Effect of Group Pilates and Yoga Exercise Classes for Chronic Cervical Pain

Cervical Pain Clinical Trial

— Pilates/Yoga  

Official title:

Effect of Group Pilates and Yoga Exercise Classes on Function, Range of Motion, Endurance, Postural Position, Medication Use and Balance in Adults With Chronic Cervical Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01999283
• Other study ID #: WSUPT2013A
• Status: Completed
• Phase: N/A
• First received: November 19, 2013
• Last updated: November 25, 2013
• Start date: July 2010
• Est. completion date: May 2013

Study information

• Verified date: November 2013
• Source: Wayne State University
• Contact: n/a
• Is FDA regulated: No
• Health authority: United States: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Exercise has been found to be effective in alleviating back and neck pain. Two exercise methods which are available in the community in a group format are Yoga and Pilates. While there is some research on the efficacy of these exercise methods for low back pain, there is no definitive research on the use of Yoga or Pilates group exercise for individuals with chronic cervical pain.This study investigated the effect of group Yoga and Pilates exercise compared to a wait-listed control group on impairments and function related to neck pain for individuals with chronic cervical pain.

Description:

Individuals reporting chronic mild to moderate neck pain for more than 3 months were assigned to a pilates, yoga or wait-listed control group. The exercise group consisted of 12 one hour small group sessions instructed by experienced Physical Therapists with additional yoga or pilates training. Participants were evaluated at baseline, 6 weeks, and 12 weeks. Exercise participants also completed a follow up 6 weeks after completion.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 88
• Est. completion date: May 2013
• Est. primary completion date: May 2013
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years and older

Eligibility

Inclusion Criteria:

• Able to attend at 12 exercise class sessions (once a week for an hour)

• Stable moderate to severe neck pain (3/10- 8/10) present for > 3 months

• Able to get up and down off the floor

• Able to ambulate in the community without an assistive device

• Medically stable and cleared to participate in exercise

Exclusion Criteria:

• Neck Pain that is easily aggravated with exercise

• Neurological symptoms in the arms or legs (numbness, tingling, weakness)

• History of recent whiplash, spine surgery, diagnosed osteoporosis, cervical stenosis with leg symptoms

• Any medical conditions which does not allow active exercise

• Unable to make medical decisions independently or have memory problems

• Regularly attending Pilates or Yoga classes or individual sessions

Study Design

Allocation: Non-Randomized, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment

Related Conditions & MeSH terms

• Cervical Pain
• Neck Pain

Intervention

Other:
• Yoga Group Exercise
Yoga poses and postures modified to diminish stress on the cervical region and improve flexibility. Breathing and mind-body focus to address stress-related discomfort. A general Hatha yoga style will be used with components from Ashtanga Yoga. Intensity and range of motion will be progressively increased as tolerated.
• Pilates Group Mat Exercise
The Pilates mat exercises focus on both spinal muscle activation and stability, progressive endurance of the stabilizing muscles with arm and leg challenges and dynamic mobility. The exercises are progressed from more supported to anti-gravity position, slow increases in arm weights and flexibility.

Locations

Country	Name	City	State
United States	Equilibrium Studio	Bloomfield Hills	Michigan
United States	Wayne State University	Detroit	Michigan
United States	Oakland Physical Therapy	Novi	Michigan
United States	Older Persons Commission	Rochester	Michigan

Sponsors (1)

Lead Sponsor	Collaborator
Wayne State University

Country where clinical trial is conducted

United States, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Number of participants with identified potential for adverse drug responses	Descriptive analysis of number of participants with potential for adverse drug responses based on review of medication by Pharmacist	Baseline	Yes
Other	Identification of frequency of types of medication use in individuals with chronic neck pain	Descriptive analysis of medication used both for pain relief and co-morbidities	Baseline	No
Other	Frequency of types of potential adverse drug responses in patients with chronic mechanical neck pain	Identification of potential adverse drug responses by Pharmacist from medication review	Baseline	Yes
Primary	Change from baseline Neck Disability Index	Self reported Neck Disability Index questionnaire	Baseline, 6 weeks, 12 weeks, 18 weeks	No
Secondary	Change in Number of days of pain medication use in the past week	Self report	Baseline, week 6, week 12	No
Secondary	Change from baseline in Neck Pain Ratings (NPR) experienced on average over the past week	Average pain experienced over the past week (general, worst pain and experienced with functional activities - sustained positions, upper extremity movement, work, recreation)	Baseline, week 6, week 12, week 18	No
Secondary	Change from baseline Cervical range of motion measurements	Measured with the Cervical Range of Motion instrument (CROM)	Baseline, week 6, week 12, week 18	No
Secondary	Change from baseline differences between habitual and self corrected postural position	Sagittal plane position measured for Upper Cervical angle, forward head position, and thoracic width using the Cervical range of motion device.	Baseline, week 6, week 12, week 18	No
Secondary	Change from baseline in time for the Timed up and go test	Time to stand from a chair and walk to a standardized distance, return and sit down	Baseline, week 6, week 12, week 18	No
Secondary	Change from baseline Dynamic Gait Index score	Series of functional gait activities including walking, walking at different speeds, stepping over and around an obstacle, turning the head and tilting the head while walking scored by an observer.	Baselin, week 6, week 12, week 18	No
Secondary	Change from baseline in Activities Balance Confidence Scale score	Self reported confidence in maintaining balance for functional activities.	Baseline, week 6, week 12, week 18	No