دورية أكاديمية

Multimodal therapeutic intervention program associated with photobiomodulation therapy for individuals with chronic nonspecific neck pain: protocol for a clinical trial.

التفاصيل البيبلوغرافية
العنوان: Multimodal therapeutic intervention program associated with photobiomodulation therapy for individuals with chronic nonspecific neck pain: protocol for a clinical trial.
المؤلفون: Barbosa da Silva AC; Postgraduate Program in Rehabilitation Sciences, University Nove de Julho, Vergueiro Street, N°: 235/249, Liberdade, São Paulo, SP, CEP: 01504-001, Brazil. charlesmam43@gmail.com., Santana GN; Postgraduate Program in Rehabilitation Sciences, University Nove de Julho, Vergueiro Street, N°: 235/249, Liberdade, São Paulo, SP, CEP: 01504-001, Brazil., Santos IS; Postgraduate Program in Rehabilitation Sciences, University Nove de Julho, Vergueiro Street, N°: 235/249, Liberdade, São Paulo, SP, CEP: 01504-001, Brazil., Dos Santos PG; Postgraduate Program in Rehabilitation Sciences, University Nove de Julho, Vergueiro Street, N°: 235/249, Liberdade, São Paulo, SP, CEP: 01504-001, Brazil., de Oliveira AR; Postgraduate Program in Rehabilitation Sciences, University Nove de Julho, Vergueiro Street, N°: 235/249, Liberdade, São Paulo, SP, CEP: 01504-001, Brazil., Filho AVD; Postgraduate Program in Physical Education, Federal University of Maranhão, São Luís, MA, Brazil., de Paula Gomes CAF; Postgraduate Program in Rehabilitation Sciences, University Nove de Julho, Vergueiro Street, N°: 235/249, Liberdade, São Paulo, SP, CEP: 01504-001, Brazil.
المصدر: Trials [Trials] 2024 Jul 03; Vol. 25 (1), pp. 442. Date of Electronic Publication: 2024 Jul 03.
نوع المنشور: Journal Article; Clinical Trial Protocol
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101263253 Publication Model: Electronic Cited Medium: Internet ISSN: 1745-6215 (Electronic) Linking ISSN: 17456215 NLM ISO Abbreviation: Trials Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2006-
مواضيع طبية MeSH: Neck Pain*/therapy , Neck Pain*/physiopathology , Neck Pain*/diagnosis , Low-Level Light Therapy*/methods , Chronic Pain*/therapy , Chronic Pain*/physiopathology , Chronic Pain*/diagnosis , Randomized Controlled Trials as Topic*, Humans ; Combined Modality Therapy ; Treatment Outcome ; Pain Measurement ; Disability Evaluation ; Adult ; Female ; Male ; Middle Aged ; Exercise Therapy/methods ; Time Factors ; Quality of Life
مستخلص: Background: Neck pain is a prevalent global musculoskeletal issue, significantly contributing to the loss of years of healthy life due to disability. Chronic nonspecific neck pain (CNNP) involves diverse symptoms impacting mobility and quality of life. While therapeutic exercises demonstrate efficacy, the role of photobiomodulation therapy (PBMT) remains uncertain. This study aims to assess the additional effects of PBMT within a multimodal therapeutic intervention for CNNP.
Methods: A randomized, two-arm, controlled, blind clinical trial follows CONSORT and SPIRIT guidelines. Participants diagnosed with CNNP will receive a stand-alone multimodal therapeutic intervention or the same program with additional PBMT. The primary outcomes will be assessed by the functional disability identified through applying the NDI (Neck Disability Index). Secondary outcomes will be pain intensity during rest and active neck movement, catastrophizing and kinesiophobia, functionality, and disability assessed at baseline, after 8 weeks, and at a 4-week follow-up. Both groups receive pain education before personalized interventions, including resistance exercises, neuromuscular activities, mobility, and body balance. The PBMT group undergoes low-level light therapy. Intention-to-treat analysis, using linear mixed models, employs data presented as mean, standard deviation, and differences with a 95% confidence interval. Non-normally distributed variables transform. Statistical significance is set at 5%.
Discussion: This study addresses a critical gap in understanding the combined effects of PBMT and therapeutic exercises for CNNP. The findings aim to guide clinicians, researchers, and CNNP sufferers through rigorous methodology and diverse outcome assessments, offering valuable insights into evidence-based practices for CNNP management. Data confidentiality is maintained throughout, ensuring participant privacy during statistical analysis.
Trial Registration: Effects of adding photobiomodulation to a specific therapeutic exercise program for the treatment of individuals with chronic nonspecific neck pain, registration number: NCT05400473, on 2022-05-27.
