Comparison of Sensorimotor and Yoga Exercise in Patients With Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neck Pain
- Sponsor
- Medipol University
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Cervical Joint Position Error Test
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Neck pain is an important public health problem with a high lifetime prevalence and frequently occurring in all industrialized countries. Clinical practice guidelines for chronic neck pain recommend conservative management. Conservative treatment includes many approaches such as endurance, stretching and strengthening exercises, manual therapy, proprioceptive exercises, pilates and yoga. In patients with chronic neck pain, atrophy of deep neck muscles, deterioration in fiber type ratio, muscle tenderness and decreased range of motion are observed. These problems cause poor cervical postural control system and thus impaired sense of proprioception, loss of balance, decreased eye movement and cervical muscle activity. Sensorimotor control of upright posture and head-eye movement relies on information from the vestibular, visual, and proprioceptive systems that assemble throughout the central nervous system.The cervical spine has an important role in providing proprioceptive input. This role is associated with an abundance of cervical mechanoreceptors. Recent studies have shown that proprioceptive training is associated with cervical joint position sense, joint range of motion, pain and disability. Also yoga combines physical exercises with breathing techniques and meditation and yoga is one of the most commonly used complementary treatments for neck pain.The aim of study is to determine the effectiveness of exercises for sensorimotor structure and yoga exercises with physical and meditative effects in individuals with chronic neck pain.
Detailed Description
Participants diagnosed with chronic neck pain will be randomly divided into two groups as sensorimotor exercise group and yoga group by the evaluator. Sensorimotor exercise group; oculomotor exercise to provide information from the visual system, laser target exercise to provide information from the proprioception system, and postural stability exercise to provide information from the vestibular system. Yoga group will be given yoga exercises. Within the content of oculomotor exercise, gaze stability exercise and head-body coordination exercise will be given to the participants. Laser target exercise will be given with the laser target fixed on the participant's head and 90 cm away from the target. Postural stability exercise will be given in form of tandem exercise and standing on one leg. Yoga exercises will be applied by changing and combining 14 poses every week. The study will take 8 weeks. Participants in both groups will also be treated for 2 days a week. Participants will be evaluated twice, before and after treatment. Participants will be evaluated with Demographic Information Form, SF-36 Quality of Life Scale, Neck Disability Questionnaire, Tampa Kinesiophobia Scale, Numerical Pain Scale, Joint Range of Motion Measurement (G-Pro), Joint Position Error Test. Data analysis of the study will be done using SPSS 22.0 package program. The difference between Independent Groups will be compared with the Student's-t independent Test.
Investigators
Dilanur Özkaraoğlu, PT, MSc
PT,MSc
Medipol University
Eligibility Criteria
Inclusion Criteria
- •aged 24-60 years of either sex, at least a 12 weeks history of CNP, CNP according to the Quebec Task Force grading system in Grade 1 and 2
Exclusion Criteria
- •according to Quebec Task Force grading system Grade 3 and 4 neck pain, neurological defects, speech and perception disorders, psychiatric diagnosis, recent history of neck trauma, recent history of cancer, diagnosed vestibular disorder, participants who diagnosed eye disorders, recent history of surgery, contraindications to yoga.
Outcomes
Primary Outcomes
Cervical Joint Position Error Test
Time Frame: 8 weeks
Cervical joint position error (JPE) test was used a laser pointer. A laser pointer was mounted onto a lightweight headband is then placed on the patient's head. The patient was sut 90 cm from the wall, and the started point (center of target or reference point) of the laser projection was marked. The participant (blindfolded or closed) performed active neck movement and then returned to the starting position as accurately as possible. The final laser position was measured relative to the starting position (distance or angle). The errors was measured after cervical extension, flexion, lateral flexions, and rotations.
Secondary Outcomes
- Range of Motion (ROM)(8 weeks)
- Numerical Pain Rating Scale (NPRS)(8 weeks)
- Quality of Life (Short Form-36)(8 weeks)
- Neck Disability Index (NDI)(8 weeks)
- Tampa Scale for Kinesiophobia (TSK)(8 weeks)