Document Detail

Chronic neck pain and treatment of cognitive and behavioural factors: results of a randomised controlled clinical trial.
MedLine Citation:
PMID:  22466021     Owner:  NLM     Status:  MEDLINE    
PURPOSE: Although there is growing evidence in favour of the bio-psychosocial approach to the treatment of persistent neck pain, it is questioned whether treating psychological factors can improve patient perceptions of disability, pain and quality of life. This randomised, controlled study with 12 months' follow-up was conducted to evaluate the efficacy of adding cognitive-behavioural principles to exercises for chronic neck pain.
METHODS: Eighty patients were randomly assigned to the usual neck exercises plus cognitive-behavioural treatment (PTcb group, 40 subjects) or to treatment based on neck exercises alone (PT group, 40 subjects). Before treatment (T1), at the end of treatment (T2) and 12 months later (T3), all of the patients completed a booklet including the Neck Pain and Disability Scale, a numerical rating scale, and the Short-Form Health Survey Questionnaire (SF-36).
RESULTS: The present trial failed to demonstrate its primary end point: the pre- and post-treatment difference in total NPDS scores was not statistically different between groups. Disability improved similarly in both groups over time, remaining stable until T3 in the PTcb group and slightly increasing at the same time in the PT group. Pain trends were comparable, with both groups showing an improvement between T1 and T2, and a slight worsening between T2 and T3. There were significant increases in all of the SF-36 domains except for health in general, and vitality in both groups by the end of treatment. SF-36 showed a between-group difference only for the physical activity domain (10.4; 95% CI 2.4-18.5).
CONCLUSION: Disability, pain and quality of life improved at the end of treatment in both groups, without differences between them.
Marco Monticone; Paola Baiardi; Carla Vanti; Silvano Ferrari; Tiziana Nava; Catia Montironi; Barbara Rocca; Calogero Foti; Marco Teli
Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't     Date:  2012-04-01
Journal Detail:
Title:  European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society     Volume:  21     ISSN:  1432-0932     ISO Abbreviation:  Eur Spine J     Publication Date:  2012 Aug 
Date Detail:
Created Date:  2012-08-06     Completed Date:  2013-01-29     Revised Date:  2013-08-14    
Medline Journal Info:
Nlm Unique ID:  9301980     Medline TA:  Eur Spine J     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1558-66     Citation Subset:  IM    
Physical Medicine and Rehabilitation Unit, Scientific Institute of Lissone (Milan), Institute of Care and Research, Salvatore Maugeri Foundation, IRCCS, Milan, Italy.
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MeSH Terms
Chronic Pain / psychology,  therapy*
Cognitive Therapy*
Combined Modality Therapy
Disability Evaluation
Exercise Therapy*
Middle Aged
Neck Pain / psychology,  therapy*
Quality of Life
Treatment Outcome
Erratum In:
Eur Spine J. 2012 Aug;21(8):1567

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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