Effectiveness of Neuroscience-based Pain Education in Patients With Chronic Neck Pain

Turkoglu Dr. Kemal Beyazit State Hospital

Status: Completed

Conditions: Cervical Spine Disease

Treatments: Other: Neuroscience-Based Pain Education Combined with Home Exercise Program; Other: Myofascial Induction Techniques Combined with Home Exercise Program; Other: Home Exercises Group

Study type: Interventional

Funder types: Other

Identifiers

NCT06320938

2024/18

Details and patient eligibility

About

The effectiveness of neuroscience-based pain education, myofascial induction technique, and home exercise programs will be compared in patients with chronic neck pain.

Full description

The study aims to present the immediate and long-term effects of Neuroscience-based Pain Education (NPE) and Myofascial Induction Therapy (MIT). It will evaluate parameters such as pain, quality of life, pain catastrophizing, and neck disability after treatment completion and at the 6-month follow-up.

The investigators aim to illuminate future studies concerning neuroscience-based pain education, which has gained prominence in recent years and continues to increase in importance annually.

The participants will be randomly assigned to one of three groups:

1 Group: Neuroscience-Based Pain Education Combined with Home Exercise Program Participants in this group will receive Neuroscience-Based Pain Education (NPE) treatment in addition to the home exercise program. Training sessions will be organized as one-on-one conversation sessions focusing on the neurophysiology of pain, and participants will be reinforced through PowerPoint presentations and visual aids such as pictures, templates, and metaphors.

Group: Myofascial Induction Techniques Combined with Home Exercise Program In addition to the home exercise program, Myofascial Induction Techniques (MIT) group participants will have MIT applied to the cervical and upper thoracic regions.

Group: Home Exercise Program After undergoing general training, participants in this group will be taught an exercise program. The program will include neck muscle stretching, strengthening, and posture exercises.

Enrollment: 60 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Ages between 18-60 years old,
2. Patients with non-specific neck pain for at least 3 months,
3. Having pain severity of four or more according to the Visual analogue scale (VAS),
4. Patients with Pain Catastrophizing Scale score > 30
5. Patients with a Central Sensitization Inventory score > 30
6. Not having received physiotherapy and manual therapy within the last 3 months,
7. Those who have not received and will not receive medical treatment in the last 3 months.

Exclusion criteria

1. Having a history of neck and spine surgery,
2. Patients with whiplash injury, fracture history,
3. Having unstable neurological findings,
4. Presence of a pathology such as hernia and root compression in the cervical region,
5. Those who regularly use analgesic and anti-inflammatory drugs,
6. A communication problem may prevent the implementation of the evaluations or treatment program.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

60 participants in 3 patient groups

Neuroscience-Based Pain Education Combined with Home Exercise Program

Active Comparator group

Description:

Patients in this group will receive Neuroscience-Based Pain Education (NPE) treatment in addition to the home exercise program. Training sessions are planned once a week for an average of 35-45 minutes and 8 sessions. NPE will be performed by a physiotherapist who has an internationally recognized certificate in this regard. Training sessions will be organized as one-on-one conversation sessions focusing on the neurophysiology of pain, and patients will be reinforced through PowerPoint presentations and visual pictures, templates, and metaphors.

Treatment:

Other: Neuroscience-Based Pain Education Combined with Home Exercise Program

Myofascial Induction Techniques Combined with Home Exercise Program

Active Comparator group

Description:

In addition to the home exercise program, Myofascial Induction Techniques (MIT) group patients will have MIT applied to the cervical and upper thoracic regions by a physiotherapist trained and experienced in myofascial treatments. The application will be once a week for 8 weeks, with an average duration of 35-45 minutes.

Treatment:

Other: Myofascial Induction Techniques Combined with Home Exercise Program

Home Exercise Program

Active Comparator group

Description:

Patients in this group will be taught an exercise program after undergoing general training. Exercises will include stretching and strengthening exercises for neck muscles and posture exercises. Patients are asked to take 35-45 minutes once a day, five days a week, for 8 weeks. They will be asked to do the given home exercises and fill out follow-up charts. The continuity of the exercises will be ensured by sending reminder messages to this group of patients once a week by the physiotherapist about doing their exercises.

Treatment:

Other: Home Exercises Group