Prediction of Recovery in Patients With Neck Pain

NCT ID: NCT04924764

Last Updated: 2022-02-07

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

UNKNOWN

Clinical Phase

NA

Total Enrollment

84 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-06-15

Study Completion Date

2022-04-30

Brief Summary

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This prognostic prediction model will be a reference for the health care professionals in clinical decision making and subsequent outcomes in dealing with patients having sub-acute and chronic neck pain, as well as, it will be a guide regarding therapeutic management and patients' education. Although various studies have evaluated the prognostic factors for individual neck pain conditions or treatment, to author Knowledge, no such prognostic model is available yet that predict the recovery in patients of sub-acute and chronic neck pain when managed conservatively. Therefore, this study is aimed to create a prediction model suggesting the recovery time for neck pain.

Detailed Description

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Neck pain is a highly prevalent condition that leads to considerable pain, disability, and economic cost. It not only constitutes a major personal burden but also affects families, the health system and the economic structure of countries. Neck pain is described as "an unpleasant sensory and emotional experience associated with actual or potential tissue damage" in the neck region, which starts at the superior nuchal line and continues down to the level of the scapular spine. Acute, sub-acute and chronic neck pain is defined as neck pain with full-time sick-listing for 0 - 21 days (3 weeks), 22 - 84 days (4-12 weeks) and more than 12 weeks, respectively. A number of studies have explored prognostic factors for neck pain. Most frequently reported prognostic factors are age, gender, pain severity, a history of neck pain, concomitant low back pain, duration of pain, occupation, previous trauma, and degenerative changes on X-ray. Physiotherapy interventions for chronic neck pain showing the strongest support for an effect on pain are strength and endurance training. Two of the most widely used treatment strategies for the management of neck pain is exercise therapy (ET) and manual therapy (MT). ET is defined as a regimen or plan of physical activities designed and prescribed for any therapeutic goals, which includes strength exercises, stabilization exercises and endurance exercises. MT may is defined as "the use of hands to apply a force with therapeutic intent. various studies have evaluated the prognostic factors for individual neck pain conditions or treatment. but the author Knowledge, no such prognostic model is available yet that predict the recovery in patients of sub-acute and chronic neck pain when managed conservatively.

Conditions

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Neck Pain Chronic Neck Pain Cervical Radiculopathy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

TRIPLE

Participants Investigators Outcome Assessors

Study Groups

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Follow-up on daily basis

Patient receiving treatments on daily basis (5 days a week)

Group Type ACTIVE_COMPARATOR

Conventional physical therapy.

Intervention Type OTHER

Conventionally used intervention for subacute and chronic neck pain.

Follow-up on alternate days

Patients receiving treatment on alternate days (3 days a week)

Group Type ACTIVE_COMPARATOR

Conventional physical therapy.

Intervention Type OTHER

Conventionally used intervention for subacute and chronic neck pain.

Interventions

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Conventional physical therapy.

Conventionally used intervention for subacute and chronic neck pain.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Subacute and chronic neck pain.
* Patients with neck pain with a score of 4-10 on the numeric pain rating scale.

Exclusion Criteria

* Acute neck pain.
* Neck pain due to fracture, tumour, infection or metabolic bone disease.
* History of cervical spine injury or surgery.
* Patients presented with disc herniation.
* Cervical instability
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Imran Amjad, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Helping Hand Institute of Rehabilitation Sciences

Mansehra, KPK, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Imran Amjad, PhD

Role: CONTACT

03324390125

Facility Contacts

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Keramat Ullah

Role: primary

0997440424

References

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Cai C, Ming G, Ng LY. Development of a clinical prediction rule to identify patients with neck pain who are likely to benefit from home-based mechanical cervical traction. Eur Spine J. 2011 Jun;20(6):912-22. doi: 10.1007/s00586-010-1673-6. Epub 2011 Jan 15.

Reference Type BACKGROUND
PMID: 21240529 (View on PubMed)

Sleijser-Koehorst MLS, Coppieters MW, Heymans MW, Rooker S, Verhagen AP, Scholten-Peeters GGM. Clinical course and prognostic models for the conservative management of cervical radiculopathy: a prospective cohort study. Eur Spine J. 2018 Nov;27(11):2710-2719. doi: 10.1007/s00586-018-5777-8. Epub 2018 Oct 16.

Reference Type BACKGROUND
PMID: 30327908 (View on PubMed)

Other Identifiers

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REC/0876 Seerat Rashid

Identifier Type: -

Identifier Source: org_study_id

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