Vacuum Massage vs Tactile Massage for the Treatment of Chronic Neck Pain

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21-75
SponsorUniversity of Tromso

About this trial

Chronic pain significantly impacts individuals and society, with about 30% of Norwegian adults affected, making it the leading cause of long-term sick leave and disability benefits. Concerns over addiction to pain medications highlight the need for non-pharmacological treatments, though many such therapies, often complementary or alternative, are not widely available in conventional healthcare. Unclear biomechanisms of these therapies pose challenges for clinical trials and acceptance.

This pilot study aims to explore the effects of two types of massage-cupping massage (CM, intense) and tactile massage (TM, soft)-on chronic neck pain, focusing on their mechanisms of action. Quantitative sensory testing (QST) will be used as a biomarker to assess changes in the pain pathway. A previous feasibility study on CM and QST conducted in Germany informs this research.

The study will recruit 60 patients with chronic neck pain, randomized to CM or TM, with six weekly treatment sessions. QST will be measured before and after treatment to understand therapy-induced changes in the pain pathway. Findings will help tailor massage therapies to individual needs, improve clinical trial quality, and promote the integration of non-pharmacological treatments into conventional care, benefiting a large population in need.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

suffer from non-specific neck pain persisting at least 3 months

mean pain intensity ≥ 50 on a 0-100 mm visual analogue scale (NRS) with "0" meaning "no pain" and "100" meaning "worst pain imaginable"

Disqualifiers

neurological symptoms

having had a vertebral column surgery less than 12 months prior to the study,

have received TENS, acupuncture, osteopathy, or a chiropractic maneuver or infiltration at the area within 4 weeks prior to the inclusion in the study

suffer from a congenital deformation of the spine.

Trial design

Design model

Parallel

Treatments tested in this trial

  • soft touch massage

    Other intervention

    Soft superficial massage which follows the anatomy of the body without penetrating into the deeper tissues

  • vacuum massage

    Other intervention

    Intense stimulation through suction of the skin and deeper layers

Treatment groups

60 Participants
are divided into 2 treatment groups
Group A: Intense skin stimulationExperimental treatment 1 intervention
Group B: Light skin stimulationActive comparator 1 intervention

Trial outcomes

Primary outcomes

1

Quantitative Sensory Testing (QST)

Sensory testing will be performed according to the standard protocol of the German Research Network on Neuropathic Pain (DFNS) and all measurements will be carried out by the same examiner at a defined point of the trapezius muscle on the site with the worst pain, and the foot and the hand as reference areas (norms exist for hand, foot, back and face).

Time frame
The measurement will take about 2 hours in total; pre and post intervention (5-6 weeks)

Secondary outcomes

1

Numerical pain scale

ranging from 0="no pain" to 100mm="worst pain imaginable"

Time frame
Takes about 20 seconds for the numeric rating scale; pre vs. post intervention (ca. 5-6 weeks)

Other outcomes

1

pain diary

daily characterisation of pain including medication

Time frame
5-6 weeks, 3-5 min / day
2

Neck Disability Index (NDI)

Measures how neck pain has affects the patient's ability to manage in everyday life.

Time frame
ca 6-10 min before and after the intervention (ca. 5-6 weeks)
3

DN4 (Douleur Neuropathique 4) questionnaire

diagnostic tool used to identify and assess neuropathic pain

Time frame
10 min, before & after intervention (5-6 weeks)
4

SF-36 health survey

Health-related quality of life

Time frame
ca. 5-10 min, before and after intervention period (5-6 weeks)

Sponsors and contacts

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