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Completed

NCT Number: NCT01947231

GPR vs Manual PT for Chronic Neck Pain

Effective treatment for nonspecific chronic neck pain is a clinical challenge. Patients will be randomized into two groups to compare the outcomes of Global Postural Re-education (GPR) with standard manual physical therapy on with respect to pain, function, kinesiophobia, range of motion, perceived effect, and satisfaction.

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Key information

Conditions

Nonspecific Chronic Neck Pain Bronchial Diseases Bronchiolitis Bronchiolitis Obliterans Bronchiolitis Obliterans Syndrome Bronchitis Graft vs Host Disease Immune System Diseases Lung Diseases Lung Diseases, Obstructive Neck Pain Neurologic Manifestations Organizing Pneumonia Pain Pathological Conditions, Signs and Symptoms Respiratory Tract Diseases Signs and Symptoms

Age range

18 year–80 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Policlinico S. Orsola-Malpighi

Bologna, Emiglia-Romagna, 40138, Italy

About this study

These study will use two groups: one to receive GPR which is a systematic method of addressing musculoskeletal pain and related functional deficits and the other to receive "usual care" manual PT which will be individualized to the patient's condition. Usual care will include techniques commonly used in clinical practice selected by the physical therapist after initial examination. After nine weeks of treatment, baseline measures will be re-evaluated. After conclusion of the first phase of the study, patients who were randomized to the "usual care" group will cross-over and receive GPR.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

-nonspecific neck pain lasting at least 3 months

Exclusion criteria

  • acute or subacute cervical pain
  • specific or known cause of pain
  • central or peripheral neurological signs
  • systemic pathology
  • rheumatologic pathology
  • neuromuscular pathology
  • cognitive impairment
  • surgical intervention in the last 6 months prior to study
  • physical therapy treatment in the last 6 months prior to study

Treatment and study plan

Global Postural Re-Education

Other

Global Postural Re-education is a physical therapy method comprising a series of gentle active movements, implemented by the therapist using manual contacts and verbal commands, to promote postural symmetry.

Standard manual physical therapy

Other

Standard manual physical therapy in this study involves a combination of exercises, pompage (gentle manual techniques of distraction and articulation of a joint), anterior-posterior mobilizations as described by Maitland, and massage that have been selected to meet the needs of each individual patient.

Primary outcomes

  1. Pain

    Time frame: 9 weeks after start of intervention

    The investigators assessed this outcome with a Visual Analogue Scale (VAS).

  2. Cervical Functional Limitations

    Time frame: 9 weeks after start of intervention

    The investigators assessed this outcome with the Neck Disability Index.

Secondary outcomes

  1. Kinesiophobia

    Time frame: 9 weeks after start of intervention

    The investigators assessed this outcome with the Tampa Scale of Kinesiophobia.

  2. Cervical Range of Motion

    Time frame: 9 weeks after start of intervention

    The investigators assessed this outcome with the CROM-Deluxe which is an inclinometer that is placed on the subject's head to measure cervical range of motion.

  3. Self-reported Global Effect of the Intervention

    Time frame: 9 weeks after start of intervention

    The investigators assessed this outcome with a Global Perceived Effect scale which measures the subject's self-reported improvement or deterioration following the intervention.

  4. Patient Satisfaction

    Time frame: 9 weeks after start of intervention

    The investigators assessed this outcome with the Physical Therapy Patient Satisfaction Questionnaire - Italian Version which has established psychometric properties.

Sponsors and collaborators

Lead sponsor

University of Bologna

Other

Registry information

Official study title

Randomized Controlled Trial of Global Postural Re-education vs. Standard Manual Physical Therapy for Non-specific Chronic Neck Pain With Cross-over

Important dates

Study start
2013
Primary completion
2014
Study completion
2014
First posted
Sep 20, 2013
Registry last updated
Jan 31, 2017

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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