Inmediate Effect of the Visualization of Action

Study Overview
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Brief Summary
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The observation of actions and motor imagery has demonstrated the activation of certain mechanisms similar to those that occur during active movement, which could induce immediate changes in the amplitudes of movement and sensorimotor variables in observed and imagined movements. The main aim of the study was test the immediate effect of a protocol of observed actions and motor imagery on cervical range of motion and pain intensity in patients with non-specific chronic neck pain (NSCNP). Randomized double-blind clinical trial in patients with DCCI at a primary health care center in the Community of Madrid. A random distribution of study subjects was made into two groups: a) cervical motion videos were presented at full range of motion and b) the videos presented showed a range of motion limited to 40%. In both groups, visualization tasks of actions were alternated with internal kinesthetic motor imagery, in periods of 1min in 2 consecutive series and with a total of 12 minutes of intervention. Cervical range of motion was assessed with a cervical goniometer and pain intensity immediately following the intervention with an Analog Visual Scale.

Official Title
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Inmediate Effect of the Visualization of Action

Conditions
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Neck Pain, Chronic Pain, Musculoskeletal Pain

Intervention / Treatment
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* Other: observed action and motor imaginery


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Nos-Specific Chronic Neck Pain lasting more than 3 months Exclusion Criteria: Systemic Disease diagnosed (i.e. Lupus, Fibrolyalgia or Rheumatoid Arthritis) Background of fractures or surgery in the cervical region congenital anomalies known infectious processes or diagnosis of active cancer at the time of the study

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 75 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Quadruple


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Effective movement group<br>Observation of a video of neck movement at 100% range of movement, and imagination of the same observed movement, feeling the realization of the movement but not developing it. | Other: observed action and motor imaginery<br>* Observation of a video of neck movement and imagination of the same observed movement, feeling the realization of the movement but not developing it.<br>|
| Experimental: Ineffective movement group<br>Observation of a video of neck movement at 40% range of movement, and imagination of the same observed movement, feeling the realization of the movement but not developing it. | Other: observed action and motor imaginery<br>* Observation of a video of neck movement and imagination of the same observed movement, feeling the realization of the movement but not developing it.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Cervical Range of Movement | CROM goniometer | at the beginning and after the intervention, until the end of the study (24 hours) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical Pain Disability | Neck Disability Index | at the beginning and end of the intervention, until the end of the study (24 hours) | 
| Pain Intensity | Visual Ananlogue Scale: 10cm line, were the left limit means no pain and the right limit means worst imaginable pain | at the beginning and end of the intervention, until the end of the study (24 hours) | 
| Catastrophizism | Pain Catastrophizing Scale | at the beginning and end of the intervention, until the end of the study (24 hours) | 
| Health Related Quality of Life | EuroQoL-5D-5L | at the beginning and end of the intervention, until the end of the study (24 hours) | 
| Anxiety and Depression | Hospital Anxiety and Depression Scale (HADs) | at the beginning and end of the intervention, until the end of the study (24 hours) | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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motor imaginery, mental training