Neck Strengthening in Non-Specific Chronic Neck Pain

Not Applicable

Completed

• Conditions: Neck Pain
• Interventions: Other: Physiotherapy

• Registration Number: NCT06077084
• Lead Sponsor: Universite de La Reunion

Brief Summary

This study aims to investigate the effects of exercise interventions on neck muscle morphometry and composition in individuals with chronic non specific neck pain. The participants will be randomly assigned to either a moderate intensity or a high intensity neck strengthening program. The primary outcomes include neck disability. Secondary outcomes include changes in muscle volume and fat infiltration in the neck muscles measured using MRI, pain intensity, anxiety, and depression. The results of this study will contribute the future rehabilitation strategies.

Detailed Description

Chronic neck pain is a prevalent condition that significantly affects the quality of life for many individuals. It has been observed that individuals with chronic neck pain may experience alterations in muscle composition, including changes in muscle volume and the presence of fat infiltration. Exercise interventions have shown promise in improving muscle function and reducing pain in this population.

Objective:

The objective of this randomized controlled trial is to investigate the effects of two different exercise interventions on the disability and muscle composition in individuals with chronic non specific neck pain. The study aims to compare the outcomes of a moderate intensity neck strengthening program and a high intensity neck strengthening program.

Methods:

Participants will be recruited and randomly assigned to either the moderate intensity neck strengthening (MINS) group or the high intensity neck strengthening (HINS) group. The exercise interventions will be supervised by qualified physiotherapists and will consist of targeted exercises specifically designed to strengthen the neck muscles.

Outcomes :

Magnetic resonance imaging (MRI), Neck Disability Index (NDI), pain intensity, psychological measures such as anxiety and depression using validated questionnaires.

Data analysis :

Pre- and post-intervention measurements within each group and examining the between-group differences.

Conclusion:

This study aims to provide valuable insights into the effects of different exercise interventions on the disability an neck muscle morphometry/composition in individuals with chronic non specific neck pain. The study aims to enhance the understanding of the underlying mechanisms and potential benefits in this population. The findings may contribute to the development of targeted rehabilitation strategies that can effectively improve muscle function and reduce pain in individuals with chronic neck pain.

Study Timeline

• Study Start: 2021-02-01
• Primary Completion: 2021-11-30
• Study Completion: 2022-03-01
• Study First Submitted: 2023-06-06
• Status Verified: 2023-10
• Study First Submitted QC: 2023-10-04
• Last Update Submitted: 2023-10-04
• Study First Posted: 2023-10-11
• Last Update Posted: 2023-10-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• have experienced chronic non-specific neck pain for at least three months, exhibit symptoms triggered by neck movement, and score at least 20% on the Neck Disability Index questionnaire

Exclusion Criteria

• history of head or neck surgery or fracture, rheumatoid or metabolic disease, inability to understand or write in French, significant trauma such as a car accident, previous or current neoplasm, known psychiatric conditions like bipolar disorder, current pregnancy for women, clinical or radiological neurological features, cardiovascular or respiratory conditions, and drug or alcohol abuse

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Moderate intensity	Physiotherapy	-
High intensity	Physiotherapy	-

Primary Outcome Measures

Name	Time	Method
Neck disability Index score	At inclusion and 2 weeks after the 4-months treatment	questionnaire, a higher score means worst disability

Secondary Outcome Measures

Name	Time	Method
Neck muscle volume of multifidus, spinalis cervicis longus colli, levator scapulae, spinalis capitis, splenius capitis, sternocleidomastoideus,	At inclusion and 2 weeks after the 4-months treatment	Muscle volume measured with magnetic resonance imagery, a higher volume could means better improvement
Fat infiltration in neck muscle morphometry of multifidus, spinalis cervicis longus colli, levator scapulae, spinalis capitis, splenius capitis, sternocleidomastoideus.	At inclusion and 2 weeks after the 4-months treatment	% of fat infiltration measured by magnetic resonance imagery, a higher score means worst fat infiltration
Pain	At inclusion and 2 weeks after the 4-months treatment	Numeric Pain Rating Scale of neck pain, a better score means worst pain

Trial Locations

Locations (1)

Université de la Réunion; 🇷🇪 Le Tampon, La Réunion, Réunion