nach oben

European Spine Journal

Erschienen in:

10.10.2017 | Original Article

Remote kinematic training for patients with chronic neck pain: a randomised controlled trial

verfasst von: Hilla Sarig Bahat, Kate Croft, Courtney Carter, Anna Hoddinott, Elliot Sprecher, Julia Treleaven

Erschienen in: European Spine Journal | Ausgabe 6/2018

Einloggen, um Zugang zu erhalten

Abstract

Purpose

To evaluate short- and intermediate-term effects of kinematic training (KT) using virtual reality (VR) or laser in patients with chronic neck pain.

Methods

A randomised controlled trial with three arms (laser, VR, control) to post-intervention (N = 90), and two arms (laser or VR) continuing to 3 months follow-up. Home training intervention was provided during 4 weeks to VR and laser groups while control group waited.

Outcome measures

Primary outcome measures included neck disability index (NDI), global perceived effect (GPE), and cervical motion velocity (mean and peak). Secondary outcome measures included pain intensity (VAS), health status (EQ5D), kinesiophobia (TSK), range, smoothness, and accuracy of neck motion as measured by the neck VR system. Measures were taken at baseline, immediately post-training, and 3 months later.

Results

Ninety patients with neck pain were randomised to the trial, of which 76 completed 1 month follow-up, and 56 the 3 months follow-up. Significant improvements were demonstrated in NDI and velocity with good effect sizes in intervention groups compared to control. No within-group changes were presented in the control group, compared to global improvements in intervention groups. Velocity significantly improved at both time points in both groups. NDI, VAS, EQ5D, TSK and accuracy significantly improved at both time points in VR and in laser at 3 months evaluation in all but TSK. GPE scores showed 74–84% of participants perceived improvement and/or were satisfied. Significant advantages to the VR group compared to laser were found in velocity, pain intensity, health status and accuracy at both time points.

Conclusion

The results support home kinematic training using VR or laser for improving disability, neck pain and kinematics in the short and intermediate term with an advantage to the VR group. The results provide directions for future research, use and development.

Trial registration

ACTRN12615000231549.

Lidgren L (2008) Preface: neck pain and the decade of the bone and joint 2000–2010. Spine 33:S1–S2CrossRef

Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, Cote P, Haldeman S, Ammendolia C, Carragee E, Hurwitz E, Nordin M, Peloso P (2008) The burden and determinants of neck pain in the general population: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine 33:S39–S51CrossRefPubMed

Borghouts JA, Koes BW, Bouter LM (1998) The clinical course and prognostic factors of non-specific neck pain: a systematic review. Pain 77:1–13CrossRefPubMed

Gross A, Kay TM, Paquin JP, Blanchette S, Lalonde P, Christie T, Dupont G, Graham N, Burnie SJ, Gelley G, Goldsmith CH, Forget M, Hoving JL, Brønfort G, Santaguida PL (2015) Exercises for mechanical neck disorders. Cochrane Libr. doi:10.1002/14651858.CD004250.pub5 CrossRef

Sarig Bahat H, Chen X, Reznik D, Kodesh E, Treleaven J (2015) Interactive cervical motion kinematics: sensitivity, specificity and clinically significant values for identifying kinematic impairments in patients with chronic neck pain. Man Ther 20:295–302. doi:10.1016/j.math.2014.10.002 CrossRefPubMed

Woodhouse A, Liljeback P, Vasseljen O (2010) Reduced head steadiness in whiplash compared with non-traumatic neck pain. J Rehabil Med 42:35–41. doi:10.2340/16501977-0484 CrossRefPubMed

Woodhouse A, Vasseljen O (2008) Altered motor control patterns in whiplash and chronic neck pain. BMC Musculoskelet Disord 9:90CrossRefPubMedPubMedCentral

Kristjansson E, Treleaven J (2009) Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther 39:364–377CrossRefPubMed

Sjolander P, Michaelson P, Jaric S, Djupsjobacka M (2008) Sensorimotor disturbances in chronic neck pain-range of motion, peak velocity, smoothness of movement, and repositioning acuity. Man Ther 13:122–131CrossRefPubMed

10.

