Effectiveness of Therapeutic Exercise Versus Manual Therapy in Patients With Chronic Neck Pain

NCT05255055 | Completed

• 1 other identifier: UAH/2022/01
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

It has been estimated that between 50% and 85% of the population will suffer neck pain along their life. Chronic nonspecific neck pain is one of the main causes of disability in the population, it represents 25% of visits to physiotherapy, and it also has a high chance of chronification. The efficacy of combining manual therapy and therapeutic exercise for the treatment of this pathology has been demonstrated a lot of times. However, no conclusive studies have been found that compare the isolated application of both treatments, thus being an important focus of action and research. The main objective of the study is to check if the treatment with therapeutic exercise is better than manual therapy in the improvement of the disability in patients with chronic neck pain. A randomized, controlled, monocentric, parallel and single-blind clinical trial will be carried out. The simple will be obtained from the population over 18 years old with chronic neck pain of more than 12 weeks of evolution and will be those who meet the inclusion and exclusion criteria. The patients will be randomly divided into 2 intervention groups, in one of the groups will be applied a manual therapy session of about 30 minutes once a week for 4 weeks. In the other group it will be delivered and explained to the patients, a home therapeutic exercise program that will be carried out on alternate days for 4 weeks.

Conditions

Chronic Neck Pain

Outcome Measures

Primary Outcomes (1)

• Neck Disability Index

  Three months

Secondary Outcomes (5)

• Visual Analog Scale

  Three months

• Pressure Pain Threshold

  Three months

• Life Quality SF-12

  Three months

• Kinesiophobia TAMPA Scale

  Three months

• Beck Depression Inventory II

  Three months

Study Arms (2)

Manual Therapy Group

EXPERIMENTAL

Manipulation of the high dorsal region in extension. Cervical mobilizations. Massage therapy. Suboccipital inhibition. Once a week.

Other: Physical Therapy

Therapeutic Exercise Group

EXPERIMENTAL

Recruitment and strengthening of the cervical flexors. Isometric cervical exercises with self-resistance. Shoulder girdle strengthening exercise. Alternating days.

Other: Physical Therapy

Interventions

Physical Therapy OTHER

A manual therapy protocol and a therapeutic exercise protocol

Manual Therapy Group; Therapeutic Exercise Group

Eligibility Criteria

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

You may qualify if:

• Nonspecific cervical pain of more than 12 weeks of evolution.
• Over 18 years.

You may not qualify if:

• Oncological processes.
• Pregnancy.
• Infectious diseases.
• Degenerative diseases.
• Fibromyalgia.
• Previous spinal surgeries.
• Previous traumatic events.
• Hernias and/or cervical protrusions.
• Neurological processes.
• Current treatment for cervical pain.
• Neuropathic characteristics pain.

Sponsors & Collaborators

• University of Jaén: lead

Study Sites (1)

University of Alcala

Alcalá de Henares, Madrid, 28805, Spain

Location

MeSH Terms

Interventions

Physical Therapy Modalities

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation

Study Design

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

Study Record Dates

• First Submitted: January 20, 2022
• First Posted: February 24, 2022
• Study Start: January 12, 2022
• Primary Completion: September 22, 2022
• Study Completion: December 23, 2022
• Last Updated: December 28, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)