Identify Patients With Neck Pain Likely to Benefit From Education and Exercise

The recruitment status of this study is unknown because the information has not been verified recently.
Verified June 2010 by University of Central Florida.
Recruitment status was  Recruiting
Sponsor:
Collaborators:
Nova Southeastern University
Franklin Pierce University
Florida Hospital
Information provided by:
University of Central Florida
ClinicalTrials.gov Identifier:
NCT01144884
First received: June 9, 2010
Last updated: June 16, 2010
Last verified: June 2010
  Purpose

The annual incidence of neck pain has been reported to be 14.6%. Other studies outline a wide disparity in the lifetime incidence of neck pain ranging from 22% to 70%. Numerous treatment options exist for the management of neck pain however, there is limited evidence to support which interventions are most effective. Exercise based interventions are commonly used in the treatment of patients with neck pain however; it is not clear which patients are most likely to benefit from this type of treatment. The purpose of this project is to develop a clinical prediction rule (CPR) to identify which patients with neck pain have a greater probability of benefiting from a standardized program of education and exercise. Ninety (90) patients referred to physical therapy will undergo a standardized examination to assess potential predictor variables. Upon completion of the examination a standardized treatment program of education and exercise will be administered regardless of examination findings. Self report measures will be administered on the initial examination and on follow up visits at 2, 4, and 6 weeks. A questionnaire and outcome measures will be also mailed out 6 months after initiation of treatment to assess long-term change. Once the treatment plan is completed, patients will be classified as having either a successful or non-successful response. Subjects which rated their perceived recovery on the Global Rating of Chance (GROC) as "a very great deal better", "a great deal better", "quite a bit better", or "moderately better" (i.e., a score of +4 or greater) will be categorized as having a successful outcome. The primary endpoints to determine the outcome will be analyzed at 6 weeks and 6 months. The result of this study will assist physical therapists to identify sub-groups of patients likely to benefit from a program of education and exercise. The categorization of patients in groups based on beneficial treatments may help to provide improved outcomes.


Condition Intervention
Neck Pain
Other: Procedure (education and exercise)

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Development of a Clinical Prediction Rule to Identify Patients With Neck Pain Likely to Benefit From Education and Exercise

Resource links provided by NLM:


Further study details as provided by University of Central Florida:

Primary Outcome Measures:
  • Perceived Disability as measured by the Neck Disability Index [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
  • Perceived pain intensity as measure by the Numeric pain rating scale [ Time Frame: Baseline, 2 weeks, 4 weeks, 6 weeks, 6 months ] [ Designated as safety issue: No ]
  • Perceived fear avoidance beliefs as measure by the Fear Avoidance Belief Questionnaire [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]
  • Perceived rating of change as measure by the Global Rating of Change [ Time Frame: 6 weeks ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Disability as measured by the Neck Disability Index [ Time Frame: baseline, 2 weeks, 4 weeks, 6 months ] [ Designated as safety issue: No ]
  • Perceived pain intensity as measure by the Numeric pain rating scale [ Time Frame: baseline, 2 weeks, 4 weeks, 6 months ] [ Designated as safety issue: No ]
  • Perceived fear avoidance beliefs as measure by the Fear Avoidance Belief Questionnaire [ Time Frame: baseline, 2 weeks, 4 weeks, 6 months ] [ Designated as safety issue: No ]
  • Perceived rating of change as measure by the Global Rating of Change [ Time Frame: 2 weeks, 4 weeks, 6 months ] [ Designated as safety issue: No ]

Estimated Enrollment: 90
Study Start Date: August 2009
Estimated Primary Completion Date: June 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Single arm trial

Education:To standardize, treatment education will consist of counsel to stay active. Details will be given to subjects verbally & reinforced in the home booklet.

Posture:Facilitation of proper posture has been show to increase recruitment of the lumbar multifidus & deep neck flexors. Instruction will be given verbally & in writing.

Stretching:Stretching exercises will be targeted to address these common impairments. Patients will be introduced to proper stretching procedures. Each stretch will be held for 30s & repeated two times,each side as applicable. The following stretches will be performed:

Upper trap Anterior/medial Scalene Suboccipital Pectoralis

Muscular Performance: Muscle performance will be trained incorporating components of strength, endurance and motor control. Each of the exercises listed below are outlined based on progressions.

