Chronic Nonspecific Neck Pain and Central Nervous System Focused Treatment Program

Acibadem University

Status

Enrolling

Conditions

Rehabilitation

Chronic Pain Syndrome

Neck Pain

Treatments

Other: Classical Physiotherapy

Other: central nervous system focused treatment program

Study type

Interventional

Funder types

Other

Identifiers

NCT06503562

ATADEK-2024-9/341

Details and patient eligibility

About

Neck pain is one of the most common musculoskeletal pain disorders secondary to low back pain. Pharmacological and non-medical treatments such as physiotherapy are applied in its treatment. Patients with chronic nonspecific neck pain (CNSP) can be treated with various interventions such as drug therapy, manual therapy, heat and exercise. However, it is also reported that chronic pain occurs as a result of neuroplasticity, that is, the brain learning pain through the central synthesis mechanism in the central nervous system. For this reason, although the importance of central nervous system-oriented therapies is increasing day by day, this system-oriented therapies are still ignored in clinics. Therefore, in this master's thesis study, it is aimed to investigate the effects of central nervous system-focused therapies (pain neuroscience education, breathing exercises and relaxation exercises with guided imagery) on pain, range of motion, functional status, pain-related fear, anxiety, depression and quality of life in addition to traditional physiotherapy applied to patients with CNSP.

Enrollment

30 estimated patients

Sex

All

Ages

18 to 65 years old

Volunteers

No Healthy Volunteers

Inclusion criteria

Being diagnosed with nonspecific neck pain by a doctor,
To be between the ages of 18-65,
Having neck pain for more than 3 months
No previous neck or shoulder surgery,
No shoulder pain due to any cause,
A tumour or inflammatory disease underlying the neck pain not to be found,
A clinically underlying stenosis or discogenic problem not to be present.
Negative results from the following clinical examination tests;
- Spurling test,
- Lhermitte test,
- Cervical distraction test,
- Adson test,

Exclusion criteria

Not meeting the inclusion criteria,
Positive neurological examination (positive motor presence, reflex or sensory abnormalities indicating spinal root compression) or abnormal neurological findings related to nerve compression in the upper limb
Systemic rheumatological or metabolic diseases or cancer
Refusal to participate in the study,
Failure to complete treatment,
Having any neurological problem
Severe psychological illnesses