The Effects of Arm Ergometer Endurance Training and High-intensity Interval Training on Respiratory Parameters, Musculoskeletal System, and Clinical Symptoms in Chronic Neck Pain
试验速览
- 阶段
- 不适用
- 入组人数
- 51
- 试验地点
- 2
- 主要终点
- chest circumference measurement
研究概览
简要总结
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.
详细描述
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.
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
- None
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •Pregnant women,
- •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.
结局指标
主要结局
chest circumference measurement
时间窗: 8 weeks
chest circumference measurement with a tape measure.
neck pain
时间窗: 8 weeks
participants' neck pain perception with visual analog pain scale. 0= no pain, 10=maximum pain
Spirometer measurements 4
时间窗: 8 weeks
Forced Expiratory Flow (FEF%25-75) with spirometer (Spirolab III, Spirolab, Medical International Research)
Cervical Joint Position Error Test
时间窗: 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
时间窗: 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
时间窗: 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 1
时间窗: 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)
Spirometer measurements 2
时间窗: 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
时间窗: 8 weeks
(FEV1/FVC) with spirometer (Spirolab III, Spirolab, Medical International Research) (FEV1 and FVC will be combined to report FEV1/FVC)
MIP-MEP
时间窗: 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
时间窗: 8 weeks
Activation and endurance of deep cervical flexor muscles with Stabilizer Pressure Biofeedback.
hand grip strength
时间窗: 8 weeks
Hand grip strength with Jamar Hydraulic Hand Dynamometer.
次要结局
未报告次要终点
研究者
Sinem Ayyıldız Çinar
Principle Investigator
Hacettepe University