Effectiveness of Activity Oriented Therapy and Traditional Therapy in Cervical Discopathic Pain Syndrome
NCT ID: NCT06803264
Last Updated: 2025-01-31
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
74 participants
INTERVENTIONAL
2021-03-18
2022-04-08
Brief Summary
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Procedures: You will be asked to complete a form containing questions characterizing the study group and several questionnaires before starting treatment, such as: NDI, CESD-R, STAI and the NRS scale. A photo of the head and shoulder area will also be taken in a front and side standing position. After completing the two-week treatment, you will be asked again to complete questionnaires and pose for photos. You will be informed about a follow-up visit 3 months after the end of therapy, during which you will be asked for the last time to complete questionnaires and pose for a photo.
Benefits: There are no direct benefits to you other than participating in a therapy more commonly used for cervical pain syndromes and the opportunity to discuss your experience with neck pain with a specialist. The information we obtain will help scientists better understand the problem of treating neck pain.
Risk: There are no physical risks to you while conducting this research. All information obtained from you will be anonymous. Your name and image will not be used in this study or reports.
Confidentiality: All research records will be confidential and appropriately secured. Records will only be published with your consent or by court order or as required by law. Any publication resulting from this research will not use identifying information, such as your name or likeness.
Freedom to opt out: Participation in the study is completely voluntary and free of charge. You may withdraw from this study at any time without any consequences.
Detailed Description
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The therapies were performed by experienced physiotherapists in cooperation with a psychologist. Treatment in both groups included 10 therapy sessions held daily from Monday to Friday over a two-week period.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
SINGLE
Study Groups
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N.A.P. therapy group
Activity Oriented therapy (N.A.P.) is based on the assumption that motor activity affects the plasticity of the brain and it stimulates a positive change in its cortical representation. The therapist use motor teaching techniques, postural control exercises and improving respiratory functions. Breathing exercises are used to reduce nervous system stimulation, activating the parasympathetic system and relaxing the body and mind. Additionally, diaphragm exercises affect the stabilization of the spine muscles.
Activity Oriented therapy (N.A.P.)
The following six exercises were used, each of which was performed 10 times. Their progression was introduced by changing positions, individually adjusted to the patient's capabilities.
1. Eccentric infrahyoid muscle work during breathing activity and phonation of the "l"sound.
2. Reciprocal innervation of suboccipital muscles in gaze activity.
3. Stimulation of the diaphragm in the activity of breathing and phonation.
4. Repeated eccentric activity of the sternocleidomastoid (SCM) muscles during body transfer activity.
5. Repeated eccentric activity of scalene muscles in blanket pulling activity.
6. Eccentric work of suboccipital muscles in the activity of biting a snack.
Traditional therapy group
In Poland, traditional treatment of neck pain includes physical treatments (e.g. cryotherapy or TENS) and exercises to strengthen and improve the range of muscles in the shoulder girdle and neck. Research shows that these interventions provide good benefits in the treatment of neck pain immediately after therapy, but there is often a lack of information about how this change is maintained over time. Considering the psychological aspect of chronic pain, such actions may not be sufficient to effectively cure the problem.
Traditional therapy
Traditional therapy included:
1. Isometric work of the neck muscles.
2. Self-assisted active exercises for the shoulder girdle muscles.
3. Active exercises in relief for the muscles of the shoulder girdle performed in the sitting position in the transverse plane.
4. TENS current treatment performed in the cervical spine and shoulder girdle in the forward lying position.
5. The local cryotherapy treatment with carbon dioxide.
Interventions
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Activity Oriented therapy (N.A.P.)
The following six exercises were used, each of which was performed 10 times. Their progression was introduced by changing positions, individually adjusted to the patient's capabilities.
1. Eccentric infrahyoid muscle work during breathing activity and phonation of the "l"sound.
2. Reciprocal innervation of suboccipital muscles in gaze activity.
3. Stimulation of the diaphragm in the activity of breathing and phonation.
4. Repeated eccentric activity of the sternocleidomastoid (SCM) muscles during body transfer activity.
5. Repeated eccentric activity of scalene muscles in blanket pulling activity.
6. Eccentric work of suboccipital muscles in the activity of biting a snack.
Traditional therapy
Traditional therapy included:
1. Isometric work of the neck muscles.
2. Self-assisted active exercises for the shoulder girdle muscles.
3. Active exercises in relief for the muscles of the shoulder girdle performed in the sitting position in the transverse plane.
4. TENS current treatment performed in the cervical spine and shoulder girdle in the forward lying position.
5. The local cryotherapy treatment with carbon dioxide.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
30 Years
50 Years
ALL
No
Sponsors
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University School of Physical Education, Krakow, Poland
OTHER
Responsible Party
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Locations
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Rehabilitation Clinic "Azory"
Krakow, , Poland
Countries
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References
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Szczygiel E, Fudacz N, Golec J, Golec E. The impact of the position of the head on the functioning of the human body: a systematic review. Int J Occup Med Environ Health. 2020 Sep 17;33(5):559-568. doi: 10.13075/ijomeh.1896.01585. Epub 2020 Jul 23.
Jerath R, Beveridge C. Respiratory Rhythm, Autonomic Modulation, and the Spectrum of Emotions: The Future of Emotion Recognition and Modulation. Front Psychol. 2020 Aug 14;11:1980. doi: 10.3389/fpsyg.2020.01980. eCollection 2020.
Maric V, Ramanathan D, Mishra J. Respiratory regulation & interactions with neuro-cognitive circuitry. Neurosci Biobehav Rev. 2020 May;112:95-106. doi: 10.1016/j.neubiorev.2020.02.001. Epub 2020 Feb 3.
Nitayarak H, Charntaraviroj P. Effects of scapular stabilization exercises on posture and muscle imbalances in women with upper crossed syndrome: A randomized controlled trial. J Back Musculoskelet Rehabil. 2021;34(6):1031-1040. doi: 10.3233/BMR-200088.
Schuch FB, Vancampfort D, Richards J, Rosenbaum S, Ward PB, Stubbs B. Exercise as a treatment for depression: A meta-analysis adjusting for publication bias. J Psychiatr Res. 2016 Jun;77:42-51. doi: 10.1016/j.jpsychires.2016.02.023. Epub 2016 Mar 4.
Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017 Aug 14;358:j3221. doi: 10.1136/bmj.j3221.
Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015 Feb;90(2):284-99. doi: 10.1016/j.mayocp.2014.09.008.
Elman I, Borsook D. Common Brain Mechanisms of Chronic Pain and Addiction. Neuron. 2016 Jan 6;89(1):11-36. doi: 10.1016/j.neuron.2015.11.027.
Other Identifiers
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40/KBL/OIL/2020
Identifier Type: -
Identifier Source: org_study_id