Influence of Cervical Stabilization Exercises on Neural Tissue Mechanosensitivity in Patients With Chronic Nonspecific Neck Pain

Обзор

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

Подробное описание

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.

Вмешательства

• Другое 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.
• Другое traditional therapy
  the patients will receive traditional therapy in the form of ultrasound, hot pack, cervical extensors stretching and deep flexor strengthening

Первичные конечные точки

• mechanosensitivity of upper limb nerves [Срок оценки: up to 6 weeks]

Вторичные конечные точки (3)

• craniovertebral angle [Срок оценки: up to 6 weeks]
• pain intensity [Срок оценки: up to six weeks]
• cervical joint position error (cervical proprioception) [Срок оценки: up to six weeks]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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.

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

Простое слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07339683 · P.T.REC/012/005984

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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