Influence of the actions observed on cervical motion in patients with chronic neck pain : a pilot study

The aim of the present pilot study was to prove if the action-observation (AOb) improved the cervical range of motion (CROM) in patients with nonspecific chronic neck pain (CNP). Double blind pilot study. A total of 28 subjects were randomly assigned to an effective-movement group (n=14) and an ineffective-movement group (n=14). The follow-up con-sisted of: pretreatment, posttreatment and 10 min after second mea-surement (motor imagery). Outcome measures were CROM, and pres-sure pain detection thresholds (PPDTs). No statistical differences were found in baseline on CROM and on the PPDT. Test for independent groups revealed significant changes in cervical rotation movement. Both groups in posttreatment (P=0.042; Cohen d=0.81) and after 10 min (P=0.019; Cohen d=0.9). For intragroup PPDT, the Wilcoxon test re-vealed significant effects in the effective movement at C2 of the pre to 10-min post (P=0.040). However, the ineffective movement revealed a significant reduction in PPDT in zygapophyseal joint of C5–C6 as the pre to post (P=0.010) as the pre to 10-min post (P=0.041) periods. In conclu-sions this pilot study demonstrated that the effective AOb produced sig-nificant changes versus ineffective AOb in the CROM and it could influ-ences in PPT in subject with CNP immediately.