Clinical trial NCT05226845: Is Patient Choice of Exercise Preference Important in Chronic Neck Pain?
Official title: Is Patient Choice of Exercise Preference Important in Chronic Neck Pain? A Randomized Clinical Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Neck Pain
Keywords: Chronic neck pain
Physical Exercise
Kinesiophobia
Cervical strength
Adherence to treatment
Lead sponsor: University of Jaén
Sponsor class: OTHER
First posted: 2022-02-07
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: 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.


Eligibility criteria: 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

Primary outcomes:
measure: Changes in Disability
timeFrame: Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.
Secondary outcomes:
measure: Changes in kinesiophobia
timeFrame: Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.
measure: Changes in muscular endurance
timeFrame: Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.
measure: Adherence to treatment
timeFrame: Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.
measure: changes in pain
timeFrame: Baseline, 8 weeks (primary timepoint) and 4 weeks after intervention.
Other outcomes:
Locations:
city: Alcalá De Henares
country: Spain
facility: Alexander achalandabaso
state: Madrid
city: Madrid
country: Spain
facility: Universidad de Alcalá
Study officials:
References:
citation: Geneen LJ, Moore RA, Clarke C, Martin D, Colvin LA, Smith BH. Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews. Cochrane Database Syst Rev. 2017 Apr 24;4(4):CD011279. doi: 10.1002/14651858.CD011279.pub3.
citation: Ambrose KR, Golightly YM. Physical exercise as non-pharmacological treatment of chronic pain: Why and when. Best Pract Res Clin Rheumatol. 2015 Feb;29(1):120-30. doi: 10.1016/j.berh.2015.04.022. Epub 2015 May 23.
citation: Polaski AM, Phelps AL, Kostek MC, Szucs KA, Kolber BJ. Exercise-induced hypoalgesia: A meta-analysis of exercise dosing for the treatment of chronic pain. PLoS One. 2019 Jan 9;14(1):e0210418. doi: 10.1371/journal.pone.0210418. eCollection 2019.
citation: Sluka KA, Frey-Law L, Hoeger Bement M. Exercise-induced pain and analgesia? Underlying mechanisms and clinical translation. Pain. 2018 Sep;159 Suppl 1(Suppl 1):S91-S97. doi: 10.1097/j.pain.0000000000001235.