(© 2024. The Author(s).)
References: Lancet. 2009 Dec 5;374(9705):1897-908. (PMID: 19913903)
Heliyon. 2023 Nov 14;9(11):e22237. (PMID: 38058646)
Spine (Phila Pa 1976). 2008 Oct 15;33(22):2371-8. (PMID: 18923311)
Phys Med Rehabil Clin N Am. 2011 Aug;22(3):383-93, vii. (PMID: 21824581)
J Orthop Sports Phys Ther. 2014 Nov;44(11):879-89. (PMID: 25361861)
Lancet Rheumatol. 2023 Oct 23;5(11):e670-e682. (PMID: 37927903)
Phys Ther. 2016 Sep;96(9):1408-16. (PMID: 27013576)
Cochrane Database Syst Rev. 2015 Jan 28;1:CD004250. (PMID: 25629215)
Clin Rehabil. 2020 Dec;34(12):1506-1511. (PMID: 32718186)
J Orthop. 2020 Feb 10;21:40-48. (PMID: 32082038)
Ann Intern Med. 2013 Feb 5;158(3):200-7. (PMID: 23295957)
Phys Med Rehabil Clin N Am. 2011 Aug;22(3):367-82, vii. (PMID: 21824580)
Rheumatol Int. 2013 Oct;33(10):2493-501. (PMID: 23579335)
J Bodyw Mov Ther. 2023 Oct;36:213-220. (PMID: 37949563)
BMJ. 2010 Mar 23;340:c332. (PMID: 20332509)
J Orthop Sports Phys Ther. 2009 May;39(5):400-17. (PMID: 19521015)
Br J Sports Med. 2020 Nov 02;:. (PMID: 33139256)
Clin Rehabil. 2023 Dec;37(12):1579-1610. (PMID: 37424506)
BMJ. 2014 Mar 07;348:g1687. (PMID: 24609605)
J Manipulative Physiol Ther. 1998 Oct;21(8):520-7. (PMID: 9798180)
Appl Ergon. 2024 May;117:104216. (PMID: 38219373)
J Orthop Sports Phys Ther. 2016 Feb;46(2):44-55. (PMID: 26755405)
Spine (Phila Pa 1976). 2006 Jun 15;31(14):1621-7. (PMID: 16778699)
Lasers Med Sci. 2022 Dec;37(9):3333-3341. (PMID: 35962884)
Int J Radiat Biol. 2019 Feb;95(2):120-143. (PMID: 30614743)
BMC Musculoskelet Disord. 2022 Jan 3;23(1):26. (PMID: 34980079)
J Manipulative Physiol Ther. 1991 Sep;14(7):409-15. (PMID: 1834753)
J Orthop Sports Phys Ther. 2023 Oct;53(10):594–609. (PMID: 37683100)
Am J Phys Med Rehabil. 2015 Oct;94(10 Suppl 1):887-97. (PMID: 25888653)
Lasers Med Sci. 2022 Apr;37(3):1427-1440. (PMID: 34767117)
Arch Phys Med Rehabil. 2016 Feb;97(2):189-95. (PMID: 26514296)
Pain. 2011 Oct;152(10):2399-2404. (PMID: 21856077)
J Orthop Sports Phys Ther. 2023 Aug;53(8):420–459. (PMID: 37339388)
Healthcare (Basel). 2023 Dec 13;11(24):. (PMID: 38132051)
Open Orthop J. 2013 Sep 20;7:396-419. (PMID: 24155802)
Pain. 2006 Sep;124(1-2):201-10. (PMID: 16806710)
BMC Musculoskelet Disord. 2023 Oct 12;24(1):806. (PMID: 37828488)
Lancet. 2020 Oct 17;396(10258):1204-1222. (PMID: 33069326)
Neural Plast. 2020 Dec 14;2020:8856621. (PMID: 33414823)
معلومات مُعتمدة: 001 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; 001 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; 001 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior; 001 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
فهرسة مساهمة: Keywords: Combined modality therapy; Exercise therapy; Low-level light therapy; Neck pain; Rehabilitation
سلسلة جزيئية: ClinicalTrials.gov NCT05400473
تواريخ الأحداث: Date Created: 20240703 Date Completed: 20240704 Latest Revision: 20240706
رمز التحديث: 20240706
مُعرف محوري في PubMed: PMC11221013
DOI: 10.1186/s13063-024-08289-1
PMID: 38961460
قاعدة البيانات: MEDLINE
الوصف
تدمد:1745-6215
DOI:10.1186/s13063-024-08289-1