Is Patient Choice of Exercise Preference Important in Chronic Neck Pain?

NCT05226845 | Completed

• 1 other identifier: Alcalá University
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 2

Brief Summary

Nonspecific chronic neck pain is the third most frequent problem in Spain. It has an annual presence between 15% and 50% where women are the most affected. This pain influences the psychosocial state of the person. Physical exercise has been shown to be effective in a wide variety of chronic pain conditions, including improving quality of life and emotional problems. Design: Single-blind, controlled, randomized clinical trial. Methods: The study will be approached in the Faculty of Nursing and Physiotherapy of the University of Alcalá. 52 subjects with nonspecific chronic neck pain will be selected and randomly divided into two groups. The first group should perform 5 exercises that have been shown to be effective in the management of neck pain selected by the physiotherapist focused on neck pain. The second group must choose, from a list of exercises that have been shown to be effective in the management of neck pain, 5 exercises. Both groups should record the pain, the number of repetitions and the series performed. The duration of the intervention will be a total of 8 weeks with evaluations pre-intervention, post-intervention and 4 weeks after the end of the intervention. The objective of this study is to evaluate if the exercise chosen by the patient is better than the exercises selected by the physiotherapist for the variables chronic neck pain, strength of the affected muscles, kinesiophobia and adherence to treatment.

Conditions

Chronic Neck Pain

Keywords

Chronic neck pain; Physical Exercise; Kinesiophobia; Cervical strength; Adherence to treatment

Outcome Measures

Primary Outcomes (1)

• Changes in Disability

  using the Neck Disability Index Questionnaire. It is a scale whose values range from 0 to 50. The higher the score, the greater the disability.

  Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.

Secondary Outcomes (4)

• Changes in kinesiophobia

  Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.

• Changes in muscular endurance

  Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.

• Adherence to treatment

  Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.

• changes in pain

  Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.

Study Arms (2)

exercise to improve the neck strength in neck pain chosen by the therapist

EXPERIMENTAL

Other: prescribed exercise

exercise to improve the neck strength in neck pain chosen by the patient

EXPERIMENTAL

Other: chosen exercise

Interventions

prescribed exercise OTHER

the therapist chooses the five exercises to do

exercise to improve the neck strength in neck pain chosen by the therapist

chosen exercise OTHER

the patient chooses the five exercises to perform among fifteen possibilities

exercise to improve the neck strength in neck pain chosen by the patient

Eligibility Criteria

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

You may qualify if:

• chronic neck pain

You may not qualify if:

• Spine surgery, shoulder girdle or cervical area surgery, whether traumatic or not.
• Rheumatic pathology.
• Impaired cognitive function.
• Vascular pathology that prevents exercise.
• Cardiopulmonary pathology that prevents exercise.
• Fear of any of the tests or measurements to be carried out.
• Pregnant

Sponsors & Collaborators

• University of Jaén: lead

Study Sites (2)

Alexander achalandabaso

Alcalá de Henares, Madrid, 28805, Spain

Location

Universidad de Alcalá

Madrid, 28805, Spain

Location

Related Publications (4)

• Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD011279. doi: 10.1002/14651858.CD011279.pub3.

  PMID: 28436583 BACKGROUND

• Ambrose KR, Golightly YM. Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Pract Res Clin Rheumatol. 2015 Feb;29(1):120-30. doi: 10.1016/j.berh.2015.04.022. Epub 2015 May 23.

  PMID: 26267006 BACKGROUND

• Polaski AM, Phelps AL, Kostek MC, Szucs KA, Kolber BJ. Exercise-induced hypoalgesia: A meta-analysis of exercise dosing for the treatment of chronic pain. PLoS One. 2019 Jan 9;14(1):e0210418. doi: 10.1371/journal.pone.0210418. eCollection 2019.

  PMID: 30625201 BACKGROUND

• Sluka KA, Frey-Law L, Hoeger Bement M. Exercise-induced pain and analgesia? Underlying mechanisms and clinical translation. Pain. 2018 Sep;159 Suppl 1(Suppl 1):S91-S97. doi: 10.1097/j.pain.0000000000001235.

  PMID: 30113953 BACKGROUND

MeSH Terms

Conditions

Motor Activity; Kinesiophobia; Treatment Adherence and Compliance

Condition Hierarchy (Ancestors)

Behavior; Phobic Disorders; Anxiety Disorders; Mental Disorders; Health Behavior

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: December 4, 2021
• First Posted: February 7, 2022
• Study Start: July 1, 2021
• Primary Completion: July 30, 2021
• Study Completion: October 30, 2021
• Last Updated: February 25, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

ES (2)