Effect of Group Pilates and Yoga Exercise Classes for Chronic Cervical Pain

NCT01999283 | Completed

• 1 other identifier: WSUPT2013A
• Study Type: interventional
• Target: 88
• Locations: 1 country
• Sites: 4

Brief Summary

Exercise has been found to be effective in alleviating back and neck pain. Two exercise methods which are available in the community in a group format are Yoga and Pilates. While there is some research on the efficacy of these exercise methods for low back pain, there is no definitive research on the use of Yoga or Pilates group exercise for individuals with chronic cervical pain.This study investigated the effect of group Yoga and Pilates exercise compared to a wait-listed control group on impairments and function related to neck pain for individuals with chronic cervical pain.

Conditions

Cervical Pain

Keywords

Cervical pain; yoga; pilates; exercise

Outcome Measures

Primary Outcomes (1)

• Change from baseline Neck Disability Index

  Self reported Neck Disability Index questionnaire

  Baseline, 6 weeks, 12 weeks, 18 weeks

Secondary Outcomes (7)

• Change in Number of days of pain medication use in the past week

  Baseline, week 6, week 12

• Change from baseline in Neck Pain Ratings (NPR) experienced on average over the past week

  Baseline, week 6, week 12, week 18

• Change from baseline Cervical range of motion measurements

  Baseline, week 6, week 12, week 18

• Change from baseline differences between habitual and self corrected postural position

  Baseline, week 6, week 12, week 18

• Change from baseline in time for the Timed up and go test

  Baseline, week 6, week 12, week 18

Other Outcomes (3)

• Number of participants with identified potential for adverse drug responses

  Baseline

• Identification of frequency of types of medication use in individuals with chronic neck pain

  Baseline

• Frequency of types of potential adverse drug responses in patients with chronic mechanical neck pain

  Baseline

Study Arms (3)

Yoga Group Exercise

ACTIVE COMPARATOR

Yoga group exercise will be taught by a licensed Physical Therapist. Groups consist of 4-8 individuals with 12 sessions once weekly over 12 weeks.

Other: Yoga Group Exercise

Pilates Group Mat Exercise

ACTIVE COMPARATOR

Pilates mat exercise will be taught by a licensed Physical Therapist with additional Rehabilitation Pilates certification.

Other: Pilates Group Mat Exercise

Control

NO INTERVENTION

Wait Listed control group. Participants complete the same testing and were offered the option of attending the exercise classes on completion. The controls were not included in the exercise groups after completion.

Interventions

Yoga Group Exercise OTHER

Yoga poses and postures modified to diminish stress on the cervical region and improve flexibility. Breathing and mind-body focus to address stress-related discomfort. A general Hatha yoga style will be used with components from Ashtanga Yoga. Intensity and range of motion will be progressively increased as tolerated.

Yoga Group Exercise

Pilates Group Mat Exercise OTHER

The Pilates mat exercises focus on both spinal muscle activation and stability, progressive endurance of the stabilizing muscles with arm and leg challenges and dynamic mobility. The exercises are progressed from more supported to anti-gravity position, slow increases in arm weights and flexibility.

Pilates Group Mat Exercise

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Able to attend at 12 exercise class sessions (once a week for an hour)
• Stable moderate to severe neck pain (3/10- 8/10) present for \> 3 months
• Able to get up and down off the floor
• Able to ambulate in the community without an assistive device
• Medically stable and cleared to participate in exercise

You may not qualify if:

• Neck Pain that is easily aggravated with exercise
• Neurological symptoms in the arms or legs (numbness, tingling, weakness)
• History of recent whiplash, spine surgery, diagnosed osteoporosis, cervical stenosis with leg symptoms
• Any medical conditions which does not allow active exercise
• Unable to make medical decisions independently or have memory problems
• Regularly attending Pilates or Yoga classes or individual sessions

Sponsors & Collaborators

• Wayne State University: lead

Study Sites (4)

Equilibrium Studio

Bloomfield Hills, Michigan, 48301, United States

Location

Wayne State University

Detroit, Michigan, 48201, United States

Location

Oakland Physical Therapy

Novi, Michigan, 48374, United States

Location

Older Persons Commission

Rochester, Michigan, 48307, United States

Location

Related Publications (1)

• Dunleavy K, Kava K, Goldberg A, Malek MH, Talley SA, Tutag-Lehr V, Hildreth J. Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study. Physiotherapy. 2016 Sep;102(3):236-42. doi: 10.1016/j.physio.2015.06.002. Epub 2015 Aug 13.

  PMID: 26435334 DERIVED

MeSH Terms

Conditions

Neck Pain; Motor Activity

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Kim Dunleavy, PhD, PT, OCS

  Wayne State University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor Physical Therapy

Study Record Dates

• First Submitted: November 19, 2013
• First Posted: December 3, 2013
• Study Start: July 1, 2010
• Primary Completion: May 1, 2013
• Study Completion: May 1, 2013
• Last Updated: December 3, 2013

Record last verified: 2013-11

Locations

US (4)