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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
54
Thoracic spine mobility, thoracic muscles strength training and pain education through telerehabilitation.
Thoracic spine mobility, deep cervical flexor and extensor muscles strength training, thoracic muscles strength training and pain education through telerehabilitation.
Universitat Internacional de Cataluña
Sant Cugat del Vallès, Spain
Pain intensity
Measured by Visual Analogue Scale.
Time frame: Baseline, 6 weeks, 1 month follow-up
Neck Disability
Measured by the Spanish version of Neck Disability Index Questionnaire.
Time frame: Baseline, 6 weeks, 1 month follow-up
Activation of deep neck flexors muscles.
Measured by Cranio-cervical flexion test
Time frame: Baseline, 6 weeks, 1 month follow-up
Forward head posture
Measured by craniovertebral angle.
Time frame: Baseline, 6 weeks, 1 month follow-up
Cervical range of motion
Measured by CROM(Cervical Range-of-Motion Instrument). Cervical flexion, extension, right/left side bending and right/left rotation.
Time frame: Baseline, 6 weeks, 1 month follow-up
Kinesiophobia
Measured with Spanish version of Tampa Scale
Time frame: Baseline, 6 weeks, 1 month follow-up
Global Rating of Change
Measured by Global Rating of Change Scale
Time frame: 1 month follow-up
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