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Effective treatment for nonspecific chronic neck pain is a clinical challenge. Patients will be randomized into two groups to compare the outcomes of Global Postural Re-education (GPR) with standard manual physical therapy on with respect to pain, function, kinesiophobia, range of motion, perceived effect, and satisfaction.
These study will use two groups: one to receive GPR which is a systematic method of addressing musculoskeletal pain and related functional deficits and the other to receive "usual care" manual PT which will be individualized to the patient's condition. Usual care will include techniques commonly used in clinical practice selected by the physical therapist after initial examination. After nine weeks of treatment, baseline measures will be re-evaluated. After conclusion of the first phase of the study, patients who were randomized to the "usual care" group will cross-over and receive GPR.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Global Postural Re-education | Experimental | Global Postural Re-education is delivered in a single treatment session each week for nine weeks. |
|
| Standard manual physical therapy | Active Comparator | Standard manual physical therapy is delivered in a single treatment session each week for 9 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Global Postural Re-education | Other | Global Postural Re-education is a physical therapy method comprising a series of gentle active movements, implemented by the therapist using manual contacts and verbal commands, to promote postural symmetry. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain | The investigators assessed this outcome with a Visual Analogue Scale (VAS). | 9 weeks after start of intervention |
| Cervical Functional Limitations | The investigators assessed this outcome with the Neck Disability Index. | 9 weeks after start of intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Kinesiophobia | The investigators assessed this outcome with the Tampa Scale of Kinesiophobia. | 9 weeks after start of intervention |
| Cervical Range of Motion | The investigators assessed this outcome with the CROM-Deluxe which is an inclinometer that is placed on the subject's head to measure cervical range of motion. |
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Inclusion Criteria:
-nonspecific neck pain lasting at least 3 months
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Paolo Pillastrini | University of Bologna | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Policlinico S. Orsola-Malpighi | Bologna | Emiglia-Romagna | 40138 | Italy |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| D000092122 | Bronchiolitis Obliterans Syndrome |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Standard manual physical therapy | Other | Standard manual physical therapy in this study involves a combination of exercises, pompage (gentle manual techniques of distraction and articulation of a joint), anterior-posterior mobilizations as described by Maitland, and massage that have been selected to meet the needs of each individual patient. |
|
| 9 weeks after start of intervention |
| Self-reported Global Effect of the Intervention | The investigators assessed this outcome with a Global Perceived Effect scale which measures the subject's self-reported improvement or deterioration following the intervention. | 9 weeks after start of intervention |
| Patient Satisfaction | The investigators assessed this outcome with the Physical Therapy Patient Satisfaction Questionnaire - Italian Version which has established psychometric properties. | 9 weeks after start of intervention |
| D000092124 | Organizing Pneumonia |
| D001989 | Bronchiolitis Obliterans |
| D001988 | Bronchiolitis |
| D001991 | Bronchitis |
| D001982 | Bronchial Diseases |
| D012140 | Respiratory Tract Diseases |
| D008173 | Lung Diseases, Obstructive |
| D008171 | Lung Diseases |
| D006086 | Graft vs Host Disease |
| D007154 | Immune System Diseases |