OBJECTIVES: To evaluate the feasibility of study design and method for evaluating effects of interventions on patients with long-lasting neck pain and to compare treatment effects of: (i) a pain and stress management group intervention with applied relaxation, and (ii) individual physiotherapy treatment as usual. DESIGN: Randomized controlled pilot study. SUBJECTS:Thirty-seven patients with long-lasting neck pain. METHODS: The patients were randomly assigned either to applied relaxation or treatment as usual. The applied relaxation group received 7 group sessions over a period of 7 weeks and the treatment as usual group an average of 11 individual sessions spread over 20 weeks following baseline. Twenty-nine participants completed the intervention and filled in a self-assessment questionnaire before treatment, and 7 and 20 weeks after baseline. The questionnaire comprised: Neck Disability Index, Coping Strategies Questionnaire, Hospital Anxiety and Depression Scale, Tampa Scale of Kinesiophobia, and questions regarding neck pain, analgesic use, sleep, sick-leave and utilization of healthcare. RESULTS: The applied relaxation group had better perceived control over pain at the 20 weeks follow-up compared with the treatment as usual group. CONCLUSION: The design and methods of this pilot study were feasible and will be suitable for a larger randomized controlled study.
RCT Entities:
OBJECTIVES: To evaluate the feasibility of study design and method for evaluating effects of interventions on patients with long-lasting neck pain and to compare treatment effects of: (i) a pain and stress management group intervention with applied relaxation, and (ii) individual physiotherapy treatment as usual. DESIGN: Randomized controlled pilot study. SUBJECTS: Thirty-seven patients with long-lasting neck pain. METHODS: The patients were randomly assigned either to applied relaxation or treatment as usual. The applied relaxation group received 7 group sessions over a period of 7 weeks and the treatment as usual group an average of 11 individual sessions spread over 20 weeks following baseline. Twenty-nine participants completed the intervention and filled in a self-assessment questionnaire before treatment, and 7 and 20 weeks after baseline. The questionnaire comprised: Neck Disability Index, Coping Strategies Questionnaire, Hospital Anxiety and Depression Scale, Tampa Scale of Kinesiophobia, and questions regarding neck pain, analgesic use, sleep, sick-leave and utilization of healthcare. RESULTS: The applied relaxation group had better perceived control over pain at the 20 weeks follow-up compared with the treatment as usual group. CONCLUSION: The design and methods of this pilot study were feasible and will be suitable for a larger randomized controlled study.
Authors: Anita Gross; Theresa M Kay; Jean-Philippe Paquin; Samuel Blanchette; Patrick Lalonde; Trevor Christie; Genevieve Dupont; Nadine Graham; Stephen J Burnie; Geoff Gelley; Charles H Goldsmith; Mario Forget; Jan L Hoving; Gert Brønfort; Pasqualina L Santaguida Journal: Cochrane Database Syst Rev Date: 2015-01-28
Authors: Rachel Neuendorf; Helané Wahbeh; Irina Chamine; Jun Yu; Kimberly Hutchison; Barry S Oken Journal: Evid Based Complement Alternat Med Date: 2015-06-16 Impact factor: 2.629
Authors: Julie Lasselin; Mike K Kemani; Marie Kanstrup; Gunnar L Olsson; John Axelsson; Anna Andreasson; Mats Lekander; Rikard K Wicksell Journal: J Behav Med Date: 2016-07-28