Effects of Autonomic Nervous System Modulation on Heart Rate Variability and Musculoskeletal Manifestations in Patients With Chronic Neck Pain
Autonomic Nervous System Modulation
About this trial
This is an interventional treatment trial for Autonomic Nervous System Modulation focused on measuring Vagus nerve stimulation, Neck pain, Heart rate variability, Heart rhythm coherence feedback
Eligibility Criteria
Inclusion Criteria: adult aged ≥ 18 years old have had neck pain for three months or more reported peak neck pain of more than three on visual analogue scale (VAS) over the previous 24 hours Exclusion Criteria: have had neck surgery intra-articular corticosteroid injection within six months current or past (within four weeks) oral corticosteroid use neurological conditions altered sensation to pressure pregnancy exhibited cognitive difficulties arm numbness or tingling cardiac pacemaker or other implantable stimulators cardiac arrhythmia history of myocardial infarction local auricular diseases symptomatic orthostatic hypotension
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Active Comparator
Vagus nerve stimulation
Heart rate variability biofeedback
standard-care physiotherapy alone
Transcutaneous vagus nerve stimulation in addition to standard-care physiotherapy
Heart rate variability biofeedback in addition to standard-care physiotherapy
standard-care physiotherapy