Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain.

Официальное название

Effects of a Multimodal Telerehabilitation Program in Patients With Chronic Non-Specific Neck Pain: Randomized Clinical Trial.

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое Thoracic exercise program and education
  Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation.
• Другое 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.

Первичные конечные точки

• Pain intensity [Срок оценки: Baseline, 6 weeks, 1 month follow-up]
• Neck Disability [Срок оценки: Baseline, 6 weeks, 1 month follow-up]

Вторичные конечные точки (5)

• Activation of deep neck flexors muscles. [Срок оценки: Baseline, 6 weeks, 1 month follow-up]
• Forward head posture [Срок оценки: Baseline, 6 weeks, 1 month follow-up]
• Cervical range of motion [Срок оценки: Baseline, 6 weeks, 1 month follow-up]
• Kinesiophobia [Срок оценки: Baseline, 6 weeks, 1 month follow-up]
• Global Rating of Change [Срок оценки: 1 month follow-up]

Критерии участия

Критерии включения

• 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.

Критерии исключения

• 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.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Испания · 1 центр

• Universitat Internacional de Cataluña — Sant Cugat del Vallès

Идентификаторы

NCT: NCT07260955 · FIS-2024-009

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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