GPR vs Manual PT for Chronic Neck Pain

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-09-30

Study Completion Date

2014-11-30

Brief Summary

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Effective treatment for nonspecific chronic neck pain is a clinical challenge. Patients will be randomized into two groups to compare the outcomes of Global Postural Re-education (GPR) with standard manual physical therapy on with respect to pain, function, kinesiophobia, range of motion, perceived effect, and satisfaction.

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Detailed Description

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These study will use two groups: one to receive GPR which is a systematic method of addressing musculoskeletal pain and related functional deficits and the other to receive "usual care" manual PT which will be individualized to the patient's condition. Usual care will include techniques commonly used in clinical practice selected by the physical therapist after initial examination. After nine weeks of treatment, baseline measures will be re-evaluated. After conclusion of the first phase of the study, patients who were randomized to the "usual care" group will cross-over and receive GPR.

Conditions

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Nonspecific Chronic Neck Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

CROSSOVER

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Investigators

Study Groups

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Global Postural Re-education

Global Postural Re-education is delivered in a single treatment session each week for nine weeks.

Group Type EXPERIMENTAL

Global Postural Re-education

Intervention Type OTHER

Global Postural Re-education is a physical therapy method comprising a series of gentle active movements, implemented by the therapist using manual contacts and verbal commands, to promote postural symmetry.

Standard manual physical therapy

Standard manual physical therapy is delivered in a single treatment session each week for 9 weeks.

Group Type ACTIVE_COMPARATOR

Standard manual physical therapy

Intervention Type OTHER

Standard manual physical therapy in this study involves a combination of exercises, pompage (gentle manual techniques of distraction and articulation of a joint), anterior-posterior mobilizations as described by Maitland, and massage that have been selected to meet the needs of each individual patient.

Interventions

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Global Postural Re-education

Global Postural Re-education is a physical therapy method comprising a series of gentle active movements, implemented by the therapist using manual contacts and verbal commands, to promote postural symmetry.

Intervention Type OTHER

Standard manual physical therapy

Standard manual physical therapy in this study involves a combination of exercises, pompage (gentle manual techniques of distraction and articulation of a joint), anterior-posterior mobilizations as described by Maitland, and massage that have been selected to meet the needs of each individual patient.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

-nonspecific neck pain lasting at least 3 months

Exclusion Criteria

* acute or subacute cervical pain
* specific or known cause of pain
* central or peripheral neurological signs
* systemic pathology
* rheumatologic pathology
* neuromuscular pathology
* cognitive impairment
* surgical intervention in the last 6 months prior to study
* physical therapy treatment in the last 6 months prior to study

Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No