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Neck pain is a common disorder in industrialized countries. Manual therapy techniques have been commonly used in the treatment of this problem. Actually, there is no research work that has evaluated the work well of treatment with soft tissue techniques (massage) applied to the dorsal paravertebral muscle in the management of neck pain. The goal of this study (clinical trial) is to compare the efficacy of a massage protocol performed on the dorsal region in subjects with mechanical neck pain.
The researchers will compare:
A group that will be treated with a local protocol of cervical manual therapy and therapeutic exercise along with the treatment(massage) of the thoracic region.
Another group that will be treated only with a local protocol of cervical manual therapy and therapeutic exercise.
It is to see if the inclusion of treatment of the thoracic region improves the local intervention in cervical region.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Neck pain massage | Experimental | Subjects in this group will be treated with a neck muscle massage protocol. |
|
| Neck and thoracic massage | Experimental | Subjects in this group will be treated with a massage protocol of the neck muscles and the posterior thoracic region. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Neck pain massage | Other | Subjects in this group will be treated with a neck muscle massage protocol. First, pressure inhibition techniques will be applied to the affected muscles. Then deep stroke technique will be performed on each muscle. In addition, effleurages technique will be applied along the thoracic paravertebral muscle. Subjects will also perform an exercise protocol for neck pain. |
| Measure | Description | Time Frame |
|---|---|---|
| Neck pain | A Visual Analogue Scale (VAS) is one of the pain rating scales used for measure the intensity pain. The VAS is a straight horizontal line of fixed length, usually 100 mm.The ends are defined as the extreme limits of the parameter to be measured orientated from the left or "10" (worst pain) to the right (best pain) or "0". | Change from Baseline pain at 3 month |
| Measure | Description | Time Frame |
|---|---|---|
| Neck disability index | This questionnaire has been designed to give us information as to how the neck pain are affecting the subject´s ability to manage in everyday life. The questionnaire has 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. It´s interpreted as a raw score, with a maximum score of 50 where "0" is not disability and 50 is the worst disability |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Daniel Pecos-Martin, PhD | Alcala University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Physioterapy and Pain center research | Alcalá de Henares | Madrid | 28805 | Spain |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| Neck and thoracic massage | Other | Subjects in this group will be treated with a neck muscle massage protocol. First, pressure inhibition techniques will be applied to the affected muscles. Then deep stroke technique will be performed on each muscle. In addition, deep stroke technique will be applied along the thoracic paravertebral muscle. Subjects will also perform an exercise protocol for neck pain. |
|
| Change from Baseline pain at 3 month |
| Pain catastrophizing | Pain Catastrophizing Scale (PCS). The PCS is a 13-item instrumen that task participants to reflect on past painful experiences, and to indicate the degree to which they experienced each of 13 thoughts or feelings when experiencing pain, on 5-point scales with the end points (0) not at all and (4) all the time. The PCS total scores range from 0 - 52. 0 is the best result and 52 is the worst result. | Change from Baseline pain at 3 month |
| kinesiophobia | The Tampa Scale of Kinesiophobia (TSK) describe patient circumstances characterised by an "excessive, irrational, and debilitating fear of physical movement and activity resulting from a feeling of vulnerability to painful injury or reinjury. The TSK is a 17 item assessment checklist.The 17 item TSK total scores range from 17 to 68 where the lowest 17 means no or negligible kinesiophobia, and the higher scores indicate an increasing degree of kinesiophobia. | Change from Baseline pain at 3 month |
| The Global Rating of Change (GRoC) | It's a scale that assesses whether the patient condition has gotten worse, better, or stayed the same and to quantify the magnitude of that change, typically following treatment.Subjects will make global ratings of changes regarding their level of well-being from their neck pain since the initial examination on a 15-point self-report scale (from -7 to 7), where -7 is the worst possible value and 7 is the best possible value. | Change from Baseline pain at 3 month |