GPR vs Manual PT for Chronic Neck Pain

University of Bologna

Status: Completed

Conditions: Nonspecific Chronic Neck Pain

Treatments: Other: Standard manual physical therapy; Other: Global Postural Re-education

Study type: Interventional

Funder types: Other

Identifiers

NCT01947231

2436/2013

Details and patient eligibility

About

Effective treatment for nonspecific chronic neck pain is a clinical challenge. Patients will be randomized into two groups to compare the outcomes of Global Postural Re-education (GPR) with standard manual physical therapy on with respect to pain, function, kinesiophobia, range of motion, perceived effect, and satisfaction.

Full description

These study will use two groups: one to receive GPR which is a systematic method of addressing musculoskeletal pain and related functional deficits and the other to receive "usual care" manual PT which will be individualized to the patient's condition. Usual care will include techniques commonly used in clinical practice selected by the physical therapist after initial examination. After nine weeks of treatment, baseline measures will be re-evaluated. After conclusion of the first phase of the study, patients who were randomized to the "usual care" group will cross-over and receive GPR.

Enrollment: 100 patients

Sex: All

Ages: 18 to 80 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

-nonspecific neck pain lasting at least 3 months

Exclusion criteria

• acute or subacute cervical pain
• specific or known cause of pain
• central or peripheral neurological signs
• systemic pathology
• rheumatologic pathology
• neuromuscular pathology
• cognitive impairment
• surgical intervention in the last 6 months prior to study
• physical therapy treatment in the last 6 months prior to study

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Crossover Assignment

Masking: Single Blind

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100 participants in 2 patient groups

Global Postural Re-education

Experimental group

Description:

Global Postural Re-education is delivered in a single treatment session each week for nine weeks.

Treatment:

Other: Global Postural Re-education

Standard manual physical therapy

Active Comparator group

Description:

Standard manual physical therapy is delivered in a single treatment session each week for 9 weeks.

Treatment:

Other: Standard manual physical therapy