Effectiveness of Magnetic Therapy With Exercise Versus Exercise Therapy in Old Patients With Chronic Mechanical Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 51
- 试验地点
- 1
- 主要终点
- Visual analogue scale (VAS)
研究概览
简要总结
Mechanical neck pain (MNP) is a common condition that affects all aging groups. MNP has a huge physical, psychological and economic impact. The aim of this study is to evaluate the effects of magnetic therapy (MT) with exercise versus exercise therapy on neck pain, proprioception, balance, and function in older patients with chronic MNP. Materials & Method: 50 male and female patients with chronic MNP, their ages will range from 56 years and above. They will be allocated from different physiotherapy departments. Eligible participants will be equally randomized into two groups. Group-I: 25 patients will practice the exercise training program in addition to receiving pulsed electromagnetic field therapy (PEMF) (experimental arm). Group-II: 25 patients will practice the exercise program.
All participants will receive three sessions every week for four weeks. The primary outcomes are pain (Visual Analogue Scale VAS) and balance (Single leg stance time test SLST, Tinetti balance assessment, and Timed Up and Go TUG). The secondary outcomes are the Neck Disability Index (NDI), cervical range of motion (CROM), cervical joint position sense error (JPSE), and quality of life QOL SF-36 questionnaire. Measurements will be taken before the first session, after two weeks, and after the last session.
详细描述
The aim of the study is to:
Evaluate effects of pulsed electromagnetic field therapy along with exercise versus exercise therapy alone on neck pain, proprioception, balance, QOL, and functions in elderly patients with chronic MNP.
Procedure Design of the study: Randomized clinical trial RCT. Subjects: 50 patients (male and female) will be recruited from two physiotherapy departments in Saudi Arabia according to the inclusion and exclusion criteria. Their age will be 56 and above years. The included participants will be equally randomized into one of two groups: Group-I: 25 patients will practice the exercise program in addition to receiving a pulsed electromagnetic field therapy (experimental arm). Group-II: 25 patients will practice the exercise program (control arm)_ Randomization is blocking randomization and will be taken by the main researcher using a random number generator by a computer program software http://mahmoodsaghaei.tripod.com/Softwares/randalloc.html#Generate. Allocation will be done by an independent person who is not involved in the study using concealed opaque envelopes.
Confidentiality: All participants' data will be saved in a personal computer locked with a password. All questionnaire papers will be kept with the primary researcher in a locker.
Patient's rights: All recruited patients will sign a consent form before their participation and they will be informed that the collected data might be published.
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
- Single (Outcomes Assessor)
盲法说明
The assessment will be done by an independent assessor who will be blinded to the aim of the study and the patient's group allocation.
入排标准
- 年龄范围
- 56 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •chronic mechanical neck pain for > 3 months.
- •pain at rest or with movement that is felt in the neck, shoulders, and between scapulas on VAS scale at least 3/
- •did not have any physical therapy interventions in the last five weeks.
排除标准
- •cognitive impairment, rheumatic disease, infected joints, uncontrolled cardiovascular or pulmonary diseases, neurological conditions or nerve pathology, radicular symptoms, or malignancy.
- •previous cervical spine surgeries.
- •implemented cardiac pacemakers or any other electrical devices.
- •vestibular system dysfunction or internal ear problems.
- •corticosteroid injection in the last 12 weeks before participation.
- •lower limb pain or condition that prevents the participant from performing the standing balance assessment.
研究组 & 干预措施
Electromagnetic Field therapy with an exercise program
The magnetic field is generated through a mattress that is connected to the device. The maximum program, program 4, for 20 minutes with an intensity of 35 microtesla (level 10) and 50-60 Hz. Every patient is lying on the mattress in a supine position. In addition to exercise training program included postural correction strengthening exercises, stretching, proprioception and balance training
干预措施: Electromagnetic Field therapy with an exercise program (Device)
exercise program
Every patients will practice the exercise training program alone. the program included postural correction, strengthening exercises, stretching, proprioception and balance training
干预措施: exercise program (Other)
结局指标
主要结局
Visual analogue scale (VAS)
时间窗: 4 weeks
Every patient was asked to but a mark on the VAS line which represents his/her level of neck pain intensity from 0 to 10.It is a 10 cm drawn line. Where 0 represents no pain and 10 is the maximum pain level. The patient will be asked to but a mark on the line which represents his/her level of pain.
Tinetti balance assessment
时间窗: 4 weeks
consists of 2 parts: balance (9 items) and gait (8 items) with a total score of 28. The test started with the patient sitting on armless chair then asked to stand up. The next step, then the assessor nudged the patient sternum to check the balance with the patient eyes opened and then closed then the patient turned around 360 degrees and lastly sat down. The next part was to test the gait to assess the dynamic balance. The patient had to walk about five meters on an even walkway in his usual walking pattern while the assessor assess the steps length, height, symmetry, and continuity and straightness of the trunk. 24 is a low risk of falls, 19 to 23 is a moderate risk and 18 and less is a high risk of falls.
Single-leg stance time (SLST)
时间窗: 4 weeks
Every patient was asked to stand on the preferred leg for a maximum of 90 seconds with the arms on the sides. The elevated leg should not touch the other one. The test was performed with eyes opened first then repeated with eyes closed. The time was recorded with a stopwatch.with eyes open and closed will be used for static postural balance.The participant will stand on the preferred leg for a maximum of 90 seconds with the arms on the sides. The test will be performed with eyes opened first then with eyes closed. Time is recorded by a stopwatch.
Timed Up and Go
时间窗: 4 weeks
Every patient was asked to stand up from an armchair, walk for three meters (marked on the floor), and turn around the mark, go back and sit down again. Time was measured in seconds with a stopwatch.the patient will be asked to stand up from an armchair, walks for 3 meters (marked on the floor), and turns back and sits again. Time is measured in seconds with a stopwatch.
次要结局
- Neck Disability Index(4 weeks)
- Cervical range of motion (CROM)(4 weeks)
- cervical joint position sense error test (JPSE)(4 weeks)
- Quality of life questionnaire SF-36(4 weeks)
研究者
Randa Mohammed Almasri
Principal investigator
Imam Abdulrahman Bin Faisal University