Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Thoracic exercise program and education, Thoracic and neck specific exercise program and education.
- Who it may be relevant to
- Registry conditions: Chronic Neck Pain, Non-specific Neck Pain. Basic parameters: 18 years — 65 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Spain
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain: Randomized Clinical Trial.
Overview
The purpose of this study is to evaluate the clinical results in pain intensity, neck disability, range of motion, endurance deep cervical muscles, forward head position and kinesiophobia through thoracic spine mobility, deep neck muscles and thoracic strength training and pain education protocol versus a thoracic spine mobility, thoracic strength training and pain education protocol in patients with chronic non-specific neck pain.
Detailed description
The cervical spine is the most mobile region of the spine and must be strong enough to support the weight of the skull and thoracic spine is the most stiff region. In addition, patients often catastrophize their pain, it has a major impact on quality of life. Strength deficits of the deep cervical muscles are related to different clinical conditions, such as non-specific neck pain. Training and education protocols can help to improve pain, function, posture and cross-sectional area. However, there are no multimodal protocols in subjects with chronic non-specific neck pain including deep neck extensor and flexor muscles, thoracic spine mobility and pain education.
Interventions
- Other Thoracic exercise program and education
Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation. - Other Thoracic and neck specific exercise program and education
Thoracic spine mobility, deep cervical flexor and extensor muscles strength training, thoracic muscles strength training and pain education through telerehabilitation.
Primary outcome measures
- Pain intensity [Time frame: Baseline, 6 weeks, 1 month follow-up]
- Neck Disability [Time frame: Baseline, 6 weeks, 1 month follow-up]
Secondary outcome measures (5)
- Activation of deep neck flexors muscles. [Time frame: Baseline, 6 weeks, 1 month follow-up]
- Forward head posture [Time frame: Baseline, 6 weeks, 1 month follow-up]
- Cervical range of motion [Time frame: Baseline, 6 weeks, 1 month follow-up]
- Kinesiophobia [Time frame: Baseline, 6 weeks, 1 month follow-up]
- Global Rating of Change [Time frame: 1 month follow-up]
Eligibility criteria
Inclusion criteria
- Non-specific neck pain for at least the last 12 weeks.
- Pain intensity equal to or greater than 4 on the visual analog scale (VAS).
- Mild-moderate disability in the Neck Disability Index.
- Not reaching phase 2 in Craniocervical flexion test.
- Availability and skill to do video calls.
- Understanding Spanish.
Exclusion criteria
- Other type of neck pain.
- Previous neck surgery.
- Diagnosed metabolic diseases.
- Red flags (infection, tumors, rheumatic arthritis, or cardiovascular disease).
- History of cardio-respiratory disease that contraindicates high-intensity exercise.
- Fibromyalgia
- Pregnancy
- Physiotherapeuthic treatment continued in the last 3 month.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Spain · 1 center
- Universitat Internacional de Cataluña — Sant Cugat del Vallès
Identifiers
NCT: NCT07260955 · FIS-2024-009