Adding Instrument Assisted Soft Tissue Mobilization to Core Stability Training in Chronic Mechanical Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 2
- 主要终点
- Cervical range of motion and proprioception
研究概览
简要总结
Purpose of the study was to investigate the effect of adding instrument assisted soft tissue mobilization to core stability training in treatment of chronic mechanical neck pain on pain level, cervical ROM, proprioception, muscle activity, H-reflex, and functions.
详细描述
Neck pain (NP) is a common musculoskeletal condition with a lifetime incidence rate between 22% and 70%.
Neck pain is commonly a recurrent condition with remissions and exacerbation that do not completely resolve. A history of previous injury to the neck (including whiplash, sports and work injuries etc.) increases the likelihood of chronic pain. As one ages, more chronic neck pain persists.
Mechanical neck pain is pain and/or stiffness in the neck or shoulder girdle region which was reproducible with neck movements.
Mechanical neck pain is the most common type found in neck-pain disorders. Studies have demonstrated altered behavior of the cervical muscles in mechanical neck-pain patients.
Mechanical neck pain produces mobility restriction, functional disability, decrease in muscle strength and decrease in health related quality of life.
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 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed as having chronic mechanical neck pain.
- •Patient's age between 18-55 years old.
排除标准
- •Subjects with any specific neck pathology as radiculopathy, rheumatoid arthritis and systemic diseases.
- •sensory problems at mid or upper back.
- •A history of head and upper trunk trauma or surgery.
- •severe disorders of the cervical spine such as disk prolapse and cervical stenosis.
结局指标
主要结局
Cervical range of motion and proprioception
时间窗: 4 weeks
Cervical range of motion and proprioception were measured using CROM.
Functions
时间窗: 4 weeks
Functions were measured by Arabic version of Neck Disability Index. It is consisting of 10 items with six choices (0-5), Each item is scored from zero (no disability) to five (total disability). Minimum score means it is better.
H-reflex
时间窗: 4 weeks
H-reflex was measured by EMG.
Pain level
时间窗: 4 weeks
The pain level was measured by visual analogue scale.The VAS is a 100-mm horizontal line anchored by word descriptors at each end by ''no pain'' on the left and ''worst imaginable pain'' on the right. The minimum score means it is better.
Muscle activity
时间窗: 4 weeks
Muscle activity was measured by electromyography (EMG).
次要结局
未报告次要终点
研究者
RAGHDA MOHAMED HASSAN MAHMOUD
physical therapist
Cairo University