Treatment of Neck Pain With Transcranial Direct Current Stimulation

Study Overview
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Brief Summary
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This study aim to investigate the effects of Transcranial Direct Current Stimulation for improving pressure pain thresholds (PPTs), range of motion,Neck Disability Index, the multidimensional health related quality of life (SF-12) and the multidimensional health related quality of life and pain in patients with mechanical neck pain (NP).

Detailed Description
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Fifty-four participants with NP will randomly allocated to either an Transcranial Direct Current Stimulation (ten sessions) or transcutaneous electric nerve stimulation (TENS) (ten sessions) during two weeks. . Visual Analogue Scale (VAS), Neck Disability Index ( NDI), range of motion and (CROM), Questionnaire SF-12 and PPTs in sub-occipital and upper trapezius muscles were measured at baseline, at the end of treatment and at 1 month follow-up. T-tests and a repeated-measures multivariate analysis of variance (RM-MANOVA) were used for VAS, CROM and PPTs, respectively.

Official Title
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Treatment of Neck Pain With Transcranial Direct Current Stimulation: A Single Blind Randomized Controlled Trial

Conditions
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Cervical Syndrome

Intervention / Treatment
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* Procedure: Physiotherapy treatment with physium device.
* Procedure: Conventional physiotherapy treatment.


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients of both sexes, Aged between 18 and 60 years, in an Active state of pain and diagnosed with a month of evolution. Exclusion Criteria: - Patients who are pregnant, have pacemaker and those Surgically operated cervical spine - Patients who have been treated with Transcranial Direct Current Stimulation a month earlier.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 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
Interventional Model Description: RANDOMIZED CLINICAL TRIAL WITH BLIND EVALUATION BY THIRD PARTIES, LONGITUDINAL AND PROSPECTIVE.
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: EXPERIMENTAL GROUP<br>The intervention for this group consisted of 10 sessions with Transcranial Direct Current Stimulation for a month. | Procedure: Physiotherapy treatment with physium device.<br>* The intervention for this group consisted of 10 sessions with Transcranial Direct Current Stimulation for a month.<br>|
| Experimental: CONTROL GROUP<br>The intervention for this group consisted of 10 sessions with Transcutaneous Electrical Nerve Stimulation (TENS) for a month. | Procedure: Conventional physiotherapy treatment.<br>* The intervention for this group consisted of 10 sessions with Electrical Nerve Stimulation (TENS) for a month.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The intensity of cervical pain | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of cervical pain, and the worst and lowest level of pain experienced in the preceding week in the cervical area. | Baseline | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The intensity of cervical pain | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of cervical pain, and the worst and lowest level of pain experienced in the preceding week in the cervical area. | Four weeks | 
| The intensity of cervical pain | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of cervical pain, and the worst and lowest level of pain experienced in the preceding week in the cervical area. | Twelve weeks | 
| Active cervical range of motion | Measured by goniometer type crom | Baseline,four weeks and Twelve weeks. | 
| Pressure pain thresholds in cervical trigger points | Pressure pain thresholds (PPTs) will be measured with a pressure algometer (Baseline, | Baseline,four weeks and Twelve weeks. | 
| The multidimensional health related quality of life. | Questionnaire SF 12. | Baseline,four weeks and Twelve weeks. | 
| Neck Disability Index (NDI). | Questionnaire Neck Disability Index (NDI). | Baseline,four weeks and Twelve weeks. | 
| The Pittsburgh Sleep Quality Index | The Pittsburgh Sleep Quality Index | Baseline,four weeks and Twelve weeks. | 
| The study of anxiety, depression and stress | Scale 21 (DASS-21) | Baseline,four weeks and Twelve weeks. | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Neck Pain, Physical Therapy Modalities, Manual Therapy, massage, Transcranial Direct Current Stimulation, Transcutaneous electrical nerve stimulation