Health related quality of life improvement in chronic non-specific neck pain: secondary analysis from a single blinded, randomized clinical trial

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Abstract

Background

Chronic non-specific neck pain is related to limited cervical mobility, impaired function, neck muscles myofascial pain syndrome, and stress at work. The aforementioned factors are strongly related and may lead to a negative impact on health-related quality of life. There are some effective conservative Physical therapy interventions for treating chronic non-specific neck pain. Currently, Deep Dry Needling is emerging as an alternative for improving symptoms and consequently, the quality of life in patients with chronic non-specific neck pain. The purpose of the study was to examine the effectiveness of Deep Dry Needling of myofascial trigger points on health-related quality of life improvement, as a secondary analysis, in people with chronic non-specific neck pain.

Methods

A randomized parallel-group blinded controlled clinical trial was conducted at a public Primary Health Care Centre in Madrid, Spain, from January 2011 to September 2014. One hundred thirty subjects with chronic non-specific neck pain and active myofascial trigger points in neck muscles were randomly allocated into two groups. Subjects in the intervention group ( n = 65) were treated with Deep Dry Needling in active myofascial trigger points plus stretching in neck muscles; Control group ( n = 65) received only stretching. Both interventions lasted 2 weeks, 2 sessions per week. Health-related quality of life was measured with Short Form-36 (SF-36), in 5 assessments: at baseline, after intervention period; and at 1, 3 and 6 months after intervention.

Results

For both groups, SF-36 mean values increased in all dimensions in every assessment. Significant differences ( p < 0.05) were found in favor of the intervention group for all dimensions at the last assessment. For some dimensions (physical function, physical role, social function and vitality), the evidence was more consistent from the beginning.

Conclusions

Deep Dry Needling plus stretching is more effective than stretching alone for Health-related quality of life improvement, especially for physical function, physical role, social function and vitality dimensions, in people with non-specific neck pain.

Trial registration

Current Controlled Trials ISRCTN22726482. Registered 9 October 2011.

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Most cited references 40

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Neck pain: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association.

John Childs, Joshua Cleland, James M Elliott … (2008)

The Orthopaedic Section of the American Physical Therapy Association presents this second set of clinical practice guidelines on neck pain, linked to the International Classification of Functioning, Disability, and Health (ICF). The purpose of these practice guidelines is to describe evidence-based orthopaedic physical therapy clinical practice and provide recommendations for (1) examination and diagnostic classification based on body functions and body structures, activity limitations, and participation restrictions, (2) prognosis, (3) interventions provided by physical therapists, and (4) assessment of outcome for common musculoskeletal disorders.

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[The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results].

J. Alonso, J. M. Anto, L. Prieto (1995)

The present study, performed within the International Quality of Life Assessment project (including researchers from 15 countries) presents preliminary results of the process of adaptation of the SF-36 to be used in Spain. The adaptation was based on the translation/back-translation methodology. Meetings of translators, researchers and patients were organized in order to produce successive versions. A study involving 47 individuals was carried out to assess the relative value (through a visual analogue scale) of each response choice of the questionnaire items. Finally, internal consistency and reproducibility of the Spanish version of the SF-36 was assessed by administering the questionnaire to 46 patients with stable coronary heart disease in two different occasions 2 weeks apart. The average ratings of equivalence of the translated version with the original were high regardless of the difficulty of translation. The rank ordering of mean scores for each responses choice agreed with the ranking assigned in the questionnaire in all cases. Cronbach's Alpha was higher than 0.7 for all dimensions (range: 0.71-0.94) except for Social Functioning scale (alpha = 0.45). Intraclass correlation coefficients between both administrations of the questionnaire ranged from 0.58 to 0.99. The adaptation process of the SF-36 has concluded with an instrument apparently equivalent to the original and with an acceptable level of reliability. Nevertheless, other basic characteristics of the adapted questionnaire (i.e. validity and sensitivity to changes) should be also assessed.

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Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study.

