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The aim of this study is to compare the effectiveness of Pilates compared with Cognitive Functional Therapy in adults with chronic neck pain.
Firstly, people being informed about the study and those who determine eligibility criteria they written informer consent. After this, the participants will be randomized by a single-blind assessor in a 1:1 ration to pilates exercises and cognitive functional therapy. The participants of both groups will receive therapy twice a week for eight weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Pilates Group | Experimental | In the first session participants will received the 6 basic principles of the technique. All the other sessions will last 50 minutes and consist of warm-up, main program and cool-down exercises. The degree of difficulty of the exercises of the main part will progress every 2 weeks. |
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| Cognitive Functional Therapy | Experimental | In this group the participants will receive personalized treatment and therefore the sessions will be done individually for each one. All interventions will include a) a cognitive component, b) specific functional training and c) lifestylwe changes |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Pilates | Other | The application of pilates aims to correct real-time deviations observed in the body during movement, to maintain stability, to maintain stability, to gradually form proper sensorimotor ability and improve cervical dysfunction. Pilates is an important part but also a primary point in the stages of rehabilitation, since through it the execution of movement is encouraged earlier thus providing help for the later stages of rehabilitation. Pilates exercises concern movements at all levels of body movement and in various positions. |
| Measure | Description | Time Frame |
|---|---|---|
| Numerical Rating Scale | Measured pain intensity with 0 (no pain) and 100 (the worst pain ever). | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization |
| Neck Disability Index | This questionnaire informed us about the affection to have the neck pain in human ability to manage it in everyday life. Measured neck disability with 4 (absence of disability) and >35 (full disability). | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization |
| Measure | Description | Time Frame |
|---|---|---|
| Fear Avoidance Beliefs Questionnaire | This questionnaire informed us how a patient's fear avoidance beliefs about physical activity and work may affect and contribute to their cervical pain and resulting disability, with 96 (high levels of patient fear) and 0 (absence of patient fear). | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Evi Lazoura, PhD (cand) | European University Cyprus | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Evi Lazoura | Nicosia | Nicosia | Cyprus |
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| ID | Term |
|---|---|
| D026241 | Exercise Movement Techniques |
| ID | Term |
|---|---|
| D026741 | Physical Therapy Modalities |
| D013812 | Therapeutics |
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| Cognitive Functional Therapy | Other | Cognitive component: Educating patients about their perceptions of pain, explaining diagnosis and diagnostic findings, answering questions about their problem and symptoms, progressively challenge their customers in a non-judgmental way, education for multifactorial and biopsychosocial spectrum of pain, encouraging participants to movement and for active participation in daily activities, if receiving a self-management plan participation in activities with a degree of difficulty 2-3/10, tips for more effective sleep Specific functional training: Understanding pain modification through relaxation exercises, awareness and body control, modified body positions for better control of the cervical spine with parallel relaxation of the thoracic spine to participate in fearful or painful activities, engaging in movements of daily activities Lifestyle changes: Gradual increase in physical activity based on patient preferences, stress management and social interaction |
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| Short Form 12 | This questionnaire assessed the impact of health on an individual's everyday life, with 0-42 indicates the possible existence of clinical depression and <42 indicates good psychological as well as physical functioning. | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization |
| EuroQol (EQ-5D) | An EQ-5D health state is the state of responses to the 5 dimensions of EQ-5D as completed by a patient, with 0 (the worst imaginable health state) and 100 (the best imaginable health state) | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization |
| Range of Motion | Range of motion in all cervical movements (flexion, extension, side flexion, rotations) | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization |
| Isometric Strength | Strength in all cervical movements (flexion, extension, side flexion, rotations) | baseline (after randomization), at 4th week (after 8th session), at 8th week (after 16th session), 3 months after randomization |