The Effects of Arm Ergometer Endurance Training and High-intensity Interval Training in Chronic Neck Pain
- Conditions
- Neck Pain
- Interventions
- Other: Aerobic exerciseOther: High-intensity interval training
- Registration Number
- NCT05485220
- Lead Sponsor
- Hacettepe University
- Brief Summary
Neck pain is among the causes of morbidity that causes disability. Although it is not life-threatening, neck pain is one of the most important reasons for a decrease in the workforce. Since there is a close anatomical, musculoskeletal and neural connection between the cervical region and the thoracic spine, neck pain can affect respiratory functions by causing biomechanical changes in the thoracic spine and rib cage. The aim of this study is to investigate the effects of aerobic exercise and high-intensity interval training, which are known to have an effect on both the musculoskeletal system and respiratory functions, on the respiratory parameters and musculoskeletal system disorders and clinical outcomes of people with neck pain when applied with an arm ergometer.
- Detailed Description
Patients will be divided into 3 groups as randomized controlled. Aerobic exercise will be applied to the first group and HIIT to the second group. The third group will be the control group.
The patients in the first group will be applied an aerobic exercise program with an arm ergometer. Peak workload will be determined by performing an exercise test with an arm ergometer and training will be given for 60-70% of the peak workload for 45 minutes with arm ergometer 3 days a week for 8 weeks.
HIIT with arm ergometer will be applied to the patients in the second group. Peak workload will be determined by performing an exercise test with an arm ergometer, and HIIT will be performed with an arm ergometer for 45 minutes in total, 90-95% of peak workload for 30 seconds, 60 seconds in between, active recovery at 40-50% workload. After the patients receive training for 8 weeks, 3 times a week, post-treatment evaluations will be made.
Only evaluations will be made twice, with an interval of 8 weeks, for the patients in the control group.
Recruitment & Eligibility
- Status
- UNKNOWN
- Sex
- All
- Target Recruitment
- 51
- Male and female patients between the ages of 18-55,
- Having neck pain for more than 3 months,
- Having neck pain ≥3 cm in a 10 cm VAS and
- Patients with non-specific neck pain who score > 10/50 on the Neck Disability Index will be included.
- Pregnant women,
- Smokers,
- BMI>40
- Those with any cardiovascular or pulmonary disease,
- Those who cannot exercise due to any medical condition,
- Those who have received physical therapy for neck pain in the last 6 months,
- Red flag (malignancy, spinal fracture, etc.),
- Spinal fracture,
- Shoulder fracture,
- Shoulder subluxation,
- Cervical or shoulder surgery,
- Migraine,
- Rheumatological diseases,
- Those with cervical root compression syndrome,
- Those with neurological/inflammatory spinal pathology,
- Those with chronic whiplash and traumatic neck injury,
- Persons with <24 points on the mini-mental test.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description aerobic exercise group Aerobic exercise the participants do aerobic training by an arm crank ergometer (Monark 881E Upper and Lower Body Ergometer) High intensity interval training group High-intensity interval training the participants do High intensity interval training by an arm crank ergometer (Monark 881E Upper and Lower Body Ergometer)
- Primary Outcome Measures
Name Time Method chest circumference measurement 8 weeks chest circumference measurement with a tape measure.
neck pain 8 weeks participants' neck pain perception with visual analog pain scale. 0= no pain, 10=maximum pain
Spirometer measurements 4 8 weeks Forced Expiratory Flow (FEF%25-75) with spirometer (Spirolab III, Spirolab, Medical International Research)
Cervical Joint Position Error Test 8 weeks Cervical Joint Position Error Test with Cervical Range of Motion - 3 (Performance Attainment Associates, St. Paul, MN, 55117, United States) (CROM 3).
craniovertebral angle 8 weeks Craniovertebral angle will be measured by taking 2 lateral photographs of the subject. Spinous process of C7 and the tragus of ear will be marked with a body marker. A horizontal line is drawn passing through C7 making a right angle with the vertical. Then, the angle between the line connecting C7 spinous process with the tragus of the ear and the horizontal line, will measured using a goniometer
Cervical Joint Range of Motion 8 weeks Cervical Joint Range of Motion with Cervical Range of Motion - 3 (Performance Attainment Associates, St. Paul, MN, 55117, United States) (CROM 3).
Spirometer measurements 2 8 weeks Forced Vital Capacity (FVC) with spirometer (Spirolab III, Spirolab, Medical International Research) (FEV1 and FVC will be combined to report FEV1/FVC)
Spirometer measurements 3 8 weeks (FEV1/FVC) with spirometer (Spirolab III, Spirolab, Medical International Research) (FEV1 and FVC will be combined to report FEV1/FVC)
Spirometer measurements 1 8 weeks Forced Expiratory Volume during the first second (FEV1) with spirometer (Spirolab III, Spirolab, Medical International Research) (FEV1 and FVC will be combined to report FEV1/FVC)
MIP-MEP 8 weeks maximal expiratory pressure (MEP) and maximal inspiratory pressure (MIP) with respiratory pressure meter (Micro Medical MicroMPM).
Activation and endurance of deep cervical flexor muscles 8 weeks Activation and endurance of deep cervical flexor muscles with Stabilizer Pressure Biofeedback.
hand grip strength 8 weeks Hand grip strength with Jamar Hydraulic Hand Dynamometer.
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Sinem Ayyıldız Çinar
🇹🇷Ankara, Turkey