Sarig Bahat H, Weiss PL, Laufer Y (2010) The effect of neck pain on cervical kinematics, as assessed in a virtual environment. Arch Phys Med Rehabil 91:1884–1890CrossRefPubMed

11.

Takasaki H, Treleaven J, Johnston V, Jull G (2013) Contributions of physical and cognitive impairments to self-reported driving difficulty in chronic whiplash-associated disorders. Spine 38:1554–1560CrossRefPubMed

12.

Röijezon U, Björklund M, Bergenheim M, Djupsjöbacka M (2008) A novel method for neck coordination exercise—a pilot study on persons with chronic non-specific neck pain. J Neuroeng Rehabil 5:36. doi:10.1186/1743-0003-5-36 CrossRefPubMedPubMedCentral

13.

Sullivan MJ, Adams H, Rhodenizer T, Stanish WD (2006) A psychosocial risk factor—targeted intervention for the prevention of chronic pain and disability following whiplash injury. Phys Ther 86:8–18CrossRefPubMed

14.

Sarig Bahat H, Takasaki H, Chen X, Bet-Or Y, Treleaven J (2015) Cervical kinematic training with and without interactive VR training for chronic neck pain—a randomized clinical trial. Man Ther 20:68–78. doi:10.1016/j.math.2014.06.008 CrossRefPubMed

15.

Sveistrup H, Thornton M, Bryanton C, McComas J, Marshall S, Finestone H, McCormick A, McLean J, Brien M, Lajoie Y, Bisson Y (2004) Outcomes of intervention programs using flat screen virtual reality. In: Proceedings of the 26th annual international conference of IEEE/EMBS

16.

Bahat HS, Chen X, Reznik D, Kodesh E, Treleaven J (2015) Interactive cervical motion kinematics: sensitivity, specificity and clinically significant values for identifying kinematic impairments in patients with chronic neck pain. Man Ther 20:295–302CrossRef

17.

Vernon H (2008) The Neck Disability Index: state-of-the-art, 1991–2008. J Manip Physiol Ther 31:491–502CrossRef

18.

Cleland JA, Childs JD, Whitman JM (2008) Psychometric Properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Arch Phys Med Rehabil 89:69CrossRefPubMed

19.

Hoving JL, O’Leary EF, Niere KR, Green S, Buchbinder R (2003) Validity of the Neck Disability Index, Northwick Park Neck Pain Questionnaire, and problem elicitation technique for measuring disability associated with whiplash-associated disorders. Pain 102:273–281CrossRefPubMed

20.

Pietrobon R, Coeytaux RR, Carey TS, Richardson WJ, DeVellis RF (2002) Standard scales for measurement of functional outcome for cervical pain or dysfunction: a systematic review. Spine (Phila Pa 1976) 27:515–522CrossRef

21.

Pool JJ, Ostelo RW, Hoving JL, Bouter LM, de Vet HC (2007) Minimal clinically important change of the Neck Disability Index and the Numerical Rating Scale for patients with neck pain. Spine (Phila Pa 1976) 32:3047–3051. doi:10.1097/BRS.0b013e31815cf75b CrossRef

22.

Evans R, Bronfort G, Maiers M, Schulz C, Hartvigsen J (2014) “I know it’s changed”: a mixed-methods study of the meaning of global perceived effect in chronic neck pain patients. Eur Spine J 23:888–897. doi:10.1007/s00586-013-3149-y CrossRefPubMedPubMedCentral

23.

Hurwitz EL, Morgenstern H, Vassilaki M, Chiang L-M (2004) Adverse reactions to chiropractic treatment and their effects on satisfaction and clinical outcomes among patients enrolled in the UCLA Neck Pain Study. J Manip Physiol Ther 27:16CrossRef

24.

Cleland J, Childs J, Fritz J, Whitman J (2006) Interrater reliability of the history and physical examination in patients with mechanical neck pain. Arch Phys Med Rehabil 87:1388–1395CrossRefPubMed

25.

