Clinical trial NCT06803264: Effectiveness of Activity Oriented Therapy and Traditional Therapy in Cervical Discopathic Pain Syndrome
Official title: Effectiveness of Activity Oriented Therapy and Traditional Therapy in Cervical Discopathic Pain Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain Chronic
Depression Disorders
Forward Head Posture
Anxiety Disorders
Keywords: N.A.P. therapy, breathing exercises, neuroplasticity, forward head posture, chronic neck pain, psychosomatic diseases.
Lead sponsor: University School of Physical Education, Krakow, Poland
Sponsor class: OTHER
First posted: 2025-01-31
Enrollment: 74
Sex: ALL
Minimum age (years): 30
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Title: Effectiveness of Activity Oriented Therapy and Traditional Therapy in Cervical Discopathic Pain Syndrome

Procedures: You will be asked to complete a form containing questions characterizing the study group and several questionnaires before starting treatment, such as: NDI, CESD-R, STAI and the NRS scale. A photo of the head and shoulder area will also be taken in a front and side standing position. After completing the two-week treatment, you will be asked again to complete questionnaires and pose for photos. You will be informed about a follow-up visit 3 months after the end of therapy, during which you will be asked for the last time to complete questionnaires and pose for a photo.

Benefits: There are no direct benefits to you other than participating in a therapy more commonly used for cervical pain syndromes and the opportunity to discuss your experience with neck pain with a specialist. The information we obtain will help scientists better understand the problem of treating neck pain.

Risk: There are no physical risks to you while conducting this research. All information obtained from you will be anonymous. Your name and image will not be used in this study or reports.

Confidentiality: All research records will be confidential and appropriately secured. Records will only be published with your consent or by court order or as required by law. Any publication resulting from this research will not use identifying information, such as your name or likeness.

Freedom to opt out: Participation in the study is completely voluntary and free of charge. You may withdraw from this study at any time without any consequences.

Detailed description: The purpose of the study was to evaluate the effectiveness of the Activity Oriented Therapy (N.A.P. therapy) and traditional therapy during disc-related neck pain in terms of pain intensity, disability, Forward Head Posture (FHP), anxiety as a condition and level of depression. Patients were qualified based on a medical examination. Respondents were randomly divided into two groups.

The therapies were performed by experienced physiotherapists in cooperation with a psychologist. Treatment in both groups included 10 therapy sessions held daily from Monday to Friday over a two-week period.

Eligibility criteria: Inclusion Criteria:

* qualifying: non-traumatic, disc-like, chronic (symptoms lasting more than 3 months) cervical pain of mechanical origin, localized in the cervical region with the possibility of radiation to the upper edge of the scapula and head (without root symptoms and neurological disorders), classified as syndrome No. 1 according to the Quebec Task Force (QTF) Classification, and a condition not requiring surgery.

Exclusion Criteria:

* comorbid advanced neurological, rheumatic, urological, psychiatric diseases, and unsystematic participation in in therapy.

Primary outcomes:
measure: The Numerical Rating Scale (NRS)
timeFrame: Before therapy, after two weeks of treatment and after 3 months of follow-up
measure: The Neck Disability Index (NDI)
timeFrame: Before therapy, after two weeks of treatment and after 3 months of follow-up
measure: The photographic method to assess Forward Head Posture (FHP)
timeFrame: Before therapy, after two weeks of treatment and after 3 months of follow-up
measure: The State-Trait Anxiety Inventory (STAI)
timeFrame: Before therapy, after two weeks of treatment and after 3 months of follow-up
measure: The Center for Epidemiologic Studies Depression Scale-Revised (CESD-R)
timeFrame: Before therapy, after two weeks of treatment and after 3 months of follow-up
Secondary outcomes:
Other outcomes:
Locations:
city: Kraków
country: Poland
facility: Rehabilitation Clinic "Azory"
Study officials:
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