Effects of Global Postural Exercises Versus Specific Therapeutic Neck Exercises in Chronic Non-specific Neck Pain
NCT ID: NCT04402463
Last Updated: 2021-11-02
Study Results
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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COMPLETED
NA
52 participants
INTERVENTIONAL
2020-06-01
2021-10-14
Brief Summary
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The treatments to be applied are Global Postural Reeducation (GPR) and specific therapeutic exercise, applied during 8 treatment sessions in 4 weeks. These treatments will be applied by a physiotherapist with clinical experience in the treatment of cervical pain.
During the study, 4 evaluations will be carried out to assess the effects of the interventions on pain, disability, standing postural control and neuromuscular behavior of the cervical muscles ((1) Baseline (pre-intervention); 2) Second pre-intervention (1 week later); 3) 1st post-intervention after four sessions (1+2 weeks later); 4) Final, 2nd post-intervention (1+4 weeks later))
Detailed Description
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Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
After second pre-intervention assessment, the physiotherapist who will apply the interventions will carry out the allocation. Randomization will be done using a computerized randomization system (randomized.com), and concealment of allocation will be ensured by sequentially numbered, opaque, sealed envelopes.
Study Groups
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GPR Group
Global Postural Reeducation with 2 parts in each session:
1. st: 2 postures in lying position - without gravity load (15 minutes each posture): The aim of these postures is to achieve and maintain postural balance and to stretch the posterior muscle chain. In order to achieve this, specific exercises in the lying position are used. That exercises involve a precise use of contractions, stretch reflexes, light and controlled manual tractions and sustained elongations.
The maintenance of alignment during posture will be achieved by verbal commands and manual contact of the therapist, guaranteeing the active engagement of patient to reach the correct posture.
2. st: Standing posture - integration under gravity load (10 minutes): With the participant standing the physiotherapist makes final corrections for postural integration.
Global Postural Reeducation
The participants will receive treatment along 4 weeks, 2 sessions per week, and 40-45 minutes each session.
In the treatment 3 of the therapeutic postures of GPR method to will carry out following Souchard's principles of "Global Postural Reeducation"
Exercise Group
Therapeutic exercises. That they will be divided into 3 phases:
The exercises in these phases will consist in active exercises of the cervical spine and shoulder girdle, motor control exercises, and finally strength and endurance of the cervical flexors and extensors and of the musculature of the shoulder girdle.
Exercise Therapeutic
The participants will receive treatment along 4 weeks, 2 sessions per week, and 40-45 minutes each session.
The treatment will be divided into 3 phases, where it initially starts with phase 1 (3 treatments) and progresses to phase 2 (3 treatments) until reaching stage 3 (2 treatments).
Interventions
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Global Postural Reeducation
The participants will receive treatment along 4 weeks, 2 sessions per week, and 40-45 minutes each session.
In the treatment 3 of the therapeutic postures of GPR method to will carry out following Souchard's principles of "Global Postural Reeducation"
Exercise Therapeutic
The participants will receive treatment along 4 weeks, 2 sessions per week, and 40-45 minutes each session.
The treatment will be divided into 3 phases, where it initially starts with phase 1 (3 treatments) and progresses to phase 2 (3 treatments) until reaching stage 3 (2 treatments).
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Central or peripheral neurological signs
* Cognitive impairment to follow instructions during the evaluations or interventions
* History of cervical surgery
* Treatment of physical therapy in the last 3 months
* Pharmacologic treatment during the study
18 Years
65 Years
FEMALE
No
Sponsors
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Instituto Politécnico da Guarda
OTHER
University of Salamanca
OTHER
Responsible Party
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Roberto Méndez Sánchez
Professor
Principal Investigators
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Roberto Méndez-Sánchez, PhD
Role: PRINCIPAL_INVESTIGATOR
University of Salamanca
Locations
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Instituto Politécnico da Guarda
Guarda, , Portugal
University of Salamanca
Salamanca, , Spain
Countries
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References
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Mendes-Fernandes T, Puente-Gonzalez AS, Marquez-Vera MA, Vila-Cha C, Mendez-Sanchez R. Effects of Global Postural Reeducation versus Specific Therapeutic Neck Exercises on Pain, Disability, Postural Control, and Neuromuscular Efficiency in Women with Chronic Nonspecific Neck Pain: Study Protocol for a Randomized, Parallel, Clinical Trial. Int J Environ Res Public Health. 2021 Oct 12;18(20):10704. doi: 10.3390/ijerph182010704.
Other Identifiers
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458-2019 USalamanca
Identifier Type: -
Identifier Source: org_study_id