Group TE (1990) EuroQol-a new facility for the measurement of health-related quality of life. Health Policy 16:199–208CrossRef

26.

Brooks R, Group E (1996) EuroQol: the current state of play. Health Policy 37:53–72CrossRefPubMed

27.

Soer R, Reneman MF, Speijer BLGN, Coppes MH, Vroomen PCAJ (2012) Clinimetric properties of the EuroQol-5D in patients with chronic low back pain. Spine J 12:1035–1039. doi:10.1016/j.spinee.2012.10.030 CrossRefPubMed

28.

Kori S, Miller R, Todd D (1990) Kinesiophobia: a new view of chronic pain behaviour. Pain Manag 3:35–43

29.

Buitenhuis J, Jaspers JP, Fidler V (2006) Can kinesiophobia predict the duration of neck symptoms in acute whiplash? Clin J Pain 22:272–277. doi:10.1097/01.ajp.0000173180.54261.0a CrossRefPubMed

30.

Cleland JA, Fritz JM, Childs JD (2008) Psychometric properties of the Fear-Avoidance Beliefs Questionnaire and Tampa Scale of Kinesiophobia in patients with neck pain. Am J Phys Med Rehabil 87:109–117. doi:10.1097/PHM.0b013e31815b61f1 CrossRefPubMed

31.

Vlaeyen JWS, Kole-Snijders AMJ, Rotteveel A et al (1995) The role of fear of movement/(re)injury in pain disability. J Occup Rehabil 5:235–252CrossRefPubMed

32.

Ostelo RW, Swinkels-Meewisse IJ, Vlaeyen JW, Knol DL, de Vet HC (2007) Assessing pain and pain-related fear in acute low back pain: what is the smallest detectable change? Int J Behav Med 14:242–248CrossRefPubMed

33.

Sarig Bahat H, Sprecher E, Sela I, Treleaven J (2016) Neck motion kinematics: an inter-tester reliability study using an interactive neck VR assessment in asymptomatic individuals. Eur Spine J 25:2139–2148. doi:10.1007/s00586-016-4388-5 CrossRefPubMed

34.

Sarig Bahat H, Weiss PL, Laufer Y (2009) Cervical motion assessment using virtual reality. Spine 34:1018–1024CrossRefPubMed

35.

Audette I, Dumas JP, Cote JN, De Serres SJ (2010) Validity and between-day reliability of the cervical range of motion (CROM) device. J Orthop Sports Phys Ther 40:318–323. doi:10.2519/jospt.2010.3180 CrossRefPubMed

36.

Cohen J (1988) Statistical power analysis for the behavioral sciences. Lawrence Erlbaum Associates, Hillsdale

37.

Cook RJ, Sackett DL (1995) The number needed to treat: a clinically useful measure of treatment effect. BMJ Br Med J 310:452CrossRef

38.

Tsang SMH, Szeto GPY, Lee RYW (2014) Altered spinal kinematics and muscle recruitment pattern of the cervical and thoracic spine in people with chronic neck pain during functional task. J Electromyogr Kinesiol 24:104–113. doi:10.1016/j.jelekin.2013.10.011 CrossRefPubMed

39.

Rizzo A, Kim GJ (2005) A SWOT analysis of the field of virtual reality rehabilitation and therapy. Presence-Teleoper Virtual Environ 14:119–146CrossRef

40.

Yelvar GDY, Çırak Y, Dalkılınç M, Demir YP, Guner Z, Boydak A (2017) Is physiotherapy integrated virtual walking effective on pain, function, and kinesiophobia in patients with non-specific low-back pain? Randomised controlled trial. Eur Spine J 26:538–545CrossRef

41.

Thomas JS, France CR, Leitkam ST, Applegate ME, Pidcoe PE, Walkowski S (2016) Effects of real-world versus virtual environments on joint excursions in full-body reaching tasks. IEEE J Transl Eng Health Med 4:1–8CrossRef

42.

