RecruitingNot ApplicableNCT06503562

Chronic Nonspecific Neck Pain and Central Nervous System Focused Treatment Program

The Effect of Central Nervous System Focused Treatment Program in Chronic Nonspecific Neck Pain -Randomised Controlled Trial

Sponsor

Acibadem University

Enrollment

30 participants

Start Date

Jul 10, 2024

Study Type

INTERVENTIONAL

Conditions

Chronic Pain Syndrome Rehabilitation Neck Pain

Summary

Neck pain is one of the most common musculoskeletal pain disorders secondary to low back pain. Pharmacological and non-medical treatments such as physiotherapy are applied in its treatment. Patients with chronic nonspecific neck pain (CNSP) can be treated with various interventions such as drug therapy, manual therapy, heat and exercise. However, it is also reported that chronic pain occurs as a result of neuroplasticity, that is, the brain learning pain through the central synthesis mechanism in the central nervous system. For this reason, although the importance of central nervous system-oriented therapies is increasing day by day, this system-oriented therapies are still ignored in clinics. Therefore, in this master's thesis study, it is aimed to investigate the effects of central nervous system-focused therapies (pain neuroscience education, breathing exercises and relaxation exercises with guided imagery) on pain, range of motion, functional status, pain-related fear, anxiety, depression and quality of life in addition to traditional physiotherapy applied to patients with CNSP.

Eligibility

Min Age: 18 YearsMax Age: 65 Years

Inclusion Criteria18

Being diagnosed with nonspecific neck pain by a doctor,
To be between the ages of 18-65,
Having neck pain for more than 3 months
No previous neck or shoulder surgery,
No shoulder pain due to any cause,
A tumour or inflammatory disease underlying the neck pain not to be found,
A clinically underlying stenosis or discogenic problem not to be present.
Negative results from the following clinical examination tests;
Spurling test,
Lhermitte test,
Cervical distraction test,
Adson test,
Positive neurological examination (positive motor presence, reflex or sensory abnormalities indicating spinal root compression) or abnormal neurological findings related to nerve compression in the upper limb
Systemic rheumatological or metabolic diseases or cancer
Refusal to participate in the study,
Failure to complete treatment,
Having any neurological problem
Severe psychological illnesses

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Interventions

OTHERcentral nervous system focused treatment program

Pain neuroscience education, breathing exercises and relaxation exercises with guided imagery

OTHERClassical Physiotherapy

All participants will receive conventional physiotherapy five days a week for one month. Transcutaneous electrical nerve stimulation, 15 min hotpack will be applied to the neck and back. Afterwards, mobilisations to the cervical and thoracic spine joints and myofascial release to the upper trapezius muscle will be applied. The patient will be given 3X10 neck active range of motion exercises to do at home every day and self stretches to the muscles in the neck region (SCM, upper trapezius, scalene and pectoral) according to the patient's condition. After the first week, strengthening exercises with isometric and resistive isotonic exercises will be given to the neck and upper back muscles gradually increasing. Patients will not be given any medication and will be asked not to use any medication.