Effectiveness of a Pain Education Program on Chronic Neck Pain Patients

Study Overview
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Brief Summary
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This project aims to study the effectiveness of a pain education program in the improvement of chronic pain and disability/impairment. Assuming the definition established in the United States in 1975 on the fourth working group of the National Conference on Preventive Medicine: Health education must be a process that informs, motivates and helps people to adopt and maintain practices and healthy lifestyles, environmental advocates changes necessary to facilitate these objectives and professional training and directs research towards the same objectives.  Once the need of educating patients is stablished on subjects with diseases, it is necessary to encourage them to actively participate on the control of them and to achieve significant improvement of adherence

Detailed Description
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BACKGROUND AND PURPOSE: Patient education over the knowledge of pain causes and perpetuating psicosocial factos, so as a gradual physical therapy intervention may success in modifying habits, and consequently emotional state and behaviour in order to maintain or recover subject's social participation being this program effective in pain diminution over chronic neck pain. Main goal: To evaluate the effectiveness of a pain education program for patients with chronic neck pain, to decrease the intensity of pain in front of one physiotherapy program (TENS and exercise) Experimental group: Will receive five group sessions of 60-120 minutes twice a week with a maximum of 10 participants. Control group: Five individual sessions twice a week, will be performed of transcutaneous electrical nerve stimulation (TENS) on neck area an exercises. OUTCOMES Primary outcome Intensity of pain, measured by the visual analog scale: VAS. The mean of the values wil be calculated described in the assessment, the mean of the last week was also compiled. The degree of neck disability/impairment measured using the Northwick Park Pain Questionnaire (NPPQ)

Official Title
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Effectiveness of a Pain Education Program on Chronic Neck Pain Patients

Conditions
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Neck Pain

Intervention / Treatment
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* Other: Session of Pain Education programe
* Other: Control Group


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Subjects over 18 years old Subjects diagnosed with chronic neck pain. Exclusion Criteria: Patients with acute and subacute neck pain. Those presenting inflammatory, neurologic, rheumatic or heart disease or pacemakers. Patients with severe osteoporosis, fractures, dislocations, vertebrobasilar insufficiency, infection, metastatic tumor, pre and post-surgical etiology recent (less than one year after the intervention). Psychopathology patients diagnosed by their doctor. Subjects who do not understand or speak the Spanish language.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 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: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental. Pain Education Program<br>Ten group sessions of treatment with a patient education pain for chronic neck pain (biopsychosocial approach). The group sessions of 60-120 minutes twice a week with a maximum of 10 participants. | Other: Session of Pain Education programe<br>* Five group sessions of patient education pain of 60-120 minutes one for week with a maximum of 10 participants.<br>|
| Active Comparator: Control<br>The control group: individualized session of physical therapy (TENS and exercise). Five individual sessions twice a week, will be performed of transcutaneous electrical nerve stimulation (TENS) on neck area an exercises . | Other: Control Group<br>* Five individual sessions twice a week, will be performed of transcutaneous electrical nerve stimulation (TENS) on neck area an exercises<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Visual Analog Scale | Measured by a Visual Analog Scale | Change From Baseline in Pain Scores on the Visual Analog Scale at three months |