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Nonspecific chronic neck pain is the third most frequent problem in Spain. It has an annual presence between 15% and 50% where women are the most affected. This pain influences the psychosocial state of the person. Physical exercise has been shown to be effective in a wide variety of chronic pain conditions, including improving quality of life and emotional problems. Design: Single-blind, controlled, randomized clinical trial. Methods: The study will be approached in the Faculty of Nursing and Physiotherapy of the University of Alcalá. 52 subjects with nonspecific chronic neck pain will be selected and randomly divided into two groups. The first group should perform 5 exercises that have been shown to be effective in the management of neck pain selected by the physiotherapist focused on neck pain. The second group must choose, from a list of exercises that have been shown to be effective in the management of neck pain, 5 exercises. Both groups should record the pain, the number of repetitions and the series performed. The duration of the intervention will be a total of 8 weeks with evaluations pre-intervention, post-intervention and 4 weeks after the end of the intervention. The objective of this study is to evaluate if the exercise chosen by the patient is better than the exercises selected by the physiotherapist for the variables chronic neck pain, strength of the affected muscles, kinesiophobia and adherence to treatment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| exercise to improve the neck strength in neck pain chosen by the therapist | Experimental |
| |
| exercise to improve the neck strength in neck pain chosen by the patient | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| prescribed exercise | Other | the therapist chooses the five exercises to do |
|
| Measure | Description | Time Frame |
|---|---|---|
| Changes in Disability | using the Neck Disability Index Questionnaire. It is a scale whose values range from 0 to 50. The higher the score, the greater the disability. | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. |
| Measure | Description | Time Frame |
|---|---|---|
| Changes in kinesiophobia | using Tampa scale of kinesiophobia (TSK-11). It is a scale whose values range from11 to 44. The higher the score, the greater the kinesiophobia. | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. |
| Changes in muscular endurance |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Alexander achalandabaso | Alcalá de Henares | Madrid | 28805 | Spain | ||
| Universidad de Alcalá |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 28436583 | Background | Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD011279. doi: 10.1002/14651858.CD011279.pub3. | |
| 26267006 | Background | Ambrose KR, Golightly YM. Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Pract Res Clin Rheumatol. 2015 Feb;29(1):120-30. doi: 10.1016/j.berh.2015.04.022. Epub 2015 May 23. |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D000092442 | Kinesiophobia |
| D000074822 | Treatment Adherence and Compliance |
| ID | Term |
|---|---|
| D001519 | Behavior |
| D010698 | Phobic Disorders |
| D001008 | Anxiety Disorders |
| D001523 | Mental Disorders |
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| chosen exercise | Other | the patient chooses the five exercises to perform among fifteen possibilities |
|
using Grimmer test |
| Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. |
| Adherence to treatment | using a journal entry | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. |
| changes in pain | Using the visual analog scale. It is a 100-mm long horizontal line. Zero means no pain, 100-mm means the worst pain imaginable. | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. |
| Madrid |
| 28805 |
| Spain |
| 30625201 | Background | Polaski AM, Phelps AL, Kostek MC, Szucs KA, Kolber BJ. Exercise-induced hypoalgesia: A meta-analysis of exercise dosing for the treatment of chronic pain. PLoS One. 2019 Jan 9;14(1):e0210418. doi: 10.1371/journal.pone.0210418. eCollection 2019. |
| 30113953 | Background | Sluka KA, Frey-Law L, Hoeger Bement M. Exercise-induced pain and analgesia? Underlying mechanisms and clinical translation. Pain. 2018 Sep;159 Suppl 1(Suppl 1):S91-S97. doi: 10.1097/j.pain.0000000000001235. |
| D015438 |
| Health Behavior |