Comparison of Eccentric Muscle Training and Proprioceptive Neuromuscular Facilitation Techniques in Individuals With Non-specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 45
- 试验地点
- 1
- 主要终点
- Cervical Deep Flexor Muscle Endurance Test
研究概览
简要总结
This trial compared eccentric exercise training and the proprioceptive neuromuscular facilitation (PNF) technique, each added to a common cervical stretching and stabilisation programme, in individuals with non-specific neck pain. Outcomes were neck-related disability, multidimensional pain, cervical range of motion, deep cervical flexor endurance, kinesiophobia and health-related quality of life, assessed at baseline and after 6 weeks.
详细描述
The study was planned as a quantitative study. Volunteer individuals with nonspecific neck pain between the ages of 18-65 will be included in the study, and the participants will be randomly distributed into 3 groups. Control group (n=15), proprioceptive neuromuscular facilitation technique application group (n=15), eccentric muscle training technique application group (n=15). People included in the study will be explained in detail and will be asked to sign a voluntary consent form approved by the ethics committee. Demographic information of individuals in all three groups will be recorded first. Participants in all three groups will be evaluated at the beginning and end of the applications. In our study, participants were evaluated with the McGill Pain Questionnaire to evaluate the character and character of pain, their physical fitness with the Deep Neck Flexor Endurance Test, their functionality related to daily living activities with the Neck Disability Index (NDI, and their quality of life with the World Health Organization Short Form of Quality of Life (WHOQOL-BREF) Tampa Kinesiophobia Scale and a goniometer for Cervical Region Joint Range of Motion Measurement will be used to evaluate kinesiophobia, which is the fear of pain and re-injury, as well as anxiety towards activity and physical movement. This study will be planned five times a week for six weeks. Stretching and stabilization exercises will be applied to the control group in 3 sets of 10 repetitions.
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)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being between the ages of 18-65
- •Deep cervical flexor endurance time of less than 60 seconds on the modified craniocervical flexor endurance test at screening. Candidates able to hold the test position for 60 seconds or longer were considered to have sufficient deep cervical flexor endurance and were not enrolled.
- •History of neck pain that has persisted for at least 7 days
- •Agreeing to participate in the study
- •Having the ability to read and write Turkish.
排除标准
- •Radiculopathy and structural disorder in the cervical region,
- •Surgery to the cervical region,
- •Inflammatory disease,
- •Severe psychological illness,
- •Presence of infection in the bone and soft tissue in the cervical spine,
- •Malignancy,
- •Advanced osteoporosis,
- •Those with upper extremity pathologies,
- •Having a neurological disease that will prevent treatment
- •Having previously undergone cervical region and spine surgery
- •Having been included in a physiotherapy program for the neck and back area in the last 6 months,
- •It was defined as the administration of drugs such as NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) and opioids in the last 24 hours.
研究组 & 干预措施
eccentric
eccentric muscle training technique application
干预措施: eccentric muscle training technique application group (Other)
Control
Participants performed a cervical stretching and stabilisation exercise programme only, without any additional technique.
干预措施: Control (Other)
proprioceptive
proprioceptive neuromuscular facilitation technique application
干预措施: proprioceptive neuromuscular facilitation technique group (Other)
结局指标
主要结局
Cervical Deep Flexor Muscle Endurance Test
时间窗: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.
Patients were asked to lie in a supine position with knees flexed at 90° and hands on the abdomen in a hook position. A 0.5 kilogram (kg) weight was placed on the forehead with the help of a band passed over the ears. The patients were asked to first perform cervical retraction and then 10° cervical flexion, and the degree of flexion was determined with the help of a goniometer. The patients were asked to maintain this position and the time was determined with a stopwatch and recorded in seconds. Patients must be able to maintain this position for 60 seconds (sec) in order to have sufficient muscle endurance. Those below this period have insufficient muscle endurance. Cervical flexion for 60 seconds. Patients holding it above were considered to have sufficient endurance and were not included in the study.
World Health Organization Quality of Life Survey Short Form
时间窗: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.
The scale measures 28 general health, physical, psychological, social and environmental well-being and consists of 26 questions. Turkey version consists of 27 questions. The 27th question is the national question that determines the Environmental Score. Since each domain expresses the quality of life in its own field independently of each other, domain scores are calculated between 4-20. As the score increases, the quality of life increases.
Neck Disability Index
时间窗: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.
Neck Disability Index will be used to evaluate the disability specific to neck pain. The Neck Disability Index has been modified from the Oswestry Disability Index. It consists of 10 sections: pain intensity, personal care, weight bearing, reading, headache, concentration, working, driving, sleep and recreational activities. Each section consists of 6 answers and is scored from 0, no disability, to 5, representing total disability. According to total score; 0-4: no limitation, 5-14: mild limitation, 15-24: moderate limitation, 25-34: severe limitation, 34 and above: completely limited.
Tampa Kinesiophobia Scale
时间窗: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.
Tampa Kinesiophobia Scale was used to evaluate kinesiophobia, which is a state of anxiety that develops against activity and physical movement due to fear of pain and re-injury. It was developed to differentiate between non-excessive fear and phobia in patients with chronic musculoskeletal pain. It is frequently used in the literature to evaluate movement-related fear and anxiety. The scale is a 17-item scale that includes parameters of injury, re-injury and fear-avoidance in work-related activities. As the score increases, it is accepted that the kinesiophobia of the individual with pain increases.Results consist of a total raw score (range between 17 and 68) A low score indicates low kinesiophobia.
Cervical joint goniometric measurements
时间窗: Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period). No further follow-up.
Goniometric measurements in the neck are methods used to evaluate and record neck joint range of motion. These measurements are important to evaluate the patient's condition during the treatment process, follow the progress and create the treatment plan.
次要结局
- McGill Pain Questionnaire (long form)(Baseline (before the first session) and 6 weeks (immediately after the final session of the intervention period).)
研究者
Doç.Dr.Ömer Şevgin
Associate Professor
Uskudar University