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It is an interventional study that proves the eficacy of the manual therapy with active manual therapy and combined with exercise in cervical pain.
The study will be divided in two different groups:
The exercise is compound by a home program of several exercises with diferent difficulties.
The contraction will consist on a combination of concentric and isometric work. being the patient's pain threshold the one that will guide us to the choice of the predominance of concentric or isometric contraction . Both groups will be joined by a five-minute work on pain education.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| active | Experimental | this is the group that does a treatment with active movement, a program of pain education and a program of home exercise. |
|
| non active | Active Comparator | this is the group that does a treatment without active movement, a program of pain education and a program of home exercise. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manual therapy active | Other | massage or ischemic compression with active contraction, tha will be isometric or concentric. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change in Neck disability | Using the Neck Disability Index (NDI). It is made up of 10 items and each item is scored on a 6-point Likert scale (0 to 5), leading to a total score ranging from 0 to 50 (0 to 4 = no disability; 5 to 14 = mild disability; 15 to 24 = moderate disability; 25 to 34 = severe disability; and 35 to 50 = complete disability). | Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement. |
| Measure | Description | Time Frame |
|---|---|---|
| Change in pain perception | Using the Visual Analog Scale (VAS) from 0 to 10 | Baseline, 1 month (primary timepoint), 2 months and 5 months after intervention commencement. |
| Change in Range of motion (ROM) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Alexander Achalandabaso | University of Jaen | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alexander achalandabaso | Alcalá de Henares | Madrid | 28805 | Spain |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| D059350 | Chronic Pain |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| Manual therapy | Other | massage or isquemic compression without contraction |
|
Using a inclinometer
| Baseline, 1 month (primary timepoint) and 2 months after intervention commencement. |
| Change in craniocervical flexion | Using the craniocervical flexion test (CCFT) we make a evaluation of the strength of the deep cervical flexor muscles. From 22 to 30 mmHg of preasure. | Baseline, 1 month (primary timepoint) and 2 months after intervention commencement. |
| Change in kinesophobia | Using the Tampa Scale for Kinesiophobia-11 (TSK-11), self-report of 17 items that address fear of movement and injury relapse. Four of the items are negatively written and scored inverse (4, 8, 12 and 16). The scores are added together to obtain a total score, with higher values reflecting greater kinesiophobia. | Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement. |
| Change in Catastrophism | Using the Pain catastrophizing scale from 0 to 56 | Baseline, 1 month (primary timepoint), 2 months and 5 months after intervention commencement. |
| Change in Sleep Quality | Using the Pittsburgh Sleep Quality Index | Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement. |
| D001519 | Behavior |