Effects of Deep Neck Stabilizers Retraining With Pressure Biofeedback on Cervical Pain, Range of Motion and Temporomandibular Dysfunction in Patients With Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Status
- Recruiting
- Sponsor
- Lahore University of Biological and Applied Sciences
- Enrollment
- 70
- Locations
- 1
- Primary Endpoint
- Temporomandibular dysfunction
Overview
Brief Summary
The present study aims to evaluate the effects of deep neck stabilizers retraining with pressure biofeedback on cervical range of motion, pain, and temporomandibular dysfunction in patients with chronic neck pain.
Participants will receive biofeedback-assisted deep neck flexor retraining in one group, while the other group will perform conventional exercises. The neurological connection between the TMJ and neck means that therapies such as neck flexion exercises and biofeedback can alleviate neck pain and jaw issues.
Detailed Description
Chronic neck pain is increasingly affecting young adults in Pakistan. This rise is linked to poor posture, being overweight, aging, and various other factors. Weakness in deep neck muscles can affect neck stability. The craniocervical flexion test (CCFT) is useful for evaluating and engaging these muscles. The jaw joint (Temporomandibular joint) and the neck are closely connected through shared nerves. Therefore, problems in the neck can lead to jaw issues (pain and difficulty moving the jaw). Using biofeedback to train deep neck muscles helps improve muscle control, posture, and reduces stress on surface and jaw muscles, easing TMJ symptoms. However, many studies on deep neck stabilizer (DNS) exercises don't focus on jaw problems. This study utilizes pressure biofeedback to relieve pain, improve mobility, and reduce jaw tension by promoting better neck posture.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Double (Participant, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 30 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Diagnosis: Chronic neck pain (duration more than 3 months and less than 1 year and 6 months)
- •TMJ Dysfunction (RCD TMJ Axis I Confirmation on Helkino Index) Fonseca Anamnestic Index (FAI) 20-65 score mild to moderate
Exclusion Criteria
- •Traumatic neck injury
- •Neurological disorders
- •Cervical spine infection or surgery
Outcomes
Primary Outcomes
Temporomandibular dysfunction
Time Frame: 6 weeks
Mandibular Functional Impairment Questionnaire
Pain Intensity
Time Frame: 6 weeks
Numeric Pain Rating Scale will be used
Cervical Range of Motion
Time Frame: 6 weeks
Inclinometer
Secondary Outcomes
No secondary outcomes reported
Investigators
Umber Nawaz
Assistant Professor
Lahore University of Biological and Applied Sciences