Clinical trial NCT03547752: Inmediate Effect of the Visualization of Action
Official title: Inmediate Effect of the Visualization of Action
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Chronic Pain
Musculoskeletal Pain
Keywords: motor imaginery
mental training
Lead sponsor: Universidad Autonoma de Madrid
Sponsor class: OTHER
First posted: 2018-06-06
Enrollment: 42
Sex: ALL
Minimum age (years): 18
Maximum age (years): 75
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The observation of actions and motor imagery has demonstrated the activation of certain mechanisms similar to those that occur during active movement, which could induce immediate changes in the amplitudes of movement and sensorimotor variables in observed and imagined movements. The main aim of the study was test the immediate effect of a protocol of observed actions and motor imagery on cervical range of motion and pain intensity in patients with non-specific chronic neck pain (NSCNP). Randomized double-blind clinical trial in patients with DCCI at a primary health care center in the Community of Madrid. A random distribution of study subjects was made into two groups: a) cervical motion videos were presented at full range of motion and b) the videos presented showed a range of motion limited to 40%. In both groups, visualization tasks of actions were alternated with internal kinesthetic motor imagery, in periods of 1min in 2 consecutive series and with a total of 12 minutes of intervention. Cervical range of motion was assessed with a cervical goniometer and pain intensity immediately following the intervention with an Analog Visual Scale.


Eligibility criteria: Inclusion Criteria:

* Nos-Specific Chronic Neck Pain lasting more than 3 months

Exclusion Criteria:

* Systemic Disease diagnosed (i.e. Lupus, Fibrolyalgia or Rheumatoid Arthritis)
* Background of fractures or surgery in the cervical region
* congenital anomalies known
* infectious processes or diagnosis of active cancer at the time of the study

Primary outcomes:
measure: Change in Cervical Range of Movement
timeFrame: at the beginning and after the intervention, until the end of the study (24 hours)
Secondary outcomes:
measure: Cervical Pain Disability
timeFrame: at the beginning and end of the intervention, until the end of the study (24 hours)
measure: Pain Intensity
timeFrame: at the beginning and end of the intervention, until the end of the study (24 hours)
measure: Catastrophizism
timeFrame: at the beginning and end of the intervention, until the end of the study (24 hours)
measure: Health Related Quality of Life
timeFrame: at the beginning and end of the intervention, until the end of the study (24 hours)
measure: Anxiety and Depression
timeFrame: at the beginning and end of the intervention, until the end of the study (24 hours)
Other outcomes:
Locations:
city: Madrid
country: Spain
facility: CS Entrevías
Study officials:
References:
citation: van Hecke O, Torrance N, Smith BH. Chronic pain epidemiology and its clinical relevance. Br J Anaesth. 2013 Jul;111(1):13-8. doi: 10.1093/bja/aet123.
citation: Munoz-Garcia D, Gil-Martinez A, Lopez-Lopez A, Lopez-de-Uralde-Villanueva I, La Touche R, Fernandez-Carnero J. Chronic Neck Pain and Cervico-Craniofacial Pain Patients Express Similar Levels of Neck Pain-Related Disability, Pain Catastrophizing, and Cervical Range of Motion. Pain Res Treat. 2016;2016:7296032. doi: 10.1155/2016/7296032. Epub 2016 Mar 29.
citation: Niddam DM, Lee SH, Su YT, Chan RC. Brain structural changes in patients with chronic myofascial pain. Eur J Pain. 2017 Jan;21(1):148-158. doi: 10.1002/ejp.911. Epub 2016 Jun 28.
citation: Mao C, Wei L, Zhang Q, Liao X, Yang X, Zhang M. Differences in brain structure in patients with distinct sites of chronic pain: A voxel-based morphometric analysis. Neural Regen Res. 2013 Nov 15;8(32):2981-90. doi: 10.3969/j.issn.1673-5374.2013.32.001.
citation: Eaves DL, Riach M, Holmes PS, Wright DJ. Motor Imagery during Action Observation: A Brief Review of Evidence, Theory and Future Research Opportunities. Front Neurosci. 2016 Nov 21;10:514. doi: 10.3389/fnins.2016.00514. eCollection 2016.