Comparison of Dynamic Neuromuscular Stabilization Exercises and Deep Cervical Muscle Exercises on Muscle Fat Infiltration in Individuals With Neck Pain
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Dynamic Neuromuscular Stabilization exercises, Deep Cervical Muscle exercises.
- Who it may be relevant to
- Registry conditions: Non-specific Neck Pain. Basic parameters: 20 years — 45 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Japan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This clinical trial study aims to compare the effects of DNS (Dynamic Neuromuscular Stabilization) exercises and deep cervical muscle exercises on fat infiltration, disability, and posture in individuals with chronic non-specific neck pain. The clinical questions of this study are as follows: * Can DNS and deep cervical muscle exercises decrease muscle fat infiltration? * Can DNS and deep cervical muscle exercises improve neck disability? * Can DNS and deep cervical muscle exercises improve neck posture? Researchers will compare DNS and deep cervical muscle exercises to people with non-specific neck pain. DNS exercises are hypothesized to significantly reduce fat infiltration and improve neck disability and neck posture compared to deep cervical muscle exercises. The participants will undergo an MRI scan and clinical assessment, such as NDI (Neck Disability Index) and posture checking, before being randomly divided into two groups. The first group will perform DNS exercises, and the second group will engage in deep cervical muscle exercises. Both sets of exercises will be performed for 16 weeks as part of a daily routine. After the 16-week exercises, the participants will undergo a follow-up MRI, NDI, and posture checking.
Interventions
- Other Dynamic Neuromuscular Stabilization exercises
DNS is a method used to enhance muscle stability. It is a manual and rehabilitative approach based on developmental kinesiology to optimize the movement system. These exercises optimize internal muscle forces on each spinal segment. - Other Deep Cervical Muscle exercises
Deep cervical muscle exercises are isometric exercises that strengthen weak muscles without causing discomfort to pain-sensitive structures like ligaments, tendons, or neck joints. This involves contracting specific muscles without changing muscle length or impeding joint movement.
Primary outcome measures
- Change of muscle fat infiltration in the flexor and extensor muscles [Time frame: 16 weeks]
- Change of disability level [Time frame: 16 weeks]
- Change of posture [Time frame: 16 weeks]
Eligibility criteria
Inclusion criteria
- Non-specific neck pain condition for three months or more
- Mild to moderate disability ( more than 10% of NDI)
- Mild to moderate pain level(2-8/10 of NRS)
Exclusion criteria
- A history of spine surgery or cervical injury
- Participated in a neck exercise program in the past three months
- Upper extremity problems
- Radiating pain, numbness, and weakness of the upper extremities
- A detectable pathological spinal condition
- Metabolic disorders, diabetes, and hypertension Obesity
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Double blind
- Primary purpose
- Treatment
Study locations
Japan · 1 center
- Tokyo Metropolitan University — Arakawa City
Identifiers
NCT: NCT06891391 · 24072