Relationship of Deep Cervical Flexor Muscle Endurance With Neck Position Sense and Body Balance

Completed

• Conditions: Neck Pain
• Interventions: Other: Evaluation

• Registration Number: NCT03489954
• Lead Sponsor: Dokuz Eylul University

Brief Summary

The aims of this research are to investigate relationship of deep cervical flexor muscle endurance with neck position sense and body balance in non-specific chronic neck pain, and to compare the results with healthy individuals.

Detailed Description

The investigation will be included 2 groups which include 30 individuals with non-specific chronic neck pain and 30 healthy individuals. In evaluation of participants, endurance of deep cervical flexor muscles will be measured using Stabilizer Pressure Biofeedback Unit with cranio-cervical flexion test. Pressure rise which increases from 20 mmHg to 30 mmHg with 2 mmHg increments will be performed in 5 stages. There are 10 seconds contractions at every stage and these contractions will be made 10 times. Endurance will be calculated by the cumulative performance index with the information obtained from this test. Neck position sense of 6-direction (flexion, extension, right-left lateral flexion and right-left rotation) will be measured by CROM device (cervical range of motion device). Joint position error will be calculated by taking the average of the absolute angular difference by 3 trial for each direction. Body balace will be measured by Balance Master System. Modified clinical test of sensory interaction balance (mCTSIB), limits of stability (LOS), rhythmic weight shift (RWS), unilateral stance (US), walk across (WA) and step/quick turn (SQT) will be performed.

Study Timeline

• Study Start: 2018-03-01
• Study First Submitted: 2018-03-25
• Study First Submitted QC: 2018-04-04
• Study First Posted: 2018-04-06
• Primary Completion: 2019-12-30
• Study Completion: 2020-01-20
• Status Verified: 2020-08
• Last Update Submitted: 2020-08-04
• Last Update Posted: 2020-08-05

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 60

Inclusion Criteria

• Non-specific chronic neck pain for at least 3 months
• Neck pain is at most 7/10 according to VAS

Exclusion Criteria

• Musculoskeletal treatment for neck complaints or balance within the last 3 months
• Musculoskeletal disease that may affect balance
• Spine, upper or lower limb fractures or surgical history
• Diagnosis of vestibular disorder
• Diagnosis of neurological or systemic musculoskeletal disease
• Pregnancy

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Non-specific chronic neck pain group	Evaluation	In evaluation of participants, endurance of deep cervical flexor muscles will be measured using stabilizer pressure biofeedback unit with cranio-cervical flexion test. Neck position sense of 6-direction (flexion, extension, right-left lateral flexion and right-left rotation) will be measured by CROM device (cervical range of motion device). Body balace will be measured by Balance Master System.
Healthy group	Evaluation	In evaluation of participants, endurance of deep cervical flexor muscles will be measured using stabilizer pressure biofeedback unit with cranio-cervical flexion test. Neck position sense of 6-direction (flexion, extension, right-left lateral flexion and right-left rotation) will be measured by CROM device (cervical range of motion device). Body balace will be measured by Balance Master System.

Primary Outcome Measures

Name	Time	Method
Endurance of deep cervical flexor muscles	Baseline	Score of cranio-cervical flexion test will be measured by Stabilizer Pressure Biofeedback Unit.

Secondary Outcome Measures

Name	Time	Method
Neck position sense	Baseline	Joint position error of 6-direction (flexion, extension, right-left lateral flexion and right-left rotation) will be measured by cervical range of motion device (CROM device).
Limits of stability (LOS)	Baseline	This test will be measured by Balance Master System.
Rhythmic weight shift (RWS)	Baseline	This test will be measured by Balance Master System.
Pain	Baseline	This test will be measured by Visual Analog Scale (VAS) score in activity and rest. VAS has 10-centimeter line corresponding to the amount of pain they experienced. "0" means "no pain" and "10" means "pain as bad as possible".
Modified clinical test of sensory interaction balance (mCTSIB)	Baseline	This test will be measured by Balance Master System.
Walk across (WA)	Baseline	This test will be measured by Balance Master System.
Unilateral stance (US)	Baseline	This test will be measured by Balance Master System.
Step/quick turn (SQT)	Baseline	This test will be measured by Balance Master System.

Trial Locations

Locations (1)

Dokuz Eylul University; 🇹🇷 Balçova, İzmir, Turkey