Effect of Deep Neck Flexors Biofeedback Training and Post Isometric Relaxation in Chronic Mechanical Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 45
- 主要终点
- Deep Neck Flexors muscle endurance
研究概览
简要总结
This study will be conducted to explore the superiority of effectiveness between Muscle energy technique combined with Deep Neck Flexors training, MET alone, or DNF training alone in terms of pain intensity, neck function, forward head posture, cervical range of motion and Deep Neck Flexors Muscles endurance in patients with chronic mechanical neck pain(CMNP).
详细描述
Patients will be grouped into three groups; each group composed of 15 patients suffering from CMNP. The personal history of each patient who participated in the study will be collected, the patient will receive an oral explanation of the procedures and signed a consent form . The weight and height of each patient will be obtained using the standard weight scale. The pain intensity level will be assessed via a visual analogue scale (VAS). The disability level will be assessed via neck disability index (NDI). The forward head posture will be assessed via photographic method of Craniovertebral angle (CVA) and the angle will be calculated by using kinovea software. The range of motion will be assessed via universal goniometer (UG). The endurance of the neck muscles will be assessed via pressure biofeedback unit (PBU). Assessment will be done before treatment and after 12 treatment sessions.
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
All the patients will be blinded to group allocation by ensuring that they were unaware of the exercise performed by the other group. To maintain the blinding, the intervention sessions will be delivered separately to members of each treatment group, The allocation will be conducted by another researcher before the baseline.
入排标准
- 年龄范围
- 20 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age group 20-40 years of female and male patient.
- •Patient with neck pain duration more than 3 months and less than one year.
- •Subjects who could not maintain blood pressure at increments of 24 mmHg from the initial 20 mm Hg
- •Patients who have moderate neck pain and disability scoring 15 to 24 from 50 on neck disability index. .
- •Pain intensity more than 3 and less than 7 on visual analogue scale (VAS)
- •CVA less than 49°
排除标准
- •People with severe neck pain. (Disability scoring more than 25 on Neck Disability Index)
- •If they are participated in a neck rehabilitation program over the last 6 months
- •Major circulatory or respiratory disorder
- •Pregnant women or 3 months postnatal
- •Patient with structural instability and degenerative conditions of cervical spine.
- •Body Mass Index more than
- •Post traumatic or infective conditions.
- •Any surgeries around cervical spine
- •Vertigo patient
- •Un-cooperative patient (Gupta et al., 2022).
结局指标
主要结局
Deep Neck Flexors muscle endurance
时间窗: 4 weeks
Pressure biofeedback unit . used for muscular assessment of longus colli and longus capitus.
pain severity
时间窗: 4 weeks
Visual Analogue Scale It is a 10 cm or 100 mm psychometric response scale to measure pain intensity based on numerical values, anchored by a score of 0 no pain and score 10 worst pain The patient will be asked to place a horizontal mark on the continuous 10 cm line in which they could feel. A ruler will be then used to measure the distance from zero and the recorded number will be rounded to the nearest number Visual Analogue Scale .It is a 10 cm or 100 mm anchored by a score of 0 no pain and score 10 worst pain
functional disability
时间窗: 4 weeks
Neck Disability Index . 0% means no activity limitation, and 50 points or 100% means complete activity limitation
次要结局
- craniovertebral angle (CVA)(4 weeks)
- cervical range of motion(4 weeks)
研究者
Eman Mohammed Hamed Sherif
Effect of Deep Neck Flexors Biofeedback Training and Post Isometric Relaxation in Chronic Mechanical Neck Pain
Cairo University