Comparison of the Effectiveness of Dynamic Isometric, Static Isometric and Craniocervical Flexor Exercise Training in Individuals with Chronic Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 48
- 试验地点
- 1
- 主要终点
- Disability Assesment
研究概览
简要总结
The aim of this study is to compare the effectiveness of craniocervical flexion, static and dynamic isometric exercise training applied with a conventional physiotherapy program in individuals with chronic neck pain.
详细描述
Neck pain is a significant musculoskeletal problem that is frequently encountered in society. Pain that cannot be diagnosed with a specific pathology is called "nonspecific" and pain that continues for more than three months is called "chronic pain". Chronic nonspecific neck pain has negative effects on function and quality of life. The importance of the exercise approach in the treatment of neck pain is quite great. Craniocervical flexion and static isometric exercises are frequently used in individuals with chronic neck pain. However, there are very few studies that include dynamic isometric exercises. The aim of this study is to compare the effectiveness of craniocervical flexion, static and dynamic isometric exercise training applied with a conventional physiotherapy program in individuals with chronic neck pain. The intervention groups of the study are deep cervical flexion exercise training, dynamic isometric exercise training and static isometric exercise training and electrotherapy group. The craniocervical flexion exercise training group will receive deep cervical flexor muscle training with Pressure Biofeedback, the dynamic isometric exercise group will receive exercise training with Thera-band, and the static isometric exercise group will receive neck isometric exercises. The electrotherapy group will receive hotpack, tens, and ultrasound applications. At the beginning and end of the study, pain, disability, posture, muscle strength, endurance, range of motion, and body awareness will be assessed in all individuals.TENS (Transcutaneous Electrical Nerve Stimulation) will be applied to all groups for 20 minutes with a TENS device at a strength of 10-30 mA and a frequency of 80 Hz. A pair of surface electrodes will be placed on the painful area of the neck. The intensity of TENS will be adjusted according to the patient's sensory thresholds so that they are not disturbed by a numbness sensation. After TENS, continuous ultrasound will be applied to the cervical region to produce thermal effects. The intensity will be 1.5 W/cm² and the duration will be 5 minutes. Hotpack will be applied to the trapezius muscle for 10 minutes. Chin tuck exercise will be applied to the cervical region.
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
Assessors and patients were not informed about group allocation
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Being between the ages of 18 and 55,
- •Scoring 15/50 or less on the Neck Disability Index,
- •Having a history of chronic neck pain for at least 3 months,
- •Having a pain level of 5/10 or more,
- •Showing signs of cervical movement control dysfunction,
- •Having cervical muscle tenderness during physical examination.
排除标准
- •Being diagnosed with a vascular disease,
- •Being diagnosed with a vestibular disease,
- •Being diagnosed with hypertension,
- •Being diagnosed with fibromyalgia or rheumatoid arthritis,
- •Having had spine surgery in the last 12 months,
- •Having received an exercise program or standard physiotherapy program involving the cervical region in the last 12 months,
- •Having congenital or acquired kyphosis, scoliosis, etc. having postural deformity,
- •Having specific neck pain such as cancer,
- •Having fractures, instability, inflammatory diseases, history of neck trauma, infections, neurological deficit, having spinal diseases such as radiculopathy, spondylosis.
研究组 & 干预措施
Conventional Treatment
Conventional treatment will include electrotherapy agents (TENS, ultrasound and hotpack) and chin tuck posture exercises.
干预措施: Conventional Treatment Group (Other)
Craniocervical Flexion Exercise Training
Patients will receive exercise in addition to conventional treatment. The exercises will be performed with an air-filled pressure stabilizer placed in the sub-occipital region.
干预措施: Conventional Treatment Group (Other)
Craniocervical Flexion Exercise Training
Patients will receive exercise in addition to conventional treatment. The exercises will be performed with an air-filled pressure stabilizer placed in the sub-occipital region.
干预措施: Craniocervical Flexion Exercise Group (Other)
Dynamic Isometric Exercise Training
Patients will receive exercise in addition to conventional treatment. The exercises will be performed by the patient with an elastic band.
干预措施: Conventional Treatment Group (Other)
Dynamic Isometric Exercise Training
Patients will receive exercise in addition to conventional treatment. The exercises will be performed by the patient with an elastic band.
干预措施: Dynamic Isometric Exercise Group (Other)
Static Isometric Exercise Training
Patients will receive exercise in addition to conventional treatment. The patient will perform isometric exercises with maximal effort against neck flexion, extension, lateral flexion and rotation with his/her hand in a sitting position.
干预措施: Conventional Treatment Group (Other)
Static Isometric Exercise Training
Patients will receive exercise in addition to conventional treatment. The patient will perform isometric exercises with maximal effort against neck flexion, extension, lateral flexion and rotation with his/her hand in a sitting position.
干预措施: Static Isometric Exercise Group (Other)
结局指标
主要结局
Disability Assesment
时间窗: 8 week
Neck Disability Index, designed to assess how neck pain affects daily living activities, will be used. The questionnaire includes 10 items that measure disability secondary to neck pain. Scores range from 0-50 and are interpreted as follows: * 0-4 represents no disability, * 5-14 represents mild disability, * 15-24 represents moderate disability, * 25-33 represents severe disability, * 34 and above represents complete disability.
Pain Assesment
时间窗: 8 week
The assessment will be made with Visual Analogue Scale (VAS) and algometer. VAS is considered both valid and reliable in measuring the pain intensity of patients. Each participant will be asked to indicate the intensity of pain they have experienced in the previous 24 hours. This will be done by marking on a 10 cm line where "0" is "No Pain" and "10" is "Maximum Pain".
次要结局
- Cervical Postur Assesment(8 week)
- Cervical Endurance Assessment(8 week)
- Cervical Joint Range of Motion Assessment(8 week)
- Cervical Strength Assessment(8 week)
- Cervical Endurance Assesment(8 week)
- Neck Awareness Assesment(8 week)
研究者
Ayşen Canan
Physiotherapist Ayşen Canan Pakeloğlu
Muğla Sıtkı Koçman University