Effectiveness of Massage Therapy With Active Component and Therapeutic Exercise in Cervical Pain

Alexander Achalandabaso42 enrolled

Overview

It is an interventional study that proves the eficacy of the manual therapy with active manual therapy and combined with exercise in cervical pain.

The study will be divided in two different groups: * A control group (group A) : they will receive a treatment with manual therapy and physical exercise. * An experimental group (group B) : they will receive the previous treatment, but also the pacient's do active muscle active contraction. The exercise is compound by a home program of several exercises with diferent difficulties. The contraction will consist on a combination of concentric and isometric work. being the patient's pain threshold the one that will guide us to the choice of the predominance of concentric or isometric contraction . Both groups will be joined by a five-minute work on pain education.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Neck Pain Chronic Pain

Interventions

Manual therapy activeOTHER

massage or ischemic compression with active contraction, tha will be isometric or concentric.

Manual therapyOTHER

massage or isquemic compression without contraction

Eligibility

Sex: ALLMin age: 18 YearsMax age: 60 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * accept to participate in the study, through informed consent * subjects with chronic nonspecific neck pain lasting equal to or more than 3 months Exclusion Criteria: * Present neck pain caused by serious pathology such as: inflammatory, congenital, infectious, metabolic and neoplastic diseases. * Cervical pathology of traumatic origin with less than 6 months of evolution. * Rheumatic diseases. * Neck pain with neurological signs such as: radiculopathy and myelopathy. * Previous surgery of the cervical spine. * Pregnancy. * Have received physiotherapeutic treatment in the cervical region during the month prior to the inclusion of the study. * Have the intention of receiving other physiotherapeutic treatments different from the one proposed during the study period. * Present serious mental disorders.

Locations (1)

Alexander achalandabaso

Alcalá de Henares, Madrid, Spain

Outcomes

Primary Outcomes

Change in Neck disability

Using the Neck Disability Index (NDI). It is made up of 10 items and each item is scored on a 6-point Likert scale (0 to 5), leading to a total score ranging from 0 to 50 (0 to 4 = no disability; 5 to 14 = mild disability; 15 to 24 = moderate disability; 25 to 34 = severe disability; and 35 to 50 = complete disability).

Time frame: Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement.

Secondary Outcomes

Change in pain perception

Using the Visual Analog Scale (VAS) from 0 to 10

Time frame: Baseline, 1 month (primary timepoint), 2 months and 5 months after intervention commencement.

Change in Range of motion (ROM)

Using a inclinometer

Time frame: Baseline, 1 month (primary timepoint) and 2 months after intervention commencement.

Change in craniocervical flexion

Using the craniocervical flexion test (CCFT) we make a evaluation of the strength of the deep cervical flexor muscles. From 22 to 30 mmHg of preasure.

Time frame: Baseline, 1 month (primary timepoint) and 2 months after intervention commencement.

Change in kinesophobia

Using the Tampa Scale for Kinesiophobia-11 (TSK-11), self-report of 17 items that address fear of movement and injury relapse. Four of the items are negatively written and scored inverse (4, 8, 12 and 16). The scores are added together to obtain a total score, with higher values reflecting greater kinesiophobia.

Time frame: Baseline, 1 month (primary timepoint) , 2 months and 5 months after intervention commencement.

Change in Catastrophism

Using the Pain catastrophizing scale from 0 to 56

Data from ClinicalTrials.gov

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