Effects of the specific deep cervical extensor muscle, proprioceptive, and balance exercise on balance control in patients with neck pain; a randomized controlled trial

Phase 1

• Conditions: Balance impairment in Chronic neck pain patients; subclinical neck pain

• Registration Number: TCTR20230831002
• Lead Sponsor: Research Fund for Supporting Lecturer to Admit High Potential Student to Study and Research on His Expert Program Year 2021

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Study Start: 2023-08-31
• Last Update Posted: 19 August 2024
• Study Completion: 2024-08-30

Recruitment & Eligibility

• Status: Pending (Not yet recruiting)
• Sex: All
• Target Recruitment: 132

Inclusion Criteria

1. Subclinical neck pain with recurrent neck pain and low-grade of neck dysfunction for at least three months 2. Age of 20-69 years 3. BMI less than 30 kg/m2 4. Mild to moderate pain on the visual analog scale (VAS=5-74 mm) 5. Good cooperation and communication in the Thai language

Exclusion Criteria

1. History of visual, auditory, vestibular, or neurological deficits (Field et al., 2008; Wah et al., 2021) 2. History of whiplash associated disorder and/or head/neck injuries (Suvarnnato et al., 2019) 3. History of previous cervical or thoracic spinal surgery due to traumatic injuries or surgical interventions of the spine or lower limbs within the prior year (Wah et al., 2021) 4. Medical conditions that could affect balance negatively for example inner ear problem, vertigo, stroke, head injury or etc. (Iverson & Koehle, 2013; Wah et al., 2021) 5. Chronic musculoskeletal diseases, fractures and injury of the lower extremities (Iverson & Koehle, 2013; Shamshiri et al., 2021; Wah et al., 2021) 6. History of the severe neurological or psychiatric disease (Suvarnnato et al., 2019) 7. A Beck Depression Inventory (BDI) score > 30/63 (Wah et al., 2021) 8. A Dizziness Handicap Inventory (DHI) score > 30/100 (Wah et al., 2021) 9. Positive vertebro-basilar artery insufficient test (VBI test) (Suvarnnato et al., 2019) 10. Taking any sedative drug or alcohol within the past 48 hours (Wah et al., 2021)

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Balance error score system (BESS) at the beginning of study, immediate after end of the intervention, 1 month after end of the intervention BESS consists of 3 stances: a double-leg stance, a single-stance and tandem stance in firm and foam surface.

Secondary Outcome Measures

Name	Time	Method
Cross-sectional area of deep cervical muscle at the beginning of study, immediate after end of the intervention, 1 month after end of the intervention Using real-time ultrasonography,Visual analog scale at the beginning of study, immediate after end of the intervention, 1 month after end of the intervention 10-cm line represent of pain,Neck Disability Index-Thai version at the beginning of study, immediate after end of the intervention, 1 month after end of the intervention Self-rated questionaire,Short form 36 health survey questionnaire at the beginning of study, immediate after end of the intervention, 1 month after end of the intervention Self-rated questionaire,Cervical Joint Position Sense at the beginning of study, immediate after end of the intervention, 1 month after end of the intervention using the specialized cervical range of motion (CROM) and meaured error during each movement