Home Exercises Protocol for Neck Pain

Home Exercises for Neck Pain: a Delphi Survey

Delphi study about home exercise protocol development for neck pain.

Study Overview

• Status: Completed
• Conditions: Neck Pain
• Intervention / Treatment: Other: Content Validity; Other: Cultural adaptation

Detailed Description

Introduction: Neck pain is rising globally as a musculoskeletal disorder, as a result of several factors. Currently, there are several types of treatments for cervicalgia, applied according to the therapist's choice and patient's conditions and preferences, however, there are no reports of an effective self-performing treatment aiming to stabilizing the cervical, giving musculoskeletal balance, and focus on reducing pain.

It is important the promotion of a self-performing treatment, resulting in a high cost benefit because patient does not have to move to perform the treatment outside his or her home, does not need financial resources and demands little time to perform it. In addition to decreasing the frequency and intensity of hospitalizations and government costs incurred in this musculoskeletal disorder. Therefore, the study aims to construct, validate and adapt a self-performing exercise protocol in reducing cervical pain.

Methods: The first phase was the development of the first version of the protocol, through literature search; in the second phase, the content was validated, through evaluation by a committee of nine physiotherapists judges using the Delphi technique; and the last phase of the protocol, the cultural adequacy, is being performed through evaluation by fifteen participants of the target population to assemble the final version of the protocol.

• Study Type: Observational
• Enrollment (Actual): 27

Contacts and Locations

Study Locations

• Brazil
  • Pernambuco
    • Recife, Pernambuco, Brazil, 50.740-560
      • Federal University of Pernambuco

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years and older (ADULT, OLDER_ADULT)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

Physical therapists with publication or experience in cervical area. Individuals with chronic neck pain.

Description

Inclusion Criteria:

• Judges: physical therapists with at least 2 years of experience in cervical area.
• Target population: chronic neck pain.

Exclusion Criteria:

• Vestibular system problems, balance impairment, nervous system-related disorders, inability to perform exercises, history of cervical trauma or surgery in the region, history of cervical radiculopathy, history of cervical spine injury, temporomandibular dysfunction.

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Judges; Professionals that assess the content validity of the exercise protocol	Other: Content Validity; Use Delphi technique for achieve consensus
Target population; People that assess the exercise protocol for cultural adaptation	Other: Cultural adaptation; Adapt the content to the target population

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Concordance	degree of consensus by percentage, content validity index	february - may 2019

Collaborators and Investigators

• Sponsor: Universidade Federal de Pernambuco
• Collaborators: Coordenação de Aperfeiçoamento de Pessoal de Nível Superior.
• Investigators: Study Director: Gisela R Siqueira, PhD, Universidade Federal de Pernambuco

Publications and helpful links

General Publications

• Bezerra LMR, Melo TMS, Gomes VMDSA, Pas RCD, Alves LIDN, Salemi MM, Silva IR, Tenorio ADS, Siqueira GR. Home exercises for neck pain: A Delphi survey. Physiother Res Int. 2022 Nov 14:e1982. doi: 10.1002/pri.1982. Online ahead of print.

Study record dates

Study Major Dates

• Study Start (ACTUAL): May 13, 2018
• Primary Completion (ACTUAL): November 11, 2019
• Study Completion (ACTUAL): March 31, 2020

Study Registration Dates

• First Submitted: December 2, 2019
• First Submitted That Met QC Criteria: December 2, 2019
• First Posted (ACTUAL): December 5, 2019

Study Record Updates

• Last Update Posted (ACTUAL): April 1, 2021
• Last Update Submitted That Met QC Criteria: March 26, 2021
• Last Verified: March 1, 2021

More Information

Terms related to this study

• Keywords: exercise; stabilization; Delphi
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: 3.007.662

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No