Clinical trial NCT01999283: Effect of Group Pilates and Yoga Exercise Classes for Chronic Cervical Pain
Official title: Effect of Group Pilates and Yoga Exercise Classes on Function, Range of Motion, Endurance, Postural Position, Medication Use and Balance in Adults With Chronic Cervical Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cervical Pain
Keywords: Cervical pain
yoga
pilates
exercise
Lead sponsor: Wayne State University
Sponsor class: OTHER
First posted: 2013-12-03
Enrollment: 88
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Exercise has been found to be effective in alleviating back and neck pain. Two exercise methods which are available in the community in a group format are Yoga and Pilates. While there is some research on the efficacy of these exercise methods for low back pain, there is no definitive research on the use of Yoga or Pilates group exercise for individuals with chronic cervical pain.This study investigated the effect of group Yoga and Pilates exercise compared to a wait-listed control group on impairments and function related to neck pain for individuals with chronic cervical pain.

Detailed description: Individuals reporting chronic mild to moderate neck pain for more than 3 months were assigned to a pilates, yoga or wait-listed control group. The exercise group consisted of 12 one hour small group sessions instructed by experienced Physical Therapists with additional yoga or pilates training. Participants were evaluated at baseline, 6 weeks, and 12 weeks. Exercise participants also completed a follow up 6 weeks after completion.

Eligibility criteria: Inclusion Criteria:

* Able to attend at 12 exercise class sessions (once a week for an hour)
* Stable moderate to severe neck pain (3/10- 8/10) present for \> 3 months
* Able to get up and down off the floor
* Able to ambulate in the community without an assistive device
* Medically stable and cleared to participate in exercise

Exclusion Criteria:

* Neck Pain that is easily aggravated with exercise
* Neurological symptoms in the arms or legs (numbness, tingling, weakness)
* History of recent whiplash, spine surgery, diagnosed osteoporosis, cervical stenosis with leg symptoms
* Any medical conditions which does not allow active exercise
* Unable to make medical decisions independently or have memory problems
* Regularly attending Pilates or Yoga classes or individual sessions

Primary outcomes:
measure: Change from baseline Neck Disability Index
timeFrame: Baseline, 6 weeks, 12 weeks, 18 weeks
Secondary outcomes:
measure: Change in Number of days of pain medication use in the past week
timeFrame: Baseline, week 6, week 12
measure: Change from baseline in Neck Pain Ratings (NPR) experienced on average over the past week
timeFrame: Baseline, week 6, week 12, week 18
measure: Change from baseline Cervical range of motion measurements
timeFrame: Baseline, week 6, week 12, week 18
measure: Change from baseline differences between habitual and self corrected postural position
timeFrame: Baseline, week 6, week 12, week 18
measure: Change from baseline in time for the Timed up and go test
timeFrame: Baseline, week 6, week 12, week 18
measure: Change from baseline Dynamic Gait Index score
timeFrame: Baselin, week 6, week 12, week 18
measure: Change from baseline in Activities Balance Confidence Scale score
timeFrame: Baseline, week 6, week 12, week 18
Other outcomes:
measure: Number of participants with identified potential for adverse drug responses
timeFrame: Baseline
measure: Identification of frequency of types of medication use in individuals with chronic neck pain
timeFrame: Baseline
measure: Frequency of types of potential adverse drug responses in patients with chronic mechanical neck pain
timeFrame: Baseline
Locations:
city: Bloomfield Hills
country: United States
facility: Equilibrium Studio
state: Michigan
city: Detroit
country: United States
facility: Wayne State University
state: Michigan
city: Novi
country: United States
facility: Oakland Physical Therapy
state: Michigan
city: Rochester
country: United States
facility: Older Persons Commission
state: Michigan
Study officials:
affiliation: Wayne State University
name: Kim Dunleavy, PhD, PT, OCS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Dunleavy K, Kava K, Goldberg A, Malek MH, Talley SA, Tutag-Lehr V, Hildreth J. Comparative effectiveness of Pilates and yoga group exercise interventions for chronic mechanical neck pain: quasi-randomised parallel controlled study. Physiotherapy. 2016 Sep;102(3):236-42. doi: 10.1016/j.physio.2015.06.002. Epub 2015 Aug 13.