Is Patient Choice of Exercise Preference Important in Chronic Neck Pain?

Study Overview
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Brief Summary
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Nonspecific chronic neck pain is the third most frequent problem in Spain. It has an annual presence between 15% and 50% where women are the most affected. This pain influences the psychosocial state of the person. Physical exercise has been shown to be effective in a wide variety of chronic pain conditions, including improving quality of life and emotional problems. Design: Single-blind, controlled, randomized clinical trial. Methods: The study will be approached in the Faculty of Nursing and Physiotherapy of the University of Alcalá. 52 subjects with nonspecific chronic neck pain will be selected and randomly divided into two groups. The first group should perform 5 exercises that have been shown to be effective in the management of neck pain selected by the physiotherapist focused on neck pain. The second group must choose, from a list of exercises that have been shown to be effective in the management of neck pain, 5 exercises. Both groups should record the pain, the number of repetitions and the series performed. The duration of the intervention will be a total of 8 weeks with evaluations pre-intervention, post-intervention and 4 weeks after the end of the intervention. The objective of this study is to evaluate if the exercise chosen by the patient is better than the exercises selected by the physiotherapist for the variables chronic neck pain, strength of the affected muscles, kinesiophobia and adherence to treatment.

Official Title
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Is Patient Choice of Exercise Preference Important in Chronic Neck Pain? A Randomized Clinical Study

Conditions
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Chronic Neck Pain

Intervention / Treatment
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* Other: prescribed exercise
* Other: chosen exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: chronic neck pain Exclusion Criteria: Spine surgery, shoulder girdle or cervical area surgery, whether traumatic or not. Rheumatic pathology. Impaired cognitive function. Vascular pathology that prevents exercise. Cardiopulmonary pathology that prevents exercise. Fear of any of the tests or measurements to be carried out. Pregnant

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 65 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: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: exercise to improve the neck strength in neck pain chosen by the therapist<br> | Other: prescribed exercise<br>* the therapist chooses the five exercises to do<br>|
| Experimental: exercise to improve the neck strength in neck pain chosen by the patient<br> | Other: chosen exercise<br>* the patient chooses the five exercises to perform among fifteen possibilities<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Disability | using the Neck Disability Index Questionnaire. It is a scale whose values range from 0 to 50. The higher the score, the greater the disability. | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in kinesiophobia | using Tampa scale of kinesiophobia (TSK-11). It is a scale whose values range from11 to 44. The higher the score, the greater the kinesiophobia. | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | 
| Changes in muscular endurance | using Grimmer test | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | 
| Adherence to treatment | using a journal entry | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | 
| changes in pain | Using the visual analog scale. It is a 100-mm long horizontal line. Zero means no pain, 100-mm means the worst pain imaginable. | Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic neck pain, Physical Exercise, Kinesiophobia, Cervical strength, Adherence to treatment