Effect of Adding Lumbar Core Stability Exercises to Cervical and Scapular Stabilization Exercises and Advices on Chronic Non- Specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 66
- 试验地点
- 1
- 主要终点
- change in pain intensity
研究概览
简要总结
Chronic non-specific neck pain patients will be enrolled in 3 groups in this study including passive, active control and experimental groups to determine the effect of adding lumbar core stability exercises to patient's advices and cervical and scapular stabilization exercises. For the last two groups, the sessions will be applied 3 times per week for 4 weeks. All the outcomes will be measured after patient's enrollment and at the end of 4 weeks to determine the difference between groups.
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
- Double (Participant, Outcomes Assessor)
盲法说明
To confirm blindness, all patients will be unaware of the group allocation and the exercises performed by the other group. Also, the pictures of craniovertebral angle will be coded before being measured
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients with persistent cervical pain for more than 12 weeks without specific diagnosis (chronic non-specific neck pain).
- •BMI less than 30 kg/m
- •Pain intensity on VAS should be more than
- •Patient will be able and motivated in completing the study.
- •Psychologically & mentally stable.
排除标准
- •Red Flag's symptoms including a history of major trauma, persistent night pain, bladder or bowel dysfunction, and/or lower or upper extremity neurological deficit.
- •Pregnant women.
- •Recent or old fractures at spine or upper limbs.
- •Congenital, or acquired postural deformity.
- •No previous neck or spinal or shoulder surgery.
- •No current pathologies (e.g. Disc lesion, nerve root compression, canal stenosis, spinal tumor, spinal infection, systemic inflammatory diseases, ...).
结局指标
主要结局
change in pain intensity
时间窗: This outcome will be assessed at the first day and after 4 weeks following end of treatment
Pain intensity will be assessed by using Visual analogue scale (VAS). It is horizontal line with 10 cm length, with Zero marked at one end representing no pain and 10 marked at the other end representing worst imaginable pain.
change in functional disability
时间窗: This outcome will be assessed at the first day and after 4 weeks following end of treatment
Functional disability will be assessed using Arabic version of neck disability index. The patients will be asked to make a mark in each section which most closely described their problem. Each section consists of six potential responses for each item ranging from no disability (0) to total disability (5). Thus, The NDI score ranges between 0-100, with higher scores indicating greater perceived disability. The 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 disabilities.
次要结局
- change in Craniovertebral angle degree (CVA)(This outcome will be assessed at the first day and after 4 weeks following end of treatment)
- change of deep neck flexor (DNF) endurance(This outcome will be assessed at the first day and after 4 weeks following end of treatment)
- change of lateral trunk muscle endurance(This outcome will be assessed at the first day and after 4 weeks following end of treatment)
- change of of deep neck flexor muscles (DNF) activation(This outcome will be assessed at the first day and after 4 weeks following end of treatment)
- change of trunk extensor muscle endurance(This outcome will be assessed at the first day and after 4 weeks following end of treatment)
- change of trunk flexor muscle endurance(This outcome will be assessed at the first day and after 4 weeks following end of treatment)
研究者
Hend Wageh
Assistant Lecturer
Cairo University