Effectiveness of Neuroscience-based Pain Education in Patients With 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

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-04-18

Study Completion Date

2025-05-25

Brief Summary

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The effectiveness of neuroscience-based pain education, myofascial induction technique, and home exercise programs will be compared in patients with chronic neck pain.

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Detailed Description

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The study aims to present the immediate and long-term effects of Neuroscience-based Pain Education (NPE) and Myofascial Induction Therapy (MIT). It will evaluate parameters such as pain, quality of life, pain catastrophizing, and neck disability after treatment completion and at the 6-month follow-up.

The investigators aim to illuminate future studies concerning neuroscience-based pain education, which has gained prominence in recent years and continues to increase in importance annually.

The participants will be randomly assigned to one of three groups:

1 Group: Neuroscience-Based Pain Education Combined with Home Exercise Program Participants in this group will receive Neuroscience-Based Pain Education (NPE) treatment in addition to the home exercise program. Training sessions will be organized as one-on-one conversation sessions focusing on the neurophysiology of pain, and participants will be reinforced through PowerPoint presentations and visual aids such as pictures, templates, and metaphors.

Group: Myofascial Induction Techniques Combined with Home Exercise Program In addition to the home exercise program, Myofascial Induction Techniques (MIT) group participants will have MIT applied to the cervical and upper thoracic regions.

Group: Home Exercise Program After undergoing general training, participants in this group will be taught an exercise program. The program will include neck muscle stretching, strengthening, and posture exercises.

Conditions

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Cervical Spine Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Participants

Study Groups

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Neuroscience-Based Pain Education Combined with Home Exercise Program

Patients in this group will receive Neuroscience-Based Pain Education (NPE) treatment in addition to the home exercise program. Training sessions are planned once a week for an average of 35-45 minutes and 8 sessions. NPE will be performed by a physiotherapist who has an internationally recognized certificate in this regard. Training sessions will be organized as one-on-one conversation sessions focusing on the neurophysiology of pain, and patients will be reinforced through PowerPoint presentations and visual pictures, templates, and metaphors.

Group Type ACTIVE_COMPARATOR

Neuroscience-Based Pain Education Combined with Home Exercise Program

Intervention Type OTHER

Neuroscience-Based Pain Education and Home Exercises will be applied.

Myofascial Induction Techniques Combined with Home Exercise Program

In addition to the home exercise program, Myofascial Induction Techniques (MIT) group patients will have MIT applied to the cervical and upper thoracic regions by a physiotherapist trained and experienced in myofascial treatments. The application will be once a week for 8 weeks, with an average duration of 35-45 minutes.

Group Type ACTIVE_COMPARATOR

Myofascial Induction Techniques Combined with Home Exercise Program

Intervention Type OTHER

Myofascial Induction Techniques and Home Exercises will be applied.

Home Exercise Program

Patients in this group will be taught an exercise program after undergoing general training. Exercises will include stretching and strengthening exercises for neck muscles and posture exercises. Patients are asked to take 35-45 minutes once a day, five days a week, for 8 weeks. They will be asked to do the given home exercises and fill out follow-up charts. The continuity of the exercises will be ensured by sending reminder messages to this group of patients once a week by the physiotherapist about doing their exercises.

Group Type ACTIVE_COMPARATOR

Home Exercises Group

Intervention Type OTHER

Home Exercises wiil be applied

Interventions

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Neuroscience-Based Pain Education Combined with Home Exercise Program

Neuroscience-Based Pain Education and Home Exercises will be applied.

Intervention Type OTHER

Myofascial Induction Techniques Combined with Home Exercise Program

Myofascial Induction Techniques and Home Exercises will be applied.

Intervention Type OTHER

Home Exercises Group

Home Exercises wiil be applied

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Ages between 18-60 years old,
2. Patients with non-specific neck pain for at least 3 months,
3. Having pain severity of four or more according to the Visual analogue scale (VAS),
4. Patients with Pain Catastrophizing Scale score \> 30
5. Patients with a Central Sensitization Inventory score \> 30
6. Not having received physiotherapy and manual therapy within the last 3 months,
7. Those who have not received and will not receive medical treatment in the last 3 months.

Exclusion Criteria

1. Having a history of neck and spine surgery,
2. Patients with whiplash injury, fracture history,
3. Having unstable neurological findings,
4. Presence of a pathology such as hernia and root compression in the cervical region,
5. Those who regularly use analgesic and anti-inflammatory drugs,
6. A communication problem may prevent the implementation of the evaluations or treatment program.

Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No