Effect of Kinetic Control Training on Flexion Relaxation Phenomenon and Craniovertebral Angle in Cervical Radiculopathy Patients
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Assessment of pain
研究概览
简要总结
The purpose of the study is to determine the effect of kinetic control training on flexion relaxation phenomenon and craniovertebral angle in patients with cervical radiculopathy.
详细描述
Neck pain is a major health issue with high rates of recurrence. The current literature suggests people with cervical pain have altered movement control strategies and that these changes are associated with pain and disability.
These altered strategies will influence the control of movement which can present as both uncontrolled translatatory movement and uncontrolled range or physiological motion. Either movement dysfunction will present clinically as areas of relative flexibility (increase in translational movement) or areas of relative stiffness.
Changes in alignment in the cervical spine may result in a forward head posture position demonstrating an increase in low cervical flexion.
The greater the forward head posture, the greater the disability. Regions and segments of less mobility have been noted in the cervical spine which will present clinically as regions of relative stiffness.
Disturbance in neck flexor synergy has been commonly observed in patients with neck pain. This disturbed neck flexor synergy presents as altered pattern of muscle activity, where impairment in deep cervical flexors appears to be compensated by increased activity in superficial muscles (sternocleidomastoid and anterior scalene) and it is also reported that the amplitude of upper trapezius and cervical extensors have been dramatically increased among those patients. Such impairments may contribute to the development of pain and disability in patients with neck pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 40 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients will be referred from neurologist with the diagnosis cervical spondylosis.
- •Patients will be included if they have unilateral radiculopathy due to spondylotic changes of the lower cervical spine (C5-C6 and C6-C7).
- •Duration of symptoms is more than three months to avoid acute stage of inflammation.
- •Patient's age ranged from 40 to 55 years.
- •Patients from both sexes.
- •Body mass index of all patients is ranged from 25-30 kg/m
- •Patients will be screened prior to inclusion by measuring the craniovertebral angle, if the angle was less than 50, then a participant will be referred to the study
排除标准
- •Spinal canal stenosis.
- •Rheumatoid arthritis.
- •Vertebrobasilar insufficiency.
- •Spinal instability due to structural cause e.g., spondylolisthesis.
- •Systemic disease (cardiovascular, infectious and/or metabolic disease that could interrupt exercises).
- •Spinal tumors.
研究组 & 干预措施
Conventional physical therapy program
It consists of thirty patients with cervical radiculopathy. They will receive conventional physical therapy program.
干预措施: Conventional physical therapy program (Other)
Conventional physical therapy program + Kinetic control training
It consists of thirty patients with cervical radiculopathy. They will receive conventional physical therapy program plus kinetic control training.
干预措施: Conventional physical therapy program (Other)
Conventional physical therapy program + Kinetic control training
It consists of thirty patients with cervical radiculopathy. They will receive conventional physical therapy program plus kinetic control training.
干预措施: Kinetic control training (Other)
结局指标
主要结局
Assessment of pain
时间窗: 8 weeks
The Visual analogue scale is used for pain assessment. In this scale, pain is rated from 0 to 100 mm, in which the 0 represented no pain and100 Represented maximum pain tolerance. Subjects are indicated the best number described their pain.
Assessment of craniovertebral angle (CVA)
时间窗: 8 weeks
Markus Bader ruler (MB ruler) is a computer-based objective tool that measure angles and distances. Reflective markers will be placed on participants' anatomical landmarks and a photograph will be taken. The photograph will be uploaded to a computer and the MB ruler software will be used to calculate the CVA.
Assessment of flexion relaxation phenomenon using surface electromyography
时间窗: 8 weeks
Cervical flexion relaxation phenomenon (FRP) is a myoelectric silence of neck extensor muscles which occurs after a certain degree of flexion. Patients will accomplish cervical flexion and extension from a neutral position in four phases in the sitting position. The surface electromyography activity of cervical erector spinae (CES) will be recorded in each phase.
次要结局
- Assessment of disability(8 weeks)
研究者
Samar Adel Ibrahim Farahat
Principal Investigator
Cairo University