Clinical trial NCT06072313: Monopolar Dielectric Diathermy and Therapeutic Exercise on Chronic Neck Pain and Therapeutic Exercise on Pain, Functionality, Movement Phobia on Pain, Functionality, Movement Phobia and Quality of Life of Patients of Patients With Chronic Neck Pain. Randomized Clinical Trial
Official title: Efficacy of Monopolar Dielectric Diathermy and Therapeutic Exercise on Pain, Functionality, Movement Phobia and Quality of Life in Patients With Chronic Neck Pain.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Pain
Neck Pain
Keywords: monopolar electrical diathermy
therapeutic exercise
Lead sponsor: Universidad de Almeria
Sponsor class: OTHER
First posted: 2023-10-10
Enrollment: 70
Sex: ALL
Minimum age (years): 30
Maximum age (years): 67
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to compare the effects of applying monopolar dielectric radiofrequency diathermy plus therapeutic neck yoga with performing only therapeutic neck yoga in patients with non-specific chronic neck pain.

Detailed description: Chronic non-specific neck pain (CNNP) is a widespread public health problem in the modern world. CNNP is considered persistent neck pain or severe neck discomfort for more than 3 months, which is caused by poor posture and mechanical and degenerative changes, excluding pain due to neck cancer, infections, hernias or other neck disorders or pathologies. In the general population, 71% of adults have neck pain at some time in their lives, and its annual prevalence in the general and working population varies between 30% and 50%. In addition, CNNP is an important cause of work absenteeism and disability.

The research of effective techniques and therapies in the approach of this ailment is a current need within the field of physiotherapy and would mean a reduction of the direct and indirect costs in the health systems generated by patients diagnosed with non-specific chronic neck pain. One of the therapies that is achieving positive results in the symptomatology of different musculoskeletal pathologies such as fibromyalgia syndrome , multiple sclerosis or femoropatellar pain syndrome, is the technique of applying monopolar electric diathermy by radiofrequency emission (MDR), using the Physicalm® device which produces an increase in local temperature due to the action of electromagnetic waves that stimulate tissue metabolism and reduce pain.

Due to all the structural and functional alterations that occur in CNNP, within clinical practice guidelines exercise is one of the most important components in rehabilitation programs for patients with neck pain. Recently, supervised therapeutic exercise has been included as a common intervention in clinical practice worldwide.

Eligibility criteria: Inclusion Criteria:

* Men and women between 30 and 65 years of age.
* Diagnosed by a specialist physician of chronic cervical pain of non-specific origin.
* Acceptance and signature of informed consent for voluntary participation in the research study.
* Not to be undergoing any type of physical therapy or pharmacological treatment.
* Acceptance to attend the treatment sessions of the present research study.

Exclusion Criteria:

* Being under rehabilitation or pharmacological treatment of lumbar pathology.
* Alterations of sensitivity or coagulation.
* Thermal sensitivity problems.
* Present osteosynthesis material at lumbar level.
* Present cardiac, epilepsy or tumor complications.
* Non-acceptance of the informed consent or non-attendance to all the sessions that make up the treatment.

Primary outcomes:
measure: Neck disability index
timeFrame: Change from baseline disability at four weeks and three months
measure: Active and Latent Myofascial Trigger Points (Number of trigger Points)
timeFrame: Change from baseline myofascial trigger points at four weeks and three months
Secondary outcomes:
measure: Pain (Visual Analog Scale)
timeFrame: Change from baseline pain intensity at four weeks and three months
measure: McGill Pain Questionnaire
timeFrame: Change from baseline pain intensity at four weeks and three months
measure: Quality of Life (SF-36 quality of life questionnaire)
timeFrame: Change from baseline quality of life at four weeks and three months
measure: Quality of Sleep (Pittsburgh Quality of Sleep Questionnaire Index)
timeFrame: Change from baseline quality of sleep at four weeks and three months
measure: Cervical Range of Motion
timeFrame: Change from baseline range of motion at four weeks and three months
measure: Tampa scale for kinesiophobia
timeFrame: Change from baseline phobia of movement at four weeks and three months
Other outcomes:
Locations:
city: Almería
country: Spain
facility: Adelaida María Castro Sánchez
state: Almeria
Study officials:
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