Villiger M, Bohli D, Kiper D, Pyk P, Spillmann J, Meilick B, Curt A, Hepp-Reymond M-C, Hotz-Boendermaker S, Eng K (2013) Virtual reality—augmented neurorehabilitation improves motor function and reduces neuropathic pain in patients with incomplete spinal cord injury. Neurorehabil Neural Repair 27:675–683CrossRefPubMed

43.

Zronek M, Sanker H, Newcomb J, Donaldson M (2016) The influence of home exercise programs for patients with non-specific or specific neck pain: a systematic review of the literature. J Man Manip Ther 24(2):62–73. doi:10.1179/2042618613Y.0000000047 CrossRefPubMedPubMedCentral

44.

Bertozzi L, Villafañe JH, Capra F, Reci M, Pillastrini P (2015) Effect of an exercise programme for the prevention of back and neck pain in poultry slaughterhouse workers. Occup Ther Int 22:36–42CrossRefPubMed

45.

Lauche R, Langhorst J, Dobos GJ, Cramer H (2013) Clinically meaningful differences in pain, disability and quality of life for chronic nonspecific neck pain—a reanalysis of 4 randomized controlled trials of cupping therapy. Complement Ther Med 21:342–347. doi:10.1016/j.ctim.2013.04.005 CrossRefPubMed

46.

Carreon LY, Glassman SD, Campbell MJ, Anderson PA (2010) Neck Disability Index, short form-36 physical component summary, and pain scales for neck and arm pain: the minimum clinically important difference and substantial clinical benefit after cervical spine fusion. Spine J 10:469–474. doi:10.1016/j.spinee.2010.02.007 CrossRefPubMed

47.

Cleland JA, Childs JD, Whitman JM (2008) Psychometric properties of the Neck Disability Index and Numeric Pain Rating Scale in patients with mechanical neck pain. Arch Phys Med Rehabil 89:69–74. doi:10.1016/j.apmr.2007.08.126 CrossRefPubMed

48.

Sarig Bahat H, Igbariya M, Quek J, Treleaven J (2016) Cervical kinematics of fast neck motion across age. J Nov Physiother 6:7

49.

Childs JD, Cleland JA, Elliott JM, Teyhen DS, Wainner RS, Whitman JM, Sopky BJ, Godges JJ, Flynn TW (2008) Neck pain: clinical practice guidelines linked to the international classification of functioning, disability, and health from the orthopaedic section of the American Physical Therapy Association. J Orthop Sports Phys Ther 38:A1–A34CrossRefPubMed

50.

Chen J, Solinger AB, Poncet JF, Lantz CA (1999) Meta-analysis of normative cervical motion. Spine 24:1571–1578CrossRefPubMed

51.

Bryanton C, Bosse J, Brien M, McLean J, McCormick A, Sveistrup H (2006) Feasibility, motivation, and selective motor control: virtual reality compared to conventional home exercise in children with cerebral palsy. Cyberpsychol Behav 9:123–128CrossRefPubMed

52.

Yamato TP, Saragiotto BT, Maher C (2014) Therapeutic exercise for chronic non-specific neck pain. Br J Sports Med. doi:10.1136/bjsports-2014-093874 (published online first) CrossRefPubMed

53.

Miller J, Gross A, D’Sylva J, Burnie SJ, Goldsmith CH, Graham N, Haines T, Bronfort G, Hoving JL (2010) Manual therapy and exercise for neck pain: a systematic review. Man Ther 15:334–354CrossRefPubMed

54.

Revel M, Minguet M, Gergory P, Vaillant J, Manuel JL (1994) Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil 75:895–899CrossRefPubMed

55.

Rudolfsson T, Djupsjöbacka M, Häger C, Björklund M (2014) Effects of neck coordination exercise on sensorimotor function in chronic neck pain: a randomized controlled trial. J Rehabil Med 46:908–914CrossRefPubMed

56.

Hurwitz E, Carragee E, van der Velde G, Carroll L, Nordin M, Guzman J, Peloso P, Holm L, Cote P, Hogg-Johnson S (2008) Treatment of neck pain: noninvasive interventions: results of the bone and joint decade 2000–2010 task force on neck pain and its associated disorders. Spine (Phila Pa 1976) 33:S123–S152CrossRef

57.

