Development of Standard Guidelines for Relaxation Exercises in Patients With Chronic Neck Pain and Determination of Their Effectiveness
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: Exercise, Sham (No Treatment).
- Кому может быть актуально
- Состояния в реестре: Non Specific Chronic Neck Pain. Базовые параметры: 22 лет — 65 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Turkey (Türkiye)
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
The goal of this observational study is to determine whether relaxation exercises performed before cranio-cervical flexion can reduce superficial neck muscle activation (specifically sternocleidomastoid and upper trapezius) in individuals with neck pain. The main questions it aims to answer are: * Does performing relaxation exercises prior to cranio-cervical flexion reduce sternocleidomastoid (SCM) muscle activation? * Does it reduce upper trapezius muscle activation during the standing? Researchers will compare the group performing relaxation exercises before cranio-cervical flexion to the group performing only cranio-cervical flexion to see if there is a measurable difference in superficial neck muscle activation. Participants will: * Perform cranio-cervical flexion exercises. * Perform relaxation exercises prior to the cranio-cervical flexion (intervention group only). * Undergo surface EMG measurements to assess muscle activity.
Вмешательства
- Другое Exercise
Average of 10 minutes relaxation exercises guided with a standard audio record based on reciprocal and autogenic muscle inhibition, proprioceptive training and postural training. - Другое Sham (No Treatment)
This group take no treatment between actual before and after measurements.
Первичные конечные точки
- Numerical Pain Rating Scale [Срок оценки: At enrollment (pre-intervention) and immediately after the relaxation exercise intervention or sham intervention (Day 1)]
- Turkish Version of Core Outcome Measure Index for Neck Pain [Срок оценки: At enrollment (pre-intervention)]
- EMG Activation Level of Sternocleidomastoid Muscle During Craniocervical Flexion Maneuver [Срок оценки: At enrollment (pre-intervention) and immediately after the relaxation exercise intervention (Day 1)]
- EMG Activation Level of Upper Trapezius Muscle During Standing Still [Срок оценки: At enrollment (pre-intervention) and immediately after the relaxation exercise intervention (Day 1)]
Критерии участия
Критерии включения
- Knowledge of Turkish
- Chronic (at least three months) neck pain
- Neck pain level of 4 or higher on a numerical pain scale
Критерии исключения
- Neck pain caused by a tumor, trauma, or rheumatic disease
- History of surgery involving the head, neck, shoulder, or thoracic region
- Root compression
- Regular use of painkillers due to another illness
- Another illness severe enough to interfere with work
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Двойное слепое
- Основная цель
- Лечение
Центры проведения
Turkey (Türkiye) · 1 центр
- Faculty of Health Sciences — Balıkesir
Публикации
- Rota E, Evangelista A, Ceccarelli M, Ferrero L, Milani C, Ugolini A, Mongini F. Efficacy of a workplace relaxation exercise program on muscle tenderness in a working community with headache and neck pain: a longitudinal, controlled study. Eur J Phys Rehabil Med. 2016 Aug;52(4):457-65. Epub 2016 Jan 8. PMID 26745361
- Lee BK, Seo DK. The Importance of Optimal Gaze Direction on Deep Neck Flexor Activation in Chronic Neck Pain. Healthcare (Basel). 2020 Nov 1;8(4):449. doi: 10.3390/healthcare8040449. PMID 33139645
- Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, Kolahi AA, Safiri S. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022 Jan 3;23(1):26. doi: 10.1186/s12891-021-04957-4. PMID 34980079
- Jull GA, Falla D, Vicenzino B, Hodges PW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009 Dec;14(6):696-701. doi: 10.1016/j.math.2009.05.004. Epub 2009 Jul 25. PMID 19632880
Идентификаторы
NCT: NCT07048093 · G.O. 2024/153