Specific Neurodynamic Exercises on Disability and Neck Pain in Old Women

NCT05596019 | Completed

• 1 other identifier: USalamancaNeckPain
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

This is a randomized, parallel, double-blind clinical trial. The main objective is to compare the efficacy of multimodal exercise with specific neurodynamic exercises and multimodal exercise with non-specific exercises in disability and neck pain in women older than 65 years. The intervention in both groups will be carried out for 4 weeks, with three weekly sessions. Two evaluations will be carried out, a pre-intervention evaluation and a post-intervention evaluation. We will assess neck pain, disability, upper limb strength, cervical mobility, cervical pressure pain thresholds, kinesiophobia and catastrophism.

Conditions

Neck Pain

Keywords

exercise; neck pain; neurodynamic; elderly

Outcome Measures

Primary Outcomes (2)

• Pain intensity

  Numerical Pain Rating Scale (NPRS) will be used. It is a scale used to quantify the patient's pain level on an 11-point numerical scale 0-10 with 0 being "no pain" and 10 being the "worst possible pain."

  four weeks.

• Neck disability

  The Neck Disability Index (NDI) will be used. It is a modification of the Oswestry Low Back Pain Disability Index. It is a scale used to measure disability associated with cervical pain due to acute or chronic conditions. He has 10 items: 7 related to activities of daily living, 2 related to pain and 1 related to concentration. The test can be interpreted with a maximum score of 50.

  four weeks

Secondary Outcomes (6)

• Cervical range of motion

  four weeks

• Hand grip strength

  four weeks

• upper limb strength

  four weeks

• Pressure pain threshold

  four weeks

• Kinesiophobia

  four weeks

Study Arms (2)

neurodynamics specific exercise group

EXPERIMENTAL

The experimental group will perform a multimodal therapeutic physical exercise program. The components of balance, walking, cardiovascular endurance, strength and flexibility will be worked globally, in addition to including respiratory exercises. Specific neurodynamic exercises oriented to the treatment of the main nerves of the brachial plexus will be included as part of the exercise sessions. The specific neurodynamic program will consist of the following exercises: 1. Opening of the cervical conjunction holes with cranio-cervical and cervical flexion movements, cervical lateroflexions and lateral vertebral sliding self-mobilizations. 2. Opening of the thoracic passages of the brachial plexus with stretching of the scalene muscles, opening of the costoclavicular space and stretching of the pectoralis minor muscles. 3. Specific exercises of neurodynamic sliding of the nerves of the upper limb: median, radial and ulnar nerves.

Procedure: specific neurodynamic exercises

The nonspecific exercise group

ACTIVE COMPARATOR

The nonspecific exercise group performed balance, cardiovascular endurance, stability, upper and lower limb strength, flexibility, and breathing exercises.

Procedure: multimodal exercise

Interventions

specific neurodynamic exercises PROCEDURE

Specific neurodynamic exercises in women older than 65 years with neck pain

neurodynamics specific exercise group

multimodal exercise PROCEDURE

Multimodal and nonspecific exercises in women older than 65 years with neck pain

The nonspecific exercise group

Eligibility Criteria

• Age: 65 Years+
• Sex: female
• Healthy Volunteers: Yes
• Age Groups: Older Adult (65+)

You may qualify if:

• Women older than 65 years.
• Neck pain

You may not qualify if:

• Tumors
• Pacemakers
• Fibrillations
• Cardiac pathology or uncontrolled hypertension
• History of severe trauma/recent cervical surgery
• Uncontrolled systemic and inflammatory pathologies
• Congenital collagen compromise
• Presence of difficulties in performing the Initial Evaluation tests
• Language barriers
• Pending litigation or legal claim

Sponsors & Collaborators

• University of Salamanca: lead

Study Sites (1)

University of Salamanca

Salamanca, 37007, Spain

Location

MeSH Terms

Conditions

Neck Pain; Motor Activity

Condition Hierarchy (Ancestors)

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

Study Officials

• Roberto Méndez-Sánchez, PhD

  University of Salamanca

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Single blind masking with blinded assessor.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: Longitudinal prospective, controlled, single-blind study

Study Record Dates

• First Submitted: October 19, 2022
• First Posted: October 27, 2022
• Study Start: July 16, 2022
• Primary Completion: December 23, 2022
• Study Completion: January 20, 2023
• Last Updated: May 10, 2023

Record last verified: 2023-05

Locations

ES (1)