Evans R, Bronfort G, Nelson B, Goldsmith CH (2002) Two-year follow-up of a randomized clinical trial of spinal manipulation and two types of exercise for patients with chronic neck pain. Spine 27:2383–2389CrossRefPubMed

58.

Ludvigsson ML, Peterson G, O’Leary S, Dedering Å, Peolsson A (2015) The effect of neck-specific exercise with, or without a behavioral approach, on pain, disability, and self-efficacy in chronic whiplash-associated disorders: a randomized clinical trial. Clin J Pain 31:294CrossRefPubMedPubMedCentral

59.

Falla D, Hodges PW (2017) Individualized exercise interventions for spinal pain. Exerc Sport Sci Rev 45:105–115CrossRefPubMed

60.

Fewtrell MS, Kennedy K, Singhal A, Martin RM, Ness A, Hadders-Algra M, Koletzko B, Lucas A (2008) How much loss to follow-up is acceptable in long-term randomised trials and prospective studies? Arch Dis Child 93:458–461CrossRefPubMed

61.

Kristman V, Manno M, Côté P (2004) Loss to follow-up in cohort studies: how much is too much? Eur J Epidemiol 19:751–760CrossRefPubMed

Titel: Remote kinematic training for patients with chronic neck pain: a randomised controlled trial
verfasst von: Hilla Sarig Bahat
Kate Croft
Courtney Carter
Anna Hoddinott
Elliot Sprecher
Julia Treleaven
Publikationsdatum: 10.10.2017
Verlag: Springer Berlin Heidelberg
Erschienen in: European Spine Journal / Ausgabe 6/2018
Print ISSN: 0940-6719
Elektronische ISSN: 1432-0932
DOI: https://doi.org/10.1007/s00586-017-5323-0

Arthropedia

Grundlagenwissen der Arthroskopie und Gelenkchirurgie. Erweitert durch Fallbeispiele, Videos und Abbildungen.
» Jetzt entdecken

Neu im Fachgebiet Orthopädie und Unfallchirurgie

Notfall-TEP der Hüfte ist auch bei 90-Jährigen machbar

26.04.2024 Hüft-TEP Nachrichten

Ob bei einer Notfalloperation nach Schenkelhalsfraktur eine Hemiarthroplastik oder eine totale Endoprothese (TEP) eingebaut wird, sollte nicht allein vom Alter der Patientinnen und Patienten abhängen. Auch über 90-Jährige können von der TEP profitieren.

Arthroskopie kann Knieprothese nicht hinauszögern

25.04.2024 Gonarthrose Nachrichten

Ein arthroskopischer Eingriff bei Kniearthrose macht im Hinblick darauf, ob und wann ein Gelenkersatz fällig wird, offenbar keinen Unterschied.

Therapiestart mit Blutdrucksenkern erhöht Frakturrisiko

25.04.2024 Hypertonie Nachrichten

Beginnen ältere Männer im Pflegeheim eine Antihypertensiva-Therapie, dann ist die Frakturrate in den folgenden 30 Tagen mehr als verdoppelt. Besonders häufig stürzen Demenzkranke und Männer, die erstmals Blutdrucksenker nehmen. Dafür spricht eine Analyse unter US-Veteranen.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Update Orthopädie und Unfallchirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Abstract

Purpose

Methods

Outcome measures

Results

Conclusion

Trial registration

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 6/2018

Implantation of an empty polyetheretherketone cage in anterior cervical discectomy and fusion: a prospective randomised controlled study with 2 years follow-up

Text neck and neck pain in 18–21-year-old young adults

Responsiveness and minimal important change of the NeckPix© in subjects with chronic neck pain undergoing rehabilitation

Anterior cervical corpectomy and fusion versus posterior laminoplasty for the treatment of oppressive myelopathy owing to cervical ossification of posterior longitudinal ligament: a meta-analysis

Spondylolisthesis adjacent to a cervical disc arthroplasty does not increase the risk of adjacent level degeneration