Influence of Cervical Stabilization Exercises on Neural Tissue Mechanosensitivity in Patients With Chronic Nonspecific 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: cervical and scapulothoracic stabilization exercises., traditional therapy.
- Who it may be relevant to
- Registry conditions: Neck Pain. Basic parameters: 18 years — 36 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
- Center list to be confirmed — check the primary protocol.
- 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 study will be conducted to investigate the effect of cervical stabilization exercises on cervical pain intensity, upper limbs mechanosensitivity, cervicovertebral angle, and cervical proprioception in individuals with chronic nonspecific neck pain
Detailed description
Neck pain is the sensation of discomfort in the neck area. Neck pain can result from disorders of any of the structures in the neck, including the cervical vertebrae and intervertebral discs, nerves, muscles, blood vessels, esophagus, larynx, trachea, lymphatic organs, thyroid gland, or parathyroid glands.Forward head posture (FHP) is one of the commonly recognized types of poor head posture in the sagittal plane in patients with neck pain. FHP has been defined as 'any alignment in which the external auditory meatus is positioned anterior to the plumb line through the shoulder joint, with a general prevalence of about 64% in both males and females.Several studies reported the effect of cervical stabilization exercises on pain, ROM and cranio-cervical angle in patients with chronic non-specific neck pain. No studies have been concerned with measuring mechanosensitivity as an indicator technique of the effect of different modalities on chronic non-specific neck pain. With the proposal of the cervical and scapulothoracic stabilization program for patients with chronic non-specific neck pain secondary to forward head posture deviations.
Interventions
- Other cervical and scapulothoracic stabilization exercises.
the patients will receive cervical and scapulothoracic stabilization exercises in the form of activation of deep cervical flexors in the first two weeks, followed by scapulothoracic muscles activation for the third and fourth weeks and finally group of exercises that emphasis on increasing difficulty and progress to quadruped and standing. - Other traditional therapy
the patients will receive traditional therapy in the form of ultrasound, hot pack, cervical extensors stretching and deep flexor strengthening
Primary outcome measures
- mechanosensitivity of upper limb nerves [Time frame: up to 6 weeks]
Secondary outcome measures (3)
- craniovertebral angle [Time frame: up to 6 weeks]
- pain intensity [Time frame: up to six weeks]
- cervical joint position error (cervical proprioception) [Time frame: up to six weeks]
Eligibility criteria
Inclusion criteria
- participants with age range from 18 to 36 years and BMI from 25 to 30kg/m2 will be recruited
- Participants having neck pain symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature, for 3 months
- Patients with a craniovertebral angle of less than 50º
Exclusion criteria
- History of previous injury of the neck.
- History of surgical intervention at the neck.
- History of inflammatory joint disease affecting facet joints
- participants with congenital disorders of the cervical spine.
- participants who received pain medication or physical therapy for their neck pain during the last 3 months.
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
- Single blind
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07339683 · P.T.REC/012/005984