Isometric Cervical Extension Craniocervical flexion Seated Row Seated "T" Palms Up Seated Side Arm Raises

Other: Procedure (education and exercise)
education/exercise
Other Name: Procedure (education and exercise)

  Show Detailed Description

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. Over the age of 18
  2. Primary complaint of neck pain with or without unilateral UE symptoms
  3. Neck Disability Index (NDI) of 10% or greater.

Exclusion Criteria:

  1. Presence of medical "red flags' noted in the Neck Medical Screening Questionnaire. (i.e. tumor, fracture, etc.)
  2. Evidence of central nervous system (CNS) involvement (i.e. hyperreflexia, sensory disturbances in the hand, intrinsic muscle wasting of the hands, unsteadiness during walking, nystagmus, loss of visual acuity, impaired sensation of the face, altered taste, the presence of pathological reflexes such as Hoffman's or Babinski reflexes, etc.)
  3. Spasmodic torticollis
  4. Frequent migraine
  5. Fibromyalgia
  6. Prior Surgery to the neck or thoracic spine
  7. Severe psychiatric illness
  8. Inability to comply with treatment and follow-up schedule
  9. Pending legal action regarding their neck pain
  10. Insufficient English language skills to complete all questionnaires.
  11. Latex allergies
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT01144884

Contacts
Contact: William Hanney, PT DPT 407-823-0217 whanney@mail.ucf.edu

Locations
United States, Florida
Florida Hospital Sports Medicine & Rehabilitation - Altamonte Recruiting
Altamonte Springs, Florida, United States, 32701
Contact: Caitlyn Welsh, PT    407-830-3900    Caitlyn.welsh@flhosp.org   
Brooks Rehabilitation -Spine Center Recruiting
Jacksonville, Florida, United States, 32225
Contact: Michael Haigest, PT    904-483-2272    Michael.haigest@brookshealth.org   
Brooks Rehabilitation - Monument Recruiting
Jacksonville, Florida, United States, 32225
Contact: Timothy Shreve, PT    904-725-9994    timothy.shreve@brookshealth.org   
Florida Hospital Sports Medicine & Rehabilitation - Kissimmee Recruiting
Kissimmee, Florida, United States, 34741
Contact: Matthew Hixon, PT    407-933-6684    Matthew.hixon@flhosp.org   
Brooks Rehabilitation - Lake Mary Recruiting
Lake Mary, Florida, United States, 32746
Contact: Kathy Sinn, PT    407-936-3800    Kathy.sinn@brookshealth.org   
Brooks Rehabilitation - Flemming Island Recruiting
Orange Park, Florida, United States, 32003
Contact: Jason Kral, PT    904-637-0148    Jason.kral@brookshealth.org   
Florida Hospital Sports Medicine & Rehabilitation - RDV Recruiting
Orlando, Florida, United States, 32810
Contact: Karis Zbaraschuk, PT    407-916-4500    karis.zbaraschu@flhosp.org   
Brooks Rehabilitation - Waterford Recruiting
Orlando, Florida, United States, 32828
Contact: Tracey McFarlane, PT    407-373-6082    Tracey.mcfarlane@brookshealth.org   
Florida Hospital Sports Medicine & Rehabilitation - Oviedo Recruiting
Oviedo, Florida, United States, 32765
Contact: Cathy Yi, PT    407-359-5211    cathy.yi@flhosp.org   
Sponsors and Collaborators
University of Central Florida
Nova Southeastern University
Franklin Pierce University
Florida Hospital
Investigators
Principal Investigator: William Hanney, PT DPT University of Central Florida
  More Information

No publications provided

Responsible Party: William J. Hanney Instructor, University of Central Florida
ClinicalTrials.gov Identifier: NCT01144884     History of Changes
Other Study ID Numbers: 18808040
Study First Received: June 9, 2010
Last Updated: June 16, 2010
Health Authority: United States: Institutional Review Board

Keywords provided by University of Central Florida:
Neck pain
education
exercise
clinical prediction rule

Additional relevant MeSH terms:
Neck Pain
Pain
Neurologic Manifestations
Nervous System Diseases
Signs and Symptoms

ClinicalTrials.gov processed this record on April 16, 2014