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Study aim
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The aim of this study was to evaluate the efficacy of two complementary therapies, biofeedback and acupuncture, in the treatment of chronic neck and back pain and comparison of these two with each other
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Design
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Double blind randomized clinical trial with control group, sample volume of 50 patients and parallel groups
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Settings and conduct
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Using VAS for pain intensity, neck disability index for assessment of cervical function, algometer for pain pressure thereshold and bubble inclinometer for range of motion of neck before. Evaluation and comparison will be done before, immediately and 12 weeks after treatment
Department of physical medicine and rehabilitation, imam reza and shahid madani hospitals
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Participants/Inclusion and exclusion criteria
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Presence of neck and shoulder’s muscles pain for more than 2 months and less than 1 year
Presence of at leats 3 trigger points around the neck and shoulder muscles,
VAS between 4-10
The desire to participate in the study
If there is radiculopathy based on history and the presence of one of radiculopathy’s findings such as weakness , radicular pain, reduced DTR, paresthesia and positive spurling test
Presence of confirmed cervical discopathy with MRI
Presence of severe cervical degenerative changes
History of surgery or cervical spine trauma
History of therapeutic intervention for recent neck problems
Presence of systemic diseases that prevent acupuncture or biofeedback therapy, such as hemorrhagic, rhomatologic or cardiovascular disorders
Patients with history of depression or Taking psychological drugs
People with diagnosis of fibromyalgia
Pregnancy
Malignancy
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Intervention groups
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Group A for biofeedback and group B for acupuncture
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Main outcome variables
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Pain intensity, pain pressure thereshold, neck functional disability, Neck range of motion in flexion,extension and left and right lateral bending