Swimming Adapted, Therapeutic Exercise and Health Education in the Treatment of Chronic Neck Pain

NCT02046876 | Completed DMC

• 1 other identifier: UMA-1301
• Study Type: interventional
• Target: 175
• Locations: 1 country
• Sites: 1

Brief Summary

Chronic neck pain (CNP) is defined as pain or intense discomfort in the lateral or back of the neck with an establishment and/or persistence period of over 12 weeks. The socio-economic system is seriously affected by chronic neck pain due to direct and indirect costs on the health system Physical exercise is used to improve physical function and reduce the symptoms of pain and stiffness due to chronic neck pain. It has been demonstrated that therapeutic exercise in water is effective to improve functional capacity and symptoms in patients with chronic neck pain. In adition, health education and posture is an important component of the overall treatment of neck pain. Interventions that integrate physical activity, adapted swimming and health education as an intervention for chronic neck pain sufferers have not been found. Furthermore the aim of this study is to analyse the effect of a physiothperapy treatment that combine adapted swimming, therapeutic exercise and health education in patients with chronic neck pain. Hypothesis: the present intervention will be an effective tool to treat patients suffering chronic neck pain. Methods: chronic neck pain patients from a community-based centre will be recruite participate in this prospective study. Intervention: 60 min session: 30 min of land exercise dedicated to improve mobility, motor control, resistance and strengthening of the neck muscles, 30 min of adapted swimming with aerobic exercise keeping neutral neck position by using a snorkel. Health education will be provided by the physiotherapist before and during the sessions using a decalogue on chronic neck pain and constant repetition of brief advice. Study outcomes: disability (Neck Disability Index), physical and mental health state and quality of life of patients (SF-12 and EuroQoL 5D respectively). Differences between baseline data and that at the 8-week follow-up were calculated for all outcome variables. Statistical Analysis: descriptive statistics. Analysis of the normal distribution of the variables using the KS-test. Comparison of variables pre - post intervencición: T-Student for parametric variables and Wilcoxon test for non parametric variables. Data will be analysed descriptively and for statistical significance using Statistical Package for the Social Sciences (SPSS) (version 17.0 for Windows, Illinois, USA).

Conditions

Chronic Neck Pain

Keywords

neck pain; physiotherapy; adapted swimming; therapeutic exercises; health education

Outcome Measures

Primary Outcomes (3)

• Neck Disability Index

  Disability due to Chonic Neck Pain

  Change from baseline in NDI at 8 weeks (post-treatment)

• Neck Disability Index

  Disability due to Chonic Neck Pain

  Change from baseline in NDI at 6 month (follow-up)

• Neck Disability Index

  Disability due to Chonic Neck Pain

  Change from baseline in NDI at 12 month (follow-up)

Secondary Outcomes (2)

• Short Form 12

  pre and post intervention and 6 and 12 months of follow up

• EuroQoL 5 Dimensions

  pre and post intervention and 6 and 12 months of follow up

Study Arms (1)

Multimodal Physiotherapy Program for Chronic Neck Pain Suffers

EXPERIMENTAL

Other: Multimodal Physiotherapy Program

Interventions

Multimodal Physiotherapy Program OTHER

Multimodal Physiotherapy Program integrates: physical land-based therapeutic exercise, adapted swimming and health education

Multimodal Physiotherapy Program for Chronic Neck Pain Suffers

Eligibility Criteria

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

You may qualify if:

• Suffers Neck Pain for more than 12 weeks.
• Delivery of informed consent.

You may not qualify if:

• Neck pain due to an identifiable cause.
• Surgery on the spine in the 12 month
• Traffic accident in the last 3 months
• Cervical radiculopathy
• Pregnancy.
• Patients who suffered a condition that could alter the effects of treatment
• People who could not swim and/or present treatment difficulty.

Sponsors & Collaborators

• University of Malaga: lead

Study Sites (1)

Patronato Municipal de Deportes de Torremolinos

Torremolinos, Málaga, 29620, Spain

Location

Related Publications (1)

• Cuesta-Vargas AI, Gonzalez-Sanchez M. Changes in disability, physical/mental health states and quality of life during an 8-week multimodal physiotherapy programme in patients with chronic non-specific neck pain: a prospective cohort study. PLoS One. 2015 Feb 24;10(2):e0118395. doi: 10.1371/journal.pone.0118395. eCollection 2015.

  PMID: 25710539 DERIVED

MeSH Terms

Conditions

Neck Pain; Health Education

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Adherence Interventions; Medication Adherence; Patient Compliance; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• Antonio I Cuesta-Vargas, PhD

  University of Malaga and Faculty of Health at the Queensland University of Technology

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: DOUBLE
• Who Masked: CARE PROVIDER, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD

Study Record Dates

• First Submitted: December 24, 2013
• First Posted: January 28, 2014
• Study Start: January 1, 2013
• Primary Completion: June 1, 2013
• Study Completion: June 1, 2013
• Last Updated: January 28, 2014

Record last verified: 2014-01

Locations

ES (1)