Effect of Lumber Core Stability Exercises on Chronic Non-specific Neck Pain

Not Applicable

Recruiting

• Conditions: Neck Pain

• Registration Number: NCT05712239
• Lead Sponsor: Cairo University

Brief Summary

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.

Detailed Description

Not available

Study Timeline

• Study First Submitted: 2023-01-26
• Study First Submitted QC: 2023-01-26
• Study First Posted: 2023-02-03
• Study Start: 2023-02-05
• Status Verified: 2023-08
• Last Update Submitted: 2023-08-30
• Last Update Posted: 2023-09-05
• Primary Completion: 2024-02-01
• Study Completion: 2024-04-01

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 66

Inclusion Criteria

• Patients with persistent cervical pain for more than 12 weeks without specific diagnosis (chronic non-specific neck pain).
• BMI less than 30 kg/m2.
• Pain intensity on VAS should be more than 3.
• Patient will be able and motivated in completing the study.
• Psychologically & mentally stable.

Exclusion Criteria

• 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, ...).

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
change in pain intensity	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	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.

Secondary Outcome Measures

Name	Time	Method
change in Craniovertebral angle degree (CVA)	This outcome will be assessed at the first day and after 4 weeks following end of treatment	To measure CVA, the patient will be captured from the left side after putting landmarks on seventh cervical vertebra (c7) and tragus of the ear. The photograph will be taken and analyzed with kinovea software by drawing a horizontal line passing through C7 and line connecting between the tragus of the ear and C7 and measuring the angle between these lines. As the value of CVA decreases, the degree of FHP increases
change of deep neck flexor (DNF) endurance	This outcome will be assessed at the first day and after 4 weeks following end of treatment	DNF endurance will be assessed by Neck flexor endurance test
change of lateral trunk muscle endurance	This outcome will be assessed at the first day and after 4 weeks following end of treatment	Lateral trunk muscle endurance will be assessed Side plank test for left and right sides
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	DNF activation will be assessed by Craniocervical flexion test using Pressure biofeedback unit
change of trunk extensor muscle endurance	This outcome will be assessed at the first day and after 4 weeks following end of treatment	Trunk extensor muscle endurance will be assessed by Trunk extension test (Sorenson Test)
change of trunk flexor muscle endurance	This outcome will be assessed at the first day and after 4 weeks following end of treatment	Trunk flexor muscle endurance will be assessed by Trunk flexion test (McGill's test)

Trial Locations

Locations (1)

Faculty of Physical Therapy, Cairo University; 🇪🇬 Giza, Egypt