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Completed

NCT Number: NCT02046876

Swimming Adapted, Therapeutic Exercise and Health Education in the Treatment of Chronic Neck Pain

Chronic neck pain (CNP) is defined as pain or intense discomfort in the lateral or back of the neck with an establishment and/or persistence period of over 12 weeks.

The socio-economic system is seriously affected by chronic neck pain due to direct and indirect costs on the health system Physical exercise is used to improve physical function and reduce the symptoms of pain and stiffness due to chronic neck pain.

It has been demonstrated that therapeutic exercise in water is effective to improve functional capacity and symptoms in patients with chronic neck pain. In adition, health education and posture is an important component of the overall treatment of neck pain.

Interventions that integrate physical activity, adapted swimming and health education as an intervention for chronic neck pain sufferers have not been found. Furthermore the aim of this study is to analyse the effect of a physiothperapy treatment that combine adapted swimming, therapeutic exercise and health education in patients with chronic neck pain.

Hypothesis: the present intervention will be an effective tool to treat patients suffering chronic neck pain.

Methods: chronic neck pain patients from a community-based centre will be recruite participate in this prospective study.

Intervention: 60 min session: 30 min of land exercise dedicated to improve mobility, motor control, resistance and strengthening of the neck muscles, 30 min of adapted swimming with aerobic exercise keeping neutral neck position by using a snorkel. Health education will be provided by the physiotherapist before and during the sessions using a decalogue on chronic neck pain and constant repetition of brief advice.

Study outcomes: disability (Neck Disability Index), physical and mental health state and quality of life of patients (SF-12 and EuroQoL 5D respectively).

Differences between baseline data and that at the 8-week follow-up were calculated for all outcome variables.

Statistical Analysis: descriptive statistics. Analysis of the normal distribution of the variables using the KS-test. Comparison of variables pre - post intervencición: T-Student for parametric variables and Wilcoxon test for non parametric variables.

Data will be analysed descriptively and for statistical significance using Statistical Package for the Social Sciences (SPSS) (version 17.0 for Windows, Illinois, USA).

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Key information

Conditions

Chronic Neck Pain Adherence Interventions Behavior Health Behavior Health Education Medication Adherence Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Patient Acceptance of Health Care Patient Compliance Signs and Symptoms Treatment Adherence and Compliance

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Patronato Municipal de Deportes de Torremolinos

Torremolinos, Málaga, 29620, Spain

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Suffers Neck Pain for more than 12 weeks.
  • Delivery of informed consent.

Exclusion criteria

  • Neck pain due to an identifiable cause.
  • Surgery on the spine in the 12 month
  • Traffic accident in the last 3 months
  • Cervical radiculopathy
  • Pregnancy.
  • Patients who suffered a condition that could alter the effects of treatment
  • People who could not swim and/or present treatment difficulty.

Treatment and study plan

Multimodal Physiotherapy Program

Other

Multimodal Physiotherapy Program integrates: physical land-based therapeutic exercise, adapted swimming and health education

Primary outcomes

  1. Neck Disability Index

    Time frame: Change from baseline in NDI at 8 weeks (post-treatment)

    Disability due to Chonic Neck Pain

  2. Neck Disability Index

    Time frame: Change from baseline in NDI at 6 month (follow-up)

    Disability due to Chonic Neck Pain

  3. Neck Disability Index

    Time frame: Change from baseline in NDI at 12 month (follow-up)

    Disability due to Chonic Neck Pain

Secondary outcomes

  1. Short Form 12

    Time frame: pre and post intervention and 6 and 12 months of follow up

    General Health State Questionnaire

  2. EuroQoL 5 Dimensions

    Time frame: pre and post intervention and 6 and 12 months of follow up

    Health Related Quality of Life Questionnaire

Sponsors and collaborators

Lead sponsor

University of Malaga

Other

Registry information

Important dates

Study start
2013
Primary completion
2013
Study completion
2013
First posted
Jan 28, 2014
Registry last updated
Jan 28, 2014

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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