Comparing the Effects of Neck Stabilization Exercises Verses Dynamic Exercises Among Patients Having Nonspecific Neck Pain With Forward Head Posture

Not Applicable

Completed

• Conditions: Non-specific Neck Pain
• Interventions: Other: Stabilization exercises; Other: Dynamic exercises

• Registration Number: NCT05298631
• Lead Sponsor: Dow University of Health Sciences

Brief Summary

the objective of this randomized clinical trial is to compare the effectiveness of neck stabilization exercises versus neck dynamic exercises in patients having non specific neck pain with forward head posture for pain intensity, correction of forward head posture, increasing Range of movement and decrease functional disability. the study is being conducted at physiotherapy department of institute of physical medicine and rehabilitation (Dow university of health sciences) total 60 patients with non specific neck pain with forward head posture recruited by non-probability sampling technique initially screening done by consultant physicians who is blinded to the treatment given to patients. patient are included in study who fulfill inclusion criteria and sign the consent form. patients then randomly allocated to both treatment groups using computer generated randomization sheet. baseline assessment is taken at first session after providing 9 treatment of stabilizing exercises to group1 and dynamic exercises to group 2 session post assessment will be done on goniometry, NDI, VAS and plumb line at last session at third week.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2022-03-17
• Study First Submitted QC: 2022-03-17
• Study First Posted: 2022-03-28
• Study Start: 2022-04-06
• Primary Completion: 2023-01-17
• Study Completion: 2023-01-21
• Status Verified: 2023-05
• Last Update Submitted: 2023-05-05
• Last Update Posted: 2023-05-08

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Patients with nonspecific neck pain more than 3 weeks less than 6 months.
• Patients with forward head posture on plumb line assessment.
• Pain on VAS moderate 4-7
• NDI score with moderate; 50-64%.
• Age ranges from 18-40.

Exclusion Criteria

• Previous history of any accident (whiplash), fracture, tumor etc.
• Patients not willing to participate.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Treatment group 1: stabilization exercises	Stabilization exercises	stabilization exercises 1. Chin tuck 2. Cervical extension 3. Shoulder shrugs 4. Shoulder rolls 5. Scapular retraction (15 repetitions 1 set) with TENS(10 mins before each session for 10 min at the back of the neck), stretching of trapezius, Pectorals minor, sternocleidomastoid, levator scapulae (5 rep 10 sec hold 1 set in both sides ) and cold pack (10 min at the back of neck at the end of each session)
Treatment group 2: dynamic exercises	Dynamic exercises	dynamic exercises 1. Cervical extension-dynamic isometric. 2. Cervical Flexion-Dynamic isometric. 3. Chest flies exercises (15 repetitions 1 set) with TENS(10 mins before each session for 10 min at the back of the neck), stretching of trapezius, Pectorals minor, sternocleidomastoid, levator scapulae (5 rep 10 sec hold 1 set in both sides ) and cold pack (10 min at the back of neck at the end of each session)

Primary Outcome Measures

Name	Time	Method
Change in pain intensity with Visual analog scale (VAS) in cm	Baseline and 3 weeks	VAS will be used for assessment of pain intensity on 10 cm straight line with marking from 0 to 10 (0 means no pain and 10 means worst pain possible) patients pain is recorded at baseline at the start of 1st session than change in pain intensity (decrease) will be assessed at the end of 9th session at week 3.
Change in disability with Neck disability index questionnaire (NDI) scores	Baseline and 3 weeks	NDI will be used for the assessment of disability due to neck pain. NDI is a ten item questionnaire each question has 6 responses from 0 no disability to 5 complete disability (score of less than 4 indicates no disability, 5-14 mild disability, 15-24 moderate disability, 25-34 severe disability, and scores greater than 35 complete disability) used to assess disability associated with neck pain and whiplash injury. patients disability is recorded at baseline at the start of 1st session than change in disability (decrease) will be assessed at the end of 9th session at week 3.
Change in neck range of motions with goniometer in degrees	Baseline and 3 weeks	Goniometry will be used for the assessment of change in available range of motion of around neck joint in degrees. the therapist assess the range of motion using goniometer in flexion, extension, lateral flexion(right), lateral flexion(left), rotation(right), rotation(left). patients ROM is recorded at baseline at the start of 1st session than change in ROM (increase) will be assessed at the end of 9th session at week 3.
Change in ear position with reference to shoulder Plumb line measurement in inches	Baseline and 3 weeks	Plumb line measurement will be used for the assessment of forward head posture using body landmarks such as ear lobe or mastoid process and shoulder alignment in inches. patients forward head is recorded at baseline at the start of 1st session than change in forward head (postural correction) will be assessed at the end of 9th session at week 3.

Trial Locations

Locations (1)

Sindh Institute of Physical Medicine and Rehabilitation; 🇵🇰 Karachi, Sindh, Pakistan