针对机械性颈部疼痛的情境因素强化标准护理(ContextualizAR 试验):随机对照试验方案。

IF 1.5 Q3 RHEUMATOLOGY Musculoskeletal Care Pub Date : 2024-06-01 DOI:10.1002/msc.1894
Mauro Federico Andreu, Santiago Soliño, Federico Villalba, Pablo Oscar Policastro, María Lourdes Laurens, Gonzalo D'Aversa, Martín Mastandrea, Federico Rodriguez, Alexis Ramirez, Chad Cook, Giacomo Rossettini
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引用次数: 0

摘要

背景:了解环境因素(CFs)对机械性颈痛(MNP)干预措施的影响对于物理治疗的循证实践至关重要。然而,结合不同情境因素的具体效果和协同作用仍不清楚:本研究的主要目的是确定在减轻疼痛和改善功能方面,CFS-Enriched 标准护理(SC)方法是否是治疗 MNP 的有效方法:方法:这将是一项评估者盲法、两组(1:1)随机临床试验(RCT),旨在招募94名颈部疼痛持续4周以上的参与者。按照既定的临床实践指南,两组患者都将接受为期 4 周、每周两次的 SC 治疗。在干预组中,将根据现有证据加强CF,包括临床治疗中固有的生理、心理和社会因素。主要结果将包括治疗 4 周后疼痛和残疾程度的变化,并在治疗后第 12 周进行随访再评估。次要结果将包括活动范围的变化、总体变化评分和对治疗的满意度。考虑到与基线分数的差异,所有结果都将报告治疗后和 12 周随访时组间的变化:我们假设,在患者报告的残疾和疼痛方面,为期 4 周的 CFs 增强 SC 方法将优于单纯 SC 方法:本研究严格评估了在 MNP 治疗过程中有目的地操作 CFs 的效果。通过阐明这些因素的作用,我们的研究结果有可能极大地改进管理 MNP 的临床实践,从而加强对患者的护理,并推动物理治疗和康复领域的发展。
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Contextual Factors-Enriched Standard Care on mechanical neck pain (ContextualizAR trial): Protocol for a randomised controlled trial.

Background: Understanding the influence of contextual factors (CFs) on interventions for mechanical neck pain (MNP) is essential for evidence-based practice in physical therapy. However, the specific effects and synergies of combining different CFs remain unclear.

Objective: The primary purpose of this study will be to determine if a CFs-Enriched Standard Care (SC) approach is an effective treatment for MNP in terms of reducing pain and improving function.

Methods: This will be an assessor-blinded, 2-group (1:1) randomised clinical trial (RCT) aiming to enrol 94 participants with neck pain persisting for more than 4 weeks. Both groups will undergo 4 weeks of SC twice weekly, following established clinical practice guidelines. In the intervention group, CFs will be enhanced, encompassing the physical, psychological, and social elements inherent in the clinical encounter, based on existing evidence. The primary outcomes will encompass changes in pain and disability after 4 weeks of treatment, with a follow-up reassessment at week 12 post-treatment. Secondary outcomes will include changes in Active Range of Motion, Global Rating of Change, and Satisfaction with treatment. The change between groups after treatment and at the 12-week follow-up will be reported for all outcomes, considering the difference from scores recorded at baseline.

Results: We hypothesise that a 4-week CFs-Enriched SC approach will be superior to SC alone in terms of patient-reported disability and pain, with measurements conducted using the Northwick Park Neck Pain Questionnaire and the Numeric Pain Rating Scale, respectively.

Conclusion: This RCT rigorously assesses the effect of purposeful manipulation of CFs during MNP treatment. By elucidating the role of these factors, our findings have the potential to significantly refine clinical practice in managing MNP, thereby enhancing patient care, and advancing the fields of physical therapy and rehabilitation.

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来源期刊
Musculoskeletal Care
Musculoskeletal Care RHEUMATOLOGY-
CiteScore
2.30
自引率
7.70%
发文量
88
期刊介绍: Musculoskeletal Care is a peer-reviewed journal for all health professionals committed to the clinical delivery of high quality care for people with musculoskeletal conditions and providing knowledge to support decision making by professionals, patients and policy makers. This journal publishes papers on original research, applied research, review articles and clinical guidelines. Regular topics include patient education, psychological and social impact, patient experiences of health care, clinical up dates and the effectiveness of therapy.
期刊最新文献
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