type
Interventional
Enrollment (Anticipated)
50
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
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Granada
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Granada., Granada, Spain, 18071
- Faculty of Health Sciences. University of Granada.
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Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 65 years (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Chronic neck pain (at least 3 months' duration) not related to trauma of at least 3 on a visual analogue scale
- Participants' symptoms had to be reproduced by median nerve upper-limb neurodynamic test.
Exclusion Criteria:
- Exclusion Criteria:
- 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
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Experimental group
Patients allocated to the experimental group were included in a self-administered program combining self-myofascial release using foam rollers and roller balls and active upper limb neurodynamic exercises.
It consisted of three sessions of 50-60 minutes per week for 4 consecutive weeks.
|
One session was a session supervised by a physical therapist in the Faculty of Health Sciences.
This session took place in groups of three or four people.
All participants had to follow the physiotherapist instructions about the correct way to do the exercises with the foam roller or ball and nerve mobilizations of upper limbs.The other two weekly sessions were performed at home, following the instructions given by the physiotherapist in session.
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No Intervention: Control group
Those patients allocated to the control group received a booklet with information regarding neck pain and explaining basic exercises for active mobilization and stretching with pictures and a short text.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Trigger points examination
Time Frame: Change from baseline trigger points examination at 4 weeks
|
Trigger points will be explored bilaterally by a blinded assessor in suboccipital, scalene, levator scapulae and upper trapezius muscles
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Change from baseline trigger points examination at 4 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Health related quality of life
Time Frame: Change from baseline health related quality of life at 4 weeks
|
Health related quality of life will be measured by euroQol-5D.
It contains two sections, a descriptive section and a valuation section.
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Change from baseline health related quality of life at 4 weeks
|
Fear avoidance beliefs
Time Frame: Change from baseline fear avoidance beliefs at 4 weeks
|
Fear avoidance beliefs will be assessed by the the Fear Avoidance Beliefs Questionnaire (FABQ).
It consists of 16 sentences related to physical activity (first 5 items) and work (last 11 items).
|
Change from baseline fear avoidance beliefs at 4 weeks
|
Anxiety and depression
Time Frame: Change from baseline anxiety and depression at 4 weeks
|
Anxiety and depression was evaluated by the the Hospital Anxiety and Depression Scale (HAD).It contains 14 items describing symptoms of depression (7 items) and anxiety (7 items)
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Change from baseline anxiety and depression at 4 weeks
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Pain severity
Time Frame: Change from baseline pain at 4 weeks
|
Pain will be assessed using the Brief Pain Inventory.
It measures the degree of interference of pain with various aspects of life, including mobility and social activities (reactive pain) and pain severity (sensory pain).
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Change from baseline pain at 4 weeks
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Functionality
Time Frame: Change from baseline functionality at 4 weeks
|
Functionality will be assessed by the Neck Outcome Score.
This is a reliable, valid and responsive measure of self-reported disability for patients with neck pain.
It includes 34 items divided into 5 subscales: Mobility, symptoms, sleep disturbance, every day activity and pain and participation in everyday life.
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Change from baseline functionality at 4 weeks
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Cervical range of motion
Time Frame: Change from baseline cervical range of motion at 4 weeks
|
Cervical range of motion will be measured using a cervical goniometer.
Subjects perform neck movements to the fullest extent of their mobility of flexion, extension, right and left lateroflexion, and right and left rotation.
|
Change from baseline cervical range of motion at 4 weeks
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
September 1, 2018
Primary Completion (Anticipated)
November 1, 2018
Study Completion (Anticipated)
February 1, 2019
Study Registration Dates
First Submitted
October 8, 2018
First Submitted That Met QC Criteria
October 8, 2018
First Posted (Actual)
October 10, 2018
Study Record Updates
Last Update Posted (Actual)
October 15, 2018
Last Update Submitted That Met QC Criteria
October 10, 2018
Last Verified
October 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- DF0080UG
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Chronic Neck Pain
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-
Massachusetts General HospitalCompletedChronic Low Back Pain | Chronic Neck PainUnited States
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Turku University HospitalCompletedChronic Low Back Pain | Chronic Neck Pain
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Şenay ÖzdolapZonguldak Bulent Ecevit UniversityCompletedNeck Pain | Chronic Neck PainTurkey
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Cairo UniversityCompletedChronic Mechanical Neck PainEgypt
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Beijing Sport UniversityCompletedChronic Non-specific Neck PainChina
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