H. Susan J. Picavet, N Hoeymans (2004)

To examine the health related quality of life of persons with one or more self reported musculoskeletal diseases, as measured by the short form 36 item health status survey (SF-36) and the Euroqol questionnaire (EQ-5D). A sample of Dutch inhabitants aged 25 years or more (n = 3664) participated in a questionnaire survey. Twelve lay descriptions of common musculoskeletal diseases were presented and the subjects were asked whether they had ever been told by a physician that they had any of these. Their responses were used to assess the prevalence of these conditions. Commonly used scores of SF-36 and descriptive scores from EQ-5D are presented, along with standardised differences between disease groups and the general population. with musculoskeletal diseases had significantly lower scores on all SF-36 dimensions than those without musculoskeletal disease, especially for physical functioning (SF-36 score (SE), 75.2 (0.5) v 87.8 (0.5)); role limitations caused by physical problems (67.1 (0.9) v 85.8 (0.8)); and bodily pain (68.5 (0.5) v 84.1 (0.5)). The worst health related quality of life patterns were found for osteoarthritis of the hip, osteoporosis, rheumatoid arthritis, and fibromyalgia. Those with multiple musculoskeletal diseases had the poorest health related quality of life. Similar results were found for EQ-5D. All musculoskeletal diseases involve pain and reduced physical function. The coexistence of musculoskeletal diseases should be taken into account in research and clinical practice because of its high prevalence and its substantial impact on health related quality of life.

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Author and article information

Contributors

Ester Cerezo-Téllez: cerezoes@gmail.com

María Torres-Lacomba:

ORCID: http://orcid.org/0000-0002-7051-3130

maria.torres@uah.es

Orlando Mayoral-del-Moral: Profesor.OMayoral@uclm.es

Soraya Pacheco-da-Costa: soraya.pacheco@uah.es

David Prieto-Merino: dprieto@ucam.edu

Beatriz Sánchez-Sánchez: beatriz.sanchez@uah.es

Journal

Journal ID (nlm-ta): Health Qual Life Outcomes

Journal ID (iso-abbrev): Health Qual Life Outcomes

Title: Health and Quality of Life Outcomes

Publisher: BioMed Central (London )

ISSN (Electronic): 1477-7525

Publication date (Electronic): 6 November 2018

Publication date PMC-release: 6 November 2018

Publication date Collection: 2018

Volume: 16

Electronic Location Identifier: 207

Affiliations

[1 ]ISNI 0000 0004 1937 0239, GRID grid.7159.a, Alcalá de Henares University, Physiotherapy in Women’s Health Research Group Department of Physiotherapy, Physiotherapy Faculty, , University of Alcalá, ; Carretera Madrid – Barcelona, km 33,600, E-28871 Alcalá de Henares, Madrid, Spain

[2 ]Primary Health Care, Alcalá de Henares, Madrid, Spain

[3 ]Physical Therapy Unit, Provincial Hospital, Toledo, Spain

[4 ]ISNI 0000 0004 1937 0239, GRID grid.7159.a, Physical Therapy, Disability and Dependence Research Group, Physical Therapy Department, , University of Alcalá, ; Alcalá de Henares, Madrid, Spain

[5 ]ISNI 0000 0001 2288 3068, GRID grid.411967.c, Applied Statistical Methods in Medical Research Group, , Catholic University of Murcia, UCAM, ; Murcia, Spain

Author information

María Torres-Lacomba http://orcid.org/0000-0002-7051-3130

Article

Publisher ID: 1032

DOI: 10.1186/s12955-018-1032-6

PMC ID: 6219051

PubMed ID: 30400984

SO-VID: ed2807d0-647b-47c0-b76a-2f70cf8fd862

License:

Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

History

Date received : 10 February 2018

Date accepted : 16 October 2018

Custom metadata

ScienceOpen disciplines: Health & Social care

Keywords: health-related quality of life,neck pain,myofascial pain syndrome,myofascial trigger points,physical therapy,deep dry needling,muscle stretching techniques,primary care,randomized clinical trial

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ScienceOpen disciplines: Health & Social care

Keywords: health-related quality of life, neck pain, myofascial pain syndrome, myofascial trigger points, physical therapy, deep dry needling, muscle stretching techniques, primary care, randomized clinical trial

Health related quality of life improvement in chronic non-specific neck pain: secondary analysis from a single blinded, randomized clinical trial

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Most cited references 40

Neck pain: Clinical practice guidelines linked to the International Classification of Functioning, Disability, and Health from the Orthopedic Section of the American Physical Therapy Association.

[The Spanish version of the SF-36 Health Survey (the SF-36 health questionnaire): an instrument for measuring clinical results].

Health related quality of life in multiple musculoskeletal diseases: SF-36 and EQ-5D in the DMC3 study.

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