Clinical trial NCT05249517: Telerehabilitation Based Pain Neuroscience Education on Patients With Non-specific Chronic Neck Pain
Official title: Telerehabilitation Based Pain Neuroscience Education on Patients With Non-specific Chronic Neck Pain: A Double-Blinded Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Neck pain
Telerehabilitation
Pain neuroscience education
Lead sponsor: Dokuz Eylul University
Sponsor class: OTHER
First posted: 2022-02-21
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Parallel Assignment
Primary purpose: TREATMENT

Brief summary: In this study, the effects of 6-week telerehabilitation-based Pain Neuroscience Education and exercise training in participants with Non-specific Chronic Neck Pain will be investigated.

Detailed description: Neck pain is a general health problem that is very common in society and affects daily life activities by causing disability. Non-specific chronic neck pain is defined as "continuous neck pain that persists for 12 weeks or longer beyond the healing process without any known specific pathology. Chronic pain is considered to be a complex problem in which cognitive and emotional factors, as well as biological factors, significantly affect the perception of pain. In the last decade, a patient education model that educates people about the neurobiology and neurophysiology of pain has been recognized as an intriguing approach to the management of chronic pain. Pain Neuroscience Education (PNE) is a patient education approach that explains in detail the neurobiology, neurophysiology of pain, and the processing of pain by the nervous system in the management of chronic pain. In the literature, there is evidence supporting the use of PNE in reducing pain and disability and overcoming the psychosocial factors of chronic pain.

While the Covid-19 pandemic has made telerehabilitation applications widespread, it has also shown us its necessity, but until now, no study in which Pain Neuroscience Education was carried out with the telerehabilitation method has been found in the literature.

This study aimed to perform Pain Neuroscience Education with the telerehabilitation method on patients with non-specific chronic neck pain and to examine the effects on pain-related factors, disability, and quality of life.

It has been shown that the long-term results of the use of PNE in addition to physiotherapy are more effective in reducing pain and disability. It has been reported that progressive submaximal exercise program including cervicothoracic strengthening, endurance, flexibility, and coordination exercises has positive effects on chronic neck pain, related disability, quality of life and mood. In this study, in addition to telerehabilitation-based PNE, progressive submaximal exercise program will also be given to the participants through telerehabilitation.

Eligibility criteria: Inclusion Criteria:

* Being between the ages of 18-55
* History of neck pain lasting at least three months
* Agreeing to participate in the study
* Being able to read and write Turkish
* Having a computer or tablet and an active internet connection at home
* To be able to use a computer, tablet and internet at a level to participate in video conference or to have a relative who can help in this regard.

Exclusion Criteria:

* History of spinal surgery
* Traumatic cervical injuries
* Serious comorbidities (neurological, neuromuscular, cardiological, psychiatric)
* Tumor conditions
* Having vision and hearing problems
* Cognitive problems
* Receiving physiotherapy for neck and/or low back pain in the last 6 months

Primary outcomes:
measure: Numeric Pain Rating Scale
timeFrame: 6 weeks
measure: Neurophysiology of Pain Questionnaire
timeFrame: 6 weeks
Secondary outcomes:
measure: Neck Disability Index
timeFrame: 6 weeks
measure: Tampa Scale of Kinesiophobia
timeFrame: 6 weeks
measure: Pain Catastrophising Scale
timeFrame: 6 weeks
measure: World Health Organization Quality of Life Scale-Short Form (WHOQOL-Bref)
timeFrame: 6 weeks
Other outcomes:
Locations:
city: İzmir
country: Turkey
facility: School of Physical Therapy and Rehabilitation, Dokuz Eylül University
Study officials:
affiliation: Dokuz Eylul University
name: Yesim SALIK SENGUL, Assoc. Prof.
role: PRINCIPAL_INVESTIGATOR
References: