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Applied relaxation in the treatment of long-lasting neck pain: a randomized controlled pilot study
Catharina Gustavsson1, Lena von Koch
1Centre for Clinical Research Dalarna, Falun, Sweden. catharina.gustavsson@ltdalarna.se
Objectives:
To evaluate the feasibility of study design and method for evaluating effects of interventions on patients with long-lasting neck pain and to compare treatment effects of: (i) a pain and stress management group intervention with applied relaxation, and (ii) individual physiotherapy treatment as usual.
Design:
Randomized controlled pilot study.
Subjects:
Thirty-seven patients with long-lasting neck pain.
Methods:
The patients were randomly assigned either to applied relaxation or treatment as usual. The applied relaxation group received 7 group sessions over a period of 7 weeks and the treatment as usual group an average of 11 individual sessions spread over 20 weeks following baseline. Twenty-nine participants completed the intervention and filled in a self-assessment questionnaire before treatment, and 7 and 20 weeks after baseline. The questionnaire comprised: Neck Disability Index, Coping Strategies Questionnaire, Hospital Anxiety and Depression Scale, Tampa Scale of Kinesiophobia, and questions regarding neck pain, analgesic use, sleep, sick-leave and utilization of healthcare.
Results:
The applied relaxation group had better perceived control over pain at the 20 weeks follow-up compared with the treatment as usual group.
Conclusion:
The design and methods of this pilot study were feasible and will be suitable for a larger randomized controlled study.
