Effectiveness of educational booklet for chronic neck pain

Abstract

Purpose: The purpose of the study was to explore the effectiveness of educational booklet with conventional physiotherapy compare to only conventional physiotherapy for chronic neck pain. Objectives: To compare pain intensity at rest, activity, sitting, standing, walking, sleeping, neck turning and flexion and ROM in flexion, extension and rotation before and after the educational booklet with conventional physiotherapy and conventional Physiotherapy alone in Patients with chronic neck pain. Methodology: Sixteen patients with chronic neck pain were randomly selected from outdoor musculo-skeletal unit, CRP and then 8 patients with chronic neck pain were randomly assigned to educational booklet with conventional physiotherapy group and 8 patients to the only conventional physiotherapy group. The study was conducted at musculoskeletal department of CRP, savar. Numeric Pain Rating Scale was used to measure the pain intensity in different functional position and Goniometer to measure the ROM. Unrelated “t” test was used to compare the results of ROM and Pain was analyzed by using Mann Whitney ‘U’ test. Results: In Experimental group, Mean difference of reduction of pain in sitting was 6 which were 5.75 in control group. Also there was improvement of pain reduction in mean difference during sleeping which was 0.12 more than control group. But the result of U test showed that there was no improvement in case of resting pain (p>0.10), during activity pain (p>0.10), during sitting pain (p>0.10), during standing pain (p>0.10), during walking pain (p>0.10), during sleeping pain (p>0.10), during neck turning pain (p>0.10) and during neck flexion pain (p>0.10). The study also found significant Improvement of ROM In case of neck flexion (p<0.01). Conclusion: This experimental study shows that there was no significant difference between educational booklet with conventional physiotherapy and only conventional physiotherapy for patients with chronic neck pain.

Key words: Neck pain, Educational Booklet, Chronic pain