Chronic Nonspecific Neck Pain and Central Nervous System Focused Treatment Program

NCT ID: NCT06503562

Last Updated: 2024-07-16

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-07-10
• Study Completion Date: 2025-07-10

Brief Summary

Neck pain is one of the most common musculoskeletal pain disorders secondary to low back pain. Pharmacological and non-medical treatments such as physiotherapy are applied in its treatment. Patients with chronic nonspecific neck pain (CNSP) can be treated with various interventions such as drug therapy, manual therapy, heat and exercise. However, it is also reported that chronic pain occurs as a result of neuroplasticity, that is, the brain learning pain through the central synthesis mechanism in the central nervous system. For this reason, although the importance of central nervous system-oriented therapies is increasing day by day, this system-oriented therapies are still ignored in clinics. Therefore, in this master's thesis study, it is aimed to investigate the effects of central nervous system-focused therapies (pain neuroscience education, breathing exercises and relaxation exercises with guided imagery) on pain, range of motion, functional status, pain-related fear, anxiety, depression and quality of life in addition to traditional physiotherapy applied to patients with CNSP.

Conditions

Neck Pain; Chronic Pain Syndrome; Rehabilitation

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Traditional Physiotherapy Program

Group Type: OTHER

Classical Physiotherapy

Intervention Type: OTHER

All participants will receive conventional physiotherapy five days a week for one month. Transcutaneous electrical nerve stimulation, 15 min hotpack will be applied to the neck and back. Afterwards, mobilisations to the cervical and thoracic spine joints and myofascial release to the upper trapezius muscle will be applied. The patient will be given 3X10 neck active range of motion exercises to do at home every day and self stretches to the muscles in the neck region (SCM, upper trapezius, scalene and pectoral) according to the patient's condition. After the first week, strengthening exercises with isometric and resistive isotonic exercises will be given to the neck and upper back muscles gradually increasing. Patients will not be given any medication and will be asked not to use any medication.

Traditional Physiotherapy Program and central nervous system focused treatment program

Group Type: EXPERIMENTAL

central nervous system focused treatment program

Intervention Type: OTHER

Pain neuroscience education, breathing exercises and relaxation exercises with guided imagery

Classical Physiotherapy

Intervention Type: OTHER

All participants will receive conventional physiotherapy five days a week for one month. Transcutaneous electrical nerve stimulation, 15 min hotpack will be applied to the neck and back. Afterwards, mobilisations to the cervical and thoracic spine joints and myofascial release to the upper trapezius muscle will be applied. The patient will be given 3X10 neck active range of motion exercises to do at home every day and self stretches to the muscles in the neck region (SCM, upper trapezius, scalene and pectoral) according to the patient's condition. After the first week, strengthening exercises with isometric and resistive isotonic exercises will be given to the neck and upper back muscles gradually increasing. Patients will not be given any medication and will be asked not to use any medication.

Interventions

central nervous system focused treatment program

Pain neuroscience education, breathing exercises and relaxation exercises with guided imagery

Intervention Type: OTHER

Classical Physiotherapy

All participants will receive conventional physiotherapy five days a week for one month. Transcutaneous electrical nerve stimulation, 15 min hotpack will be applied to the neck and back. Afterwards, mobilisations to the cervical and thoracic spine joints and myofascial release to the upper trapezius muscle will be applied. The patient will be given 3X10 neck active range of motion exercises to do at home every day and self stretches to the muscles in the neck region (SCM, upper trapezius, scalene and pectoral) according to the patient's condition. After the first week, strengthening exercises with isometric and resistive isotonic exercises will be given to the neck and upper back muscles gradually increasing. Patients will not be given any medication and will be asked not to use any medication.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Being diagnosed with nonspecific neck pain by a doctor,
• To be between the ages of 18-65,
• Having neck pain for more than 3 months
• No previous neck or shoulder surgery,
• No shoulder pain due to any cause,
• A tumour or inflammatory disease underlying the neck pain not to be found,
• A clinically underlying stenosis or discogenic problem not to be present.
• Negative results from the following clinical examination tests;

• Spurling test,
• Lhermitte test,
• Cervical distraction test,
• Adson test,

• Positive neurological examination (positive motor presence, reflex or sensory abnormalities indicating spinal root compression) or abnormal neurological findings related to nerve compression in the upper limb
• Systemic rheumatological or metabolic diseases or cancer
• Refusal to participate in the study,
• Failure to complete treatment,
• Having any neurological problem
• Severe psychological illnesses

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Acibadem University

OTHER

Sponsor Role: lead

Responsible Party

Nuray Alaca

Assoc, Prof. Nuray Alaca, Head of department Physiotherapy and Rehabilitation

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Acibadem University

Istanbul, , Turkey (Türkiye)

Site Status: RECRUITING

Nuray ALACA

Istanbul, , Turkey (Türkiye)

Site Status: RECRUITING

Countries

Turkey (Türkiye)

Central Contacts

Nuray ALACA

Role: CONTACT

nuray.alaca@acibadem.edu.tr

05324251290

Facility Contacts

Nuray ALACA

Role: primary

nuray.alaca@acibadem.edu.tr

05324251290

Doga Kocyigit

Role: primary

Other Identifiers

ATADEK-2024-9/341

Identifier Type: -

Identifier Source: org_study_id