Manual Therapy and Movement Control Exercises for Chronic Neck Pain. A Pilot Randomized Controlled Trial

Brief summary (from the registry)

Chronic neck pain is a common and highly prevalent clinical entity among the population. It causes a high economic and financial burden. Commonly people with neck pain present temporomandibular disorders (TMD). These conditions are closely correlated with each other. Several studies have shown that patients with neck pain do have abnormalities in motor control, endurance capacities, and strength of the cervical and orofacial area. Several treatment modalities are available for neck pain that can be divided into pharmaceutical and non-pharmaceutical approaches. Among the non-pharmaceutical interventions, physiotherapy, manual therapy and exercises are of interest. The effect of treatment modalities is heterogeneous. Passive modalities often lack positive long-term outcomes. Therefore, our trial aims to measure the effects of a combined treatment, consisting in manual therapy and a movement control training for the neck region or for the temporomandibular region, respectively. The implementation of the temporomandibular movement control training is based on the assumption that there might be crossover effects between both regions, i.e., convergence of cervical and trigeminal sensory afferents between these two regions. We designed a parallel randomized controlled trial (RCT) with three intervention arms and a blinded assessor for outcomes that are clinician performed. This study is a pilot trial, so each group is expected to consist of 15 subjects. Both female and male patients between the ages of 18 and 65 will be included. Participants must suffer from idiopathic chronic neck pain (at least 3 months) and may also have symptomatic TMD disorders. The Primary Outcome will be neck pain disability measured by the Neck Disability Index (NDI). Secondary Outcomes will be Diagnostic Criteria (DC)/TMD (Axis I and Axis II), range of motion (CROM, FRT), CVA, PPT, CCFT, and both cervical and orofacial test batteries to assess motor control in each region. Patients are randomly a…

Study details

Official title

Is the Combination of Manual Therapy and Movement Control Exercises More Effective Than Manual Therapy and Standard Exercises in a Population of Patients With Chronic Neck Pain to Reduce Neck Disability? A Pilot Randomized Controlled Trial

Conditions

• Neck Pain
• Temporomandibular Disorder

Interventions

• Other: Clinical reasoning based physiotherapy + cervical movement control training
• Other: Clinical reasoning based physiotherapy + orofacial movement control training
• Other: Clinical reasoning based physiotherapy + standard exercises

Sponsor

Hochschule Osnabruck

Collaborators

Medizinische Gesellschaft für Myofasziale Schmerzen e.V.; Therapiecentrum Voxtrup - Praxis für Physiotherapie; Facharztzentrum für Orthopädie, Unfallchirurgie und Rehabilitation des Bewegungssystems

Start date

2023-05-25

Primary completion

2024-05-30

Sex

All

Age range

from 18 Years to 65 Years

Healthy volunteers

true

Results posted

No results posted in this snapshot

Countries

Germany

Total sites listed

1

Eligibility criteria