Pain Education Added to Conventional Physiotherapy Program for Patients With Neck Pain
Condition: Neck Pain; Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      Purpose: The aim of this study is to examine the effects of pain training applied with
      conventional physiotherapy on pain, range of motion, disability, kinesiophobia and quality of
      life in patients with neck pain.

      Methods: The research is planned to be completed within 18 months at Istanbul Hospital.

      It is planned to include 40 individualsbetween the ages of 18-65 with neck pain persisting
      for 3 months or more.Individuals will be randomly divided into 2 groups.

      Conventional physiotherapy program will be applied to the first group. Conventional
      physiotherapy will be applied to the second group and neuroscience education will be
      given.Pain intensity will evaluate before and after exercise with 'Visual Analog Scale'
      (VAS), and algometer,range of motion will evaluate with C-ROM, kinesiofobia will questioned
      with Tampa Kinesiofobia Score, Quality of life will evaluate with Nottingham Health Profile,
      whereas the level of neck disability will evaluate before and after exercise with 'Neck Pain
      and Disability Score' (NPDS). The obtained results will analyze using appropriate statistical
      methods.
    

Detailed description: 
      The treatment program will be applied 3 days a week for 8 weeks.Each 2 groups; will be
      evaluated twice, at the beginning of the treatment and at the end of the 8th week.

      Conventional physiotherapy program consists of neck isometric exercises, neck isotonic
      exercises, stabilization exercises, stretching exercises and posture exercises and
      physiotherapy agents.

      Neuroscience education; The trainings will be conducted in the form of face-to-face
      interviews and 45-50 minute one-to-one sessions.

      Posters, pictures, graphics and stories, as well as booklets and videos from Explain Pain,
      Pain in motion and retrainpain websites will be used in appropriate sessions.
    

Intervention name(s): Conventional physiotherapy; Neuroscience education
Intervention type(s): Other; Other
Intervention description(s): Group 1 was given conventinal physiotherapy Physiotherapy agents; 5 min ultrasound 1.5 watts/cm2 20 min conventional TENS 20 min heat agent application (hot pack) Exercise program; Stretching and relaxation exercises, Neck strengthening exercises that include concentric and isometric contractions Posture exercises 3 sets per day, 1 in the hospital with 10 repetitions; Conventional physiotherapy program and The neuroscience education trainings will be conducted in the form of face-to-face interviews and 45-50 minute one-to-one sessions.
In sessions ; neurons and nerve conduction in the session, the formation process of pain, peripheral neuropathic pain, pain spread during the session, neuroplasticity, peripheral and central sensitization, hyperalgesia and allodynia, acute-chronic pain, The effects of stress, fear, anxiety, false thoughts and beliefs about pain and other psychosocial factors on the pain process and determining possible psychosocial factors in the patient during the session, Strategies for controlling the pain process and coping with psychosocial factors in the session will be completed by explaining the effect mechanisms of exercise on pain.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment