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In this study the efficacy of Tai Chi will be tested in comparison to conventional neck exercises and usual care in a randomized controlled trial. Tai Chi and neck exercises will be lead by a trained exercise therapist and Tai Chi instructor, both groups receive 12 weeks of training, once weekly for 60-90 min in a group setting. Pain, Disability, quality of life, wellbeing, stress perception, psychological distress will be used to determine effects.
see above
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Tai Chi | Experimental | Simplified 24 Yang Style 12 weeks, 1x/week, 60-90 minutes |
|
| Neck exercise | Active Comparator | conventional neck exercises 12 weeks, 1x/week, 60 min stretching and strengthening, neck education |
|
| Usual care | No Intervention | Usual care, no specific study intervention this group is offered Tai Chi or neck exercises at the end of the study |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Tai Chi | Behavioral | traditional chinese martial art meditative movement technique |
|
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | pain intensity on a visual analogue scale (0-100mm) | week 12 |
| Measure | Description | Time Frame |
|---|---|---|
| pain intensity | pain intensity on a visual analogue scale (0-100mm) | week 24 |
| pain on movement | pain intensity on a visual analogue scale (0-100mm) evoked by head movement into 6 directions POM validated by Lauche et al., 2014, Pain Medicine |
| Measure | Description | Time Frame |
|---|---|---|
| Experiences | Experiences with Tai Chi and neck exercises, qualitative interviews | Week 24 |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gustav Dobos, Prof. | Department of Internal and Integrative Medicine, Kliniken Essen-Mitte | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Internal and Integrative Medicine, Kliniken Essen-Mitte | Essen | North Rhine-Westphalia | 45276 | Germany |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28146026 | Background | Lauche R, Wayne PM, Fehr J, Stumpe C, Dobos G, Cramer H. Does Postural Awareness Contribute to Exercise-Induced Improvements in Neck Pain Intensity? A Secondary Analysis of a Randomized Controlled Trial Evaluating Tai Chi and Neck Exercises. Spine (Phila Pa 1976). 2017 Aug 15;42(16):1195-1200. doi: 10.1097/BRS.0000000000002078. | |
| 27345663 |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| D059350 | Chronic Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D026302 | Tai Ji |
| ID | Term |
|---|---|
| D026441 | Mind-Body Therapies |
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026241 | Exercise Movement Techniques |
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| Neck exercises | Behavioral | group exercises for strengthening and stretching neck and back muslces to alleviate neck pain |
|
|
| week 12, week 24 |
| neck disability | neck disability index (NDI), Vernon et al. | week 12, week 24 |
| health related quality of life | short form quality of life questionnaire (SF-36), Bullinger and Kirchberger | week 12, week 24 |
| Anxiety and Depression | Hospital Anxiety and Depression Scale (HADS) | week 12, week 24 |
| Wellbeing | Wellbeing on the FEW16 Questionnaire | week 12, week 24 |
| Stress | Subjective stress perception, Perceived Stress Scale (PSS) | week 12, week 24 |
| interoceptive awareness | The Multidimensional Assessment of Interoceptive Awareness (MAIA) | week 12, week 24 |
| Postural Awareness | Postural Awareness Questionnaire (PAS) | week 12, week 24 |
| Safety | All adverse and serious adverse events | week 24 |
| pain intensity ratings | daily rating of pain intensity, visual analog scales | week 12 |
| use of analgetics | daily information on use of analgetics | week 12 |
| use of concomitant therapies | daily information on use of concomitant therapies for neck pain | week 12 |
| Lauche R, Stumpe C, Fehr J, Cramer H, Cheng YW, Wayne PM, Rampp T, Langhorst J, Dobos G. The Effects of Tai Chi and Neck Exercises in the Treatment of Chronic Nonspecific Neck Pain: A Randomized Controlled Trial. J Pain. 2016 Sep;17(9):1013-27. doi: 10.1016/j.jpain.2016.06.004. Epub 2016 Jun 23. |
| 36930781 | Derived | Allende S, Cramer H, Wayne P, Lauche R. Investigating Inter- and Intra-individual Differences in Tai Chi Practice Time, Pain, and Mood Among Participants with Chronic Nonspecific Neck Pain: Secondary Analysis of a Randomized Controlled Trial. J Integr Complement Med. 2023 Apr;29(4):234-240. doi: 10.1089/jicm.2022.0789. Epub 2023 Mar 17. |
| D026741 |
| Physical Therapy Modalities |