The effect of massage therapy and-or exercise therapy on subacute or long-lasting neck pain - the Stockholm neck trial STONE: study protocol for a randomized controlled trialReportar como inadecuado




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Trials

, 16:414

First Online: 16 September 2015Received: 21 May 2015Accepted: 25 August 2015DOI: 10.1186-s13063-015-0926-4

Cite this article as: Skillgate, E., Bill, AS., Côté, P. et al. Trials 2015 16: 414. doi:10.1186-s13063-015-0926-4

Abstract

BackgroundNeck pain is a major health problem in populations worldwide and an economic burden in modern societies due to its high prevalence and costs in terms of health care expenditures and lost productivity. Massage and exercise therapy are widely used management options for neck pain. However, there is a lack of scientific evidence regarding their effectiveness for subacute and long-lasting neck pain. This study protocol describes a randomized controlled trial aiming to determine the effect of massage and-or exercise therapy on subacute and long-lasting neck pain over the course of 1 year.

Methods-DesignA randomized controlled trial in which at least 600 study participants with subacute or long-lasting nonspecific neck pain will be recruited and randomly allocated to one of four treatment arms: massage therapy A, exercise therapy B, exercise therapy plus massage therapy C and advice to stay active D. The study has an E-health approach, and study participants are being recruited through advertising with a mix of traditional and online marketing channels. Web-based self-report questionnaires measure the main outcomes at 7, 12, 26 and 52 weeks after inclusion. The primary outcomes are a clinically important improvement in pain intensity and pain-related disability at follow-up, measured with a modified version of the Chronic Pain Questionnaire CPQ. The secondary outcomes are global improvement, health-related quality of life EQ-5D, sick leave, drug consumption and healthcare utilization. Adverse events are measured by questionnaires at return visits to the clinic, and automated text messages SMSes survey neck pain intensity and pain-related disability every week over one year.

DiscussionThe results of this study will provide clinicians and stakeholders much needed knowledge to plan medical care for subacute and long-lasting neck pain disorders.

Trial registrationCurrent Controlled Trials ISRCTN01453590. Date of registration: 3 July 2014.

KeywordsNeck pain Musculoskeletal manipulations Manual therapies Massage Exercise therapy Treatment outcome Complementary therapies-methods Healthcare costs AbbreviationsCPQChronic Pain Questionnaire

NRSNumerical rating scale

GEEGeneralized estimating equations

RRRelative risk

RDRisk differences

CIConfidence intervals

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Autor: Eva Skillgate - Anne-Sylvie Bill - Pierre Côté - Peter Viklund - Anna Peterson - Lena W. Holm

Fuente: https://link.springer.com/







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