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Active behavioural physiotherapy intervention for acute non-specific neck pain: a cluster randomised double-blind pilot and feasibility clinical trial.
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- Author(s): Wiangkham, Taweewat; Uthaikhup, Sureeporn; Chidnok, Weerapong; Rushton, Alison
- Source:
Disability & Rehabilitation. Jun2024, Vol. 46 Issue 12, p2558-2566. 9p. - Source:
- Additional Information
- Subject Terms: NECK pain treatment; PHYSICAL therapy; STATISTICAL correlation; CLUSTER analysis (Statistics); RESEARCH funding; NECK pain; STATISTICAL sampling; BLIND experiment; PILOT projects; QUESTIONNAIRES; TREATMENT effectiveness; DESCRIPTIVE statistics; RANDOMIZED controlled trials; CERVICAL vertebrae; DATA analysis software; BEHAVIOR therapy; RANGE of motion of joints; MEDICAL care costs
- Abstract: To evaluate the feasibility of an active behavioural physiotherapy intervention (ABPI) and procedures to prevent the transition to chronicity in patients with acute non-specific neck pain (ANSNP). A cluster-randomised double-blind (assessors and participants), parallel 2-arm (ABPI versus standard physiotherapy intervention [SPI]) pilot and feasibility clinical trial was conducted owing to a pre-specified published protocol. Six public hospitals were recruited and cluster-randomised (computer-generated randomisation with block sampling). Sixty participants (30 in each arm, 10 per hospital) were assessed at baseline and 3 months following baseline for neck disability index, numerical pain rating scale, cervical range-of-motion, fear-avoidance beliefs questionnaire and EuroQol 5-dimension 5-level. All procedures worked well. The participants' median age was 36.5 (range 21–59, interquartile range: 20.75) years. Participants in the ABPI demonstrated better improvement in all outcomes compared to SPI. Furthermore, the number of fully recovered participants following ABPI (27/30, 90.00%) was higher than SPI (16/30, 53.33%) with fewer treatment sessions and lower costs of management. The findings suggest that the ABPI is feasible and valuable (e.g. a high number of fully recovered participants, fewer treatment sessions and reduced management costs compared to the SPI) in conducting a future definitive trial to evaluate the effectiveness of the ANSNP management. TCTR20180607001 An active behavioural physiotherapy intervention (ABPI) is feasible to manage acute non-specific neck pain. The ABPI demonstrated a high number of fully recovered participants, fewer treatment sessions and reduced management costs compared to the standard physiotherapy intervention. The ABPI is valuable to conduct a future definitive trial to evaluate the effectiveness of acute non-specific neck pain management. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Disability & Rehabilitation is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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