Self-management Program in Chronic Neck Pain

University of Granada (UGR)

Status: Completed

Conditions: Neck Pain

Treatments: Other: self-managmeent program

Study type: Interventional

Funder types: Other

Identifiers

NCT02904668

DF0061UG

Details and patient eligibility

About

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 is 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.

Full 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.

Enrollment: 53 patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Chronic neck pain (at least 6 months' duration) not related to trauma .

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

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

---

53 participants in 2 patient groups

Experimental group

Experimental group

Description:

Patients allocated to the experimental group were included in a self-management program and manual therapy program

Treatment:

Other: self-managmeent program

Control group

Active Comparator group

Description:

The intervention consisted of 45-minute manual therapy sessions. Manual therapy included "hands-on" muscular mobilization techniques (aimed at improving soft tissue function), specific articular mobilization techniques (to improve overall joint function and decrease any restrictions in movement at single or multiple segmental levels in the cervical spine), and coordination or stabilization techniques (to improve postural control, coordination, and movement patterns by using the stabilizing cervical musculature)

Treatment:

Other: self-managmeent program