The Effect of Wearable Postural Feedback Devices Added to the Exercise Approach on Neck Pain and Proprioception in Office Workers With Nonspecific Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neck Pain
- Sponsor
- Istanbul University - Cerrahpasa
- Enrollment
- 58
- Locations
- 1
- Primary Endpoint
- Neck Pain
- Status
- Enrolling By Invitation
- Last Updated
- 10 months ago
Overview
Brief Summary
The goal of this clinical trial is to investigate the effects of wearable postural feedback devices added to exercise approach on neck pain and proprioception in office workers with nonspecific chronic neck pain.
H0: The effects of wearable postural feedback devices added to exercise and exercise approach on neck pain and proprioception are similar in office workers with nonspecific chronic neck pain.
H1: The effects of wearable postural feedback devices added to exercise and exercise approach on neck pain and proprioception are different in office workers with nonspecific chronic neck pain.
58 office workers aged 25-55 years with nonspecific chronic neck pain will be included and divided into 2 groups, physiotherapy programs will be applied for 8 weeks, 3 days a week. All participants will be trained on office ergonomics and proper sitting posture at the beginning of the study. Group 1: Exercise and Postural feedback, Group 2: Exercise. Sociodemographic information will be questioned, pain, neck proprioception, craniovertebral angle, neck muscle strength, endurance and range of motion will be assessed. Neck disability index, physical activity level, stress perception level, fatigue level, work performance and patient satisfaction will also be evaluated at baseline and 8 weeks.
Detailed Description
Treatment of work-related musculoskeletal disorders can be challenging due to multiple underlying risk factors like physical workload, poor posture, altered sensorimotor control, biopsychosocial conditions. When the information provided by the individual's own sensory system is insufficient, the use of extrinsic feedback has been proposed as an option to reduce sensorimotor discomfort and thus improve movement control. Due to the progress in miniaturization technology of the microelectromechanical system, postural feedback devices have been developed. Recent studies have used different feedback methods to improve posture. Studies have compared the effectiveness of different types of feedback, active exercise and passive therapy. However, there is a need for studies examining the effects of adding postural feedback to different intervention strategies in the office environment. Small, lightweight and easy to wear feedback devices can be expected to provide positive effects on neck pain and proprioception in addition to classical exercises by providing real-time feedback to the user during daily activities.
Investigators
Selin Uz Tuncay
MSc, PhD Student
Istanbul University - Cerrahpasa
Eligibility Criteria
Inclusion Criteria
- •Complained of neck pain during work for at least 3 months,
- •Neck pain severity of 3 and above according to the Numerical Pain Rating Scale,
- •Office worker between the ages of 25-55,
- •Full-time and regular desk worker for the last 3 years,
- •Participants who use a computer at a desk for at least 3 hours a day will be included.
Exclusion Criteria
- •Having neurological and rheumatologic chronic diseases,
- •Receiving physical therapy in the last 6 months
- •History of trauma to the upper extremities and spine,
- •Having diagnoses such as thoracic outlet, cervical rib, vertebrobasilar artery insufficiency,
- •History of cervical spine surgery,
- •Having suffered a whiplash injury,
- •Diagnosed cervical disc and spine pathologies (such as radiculopathy, myelopathy, fracture, infection, tumor, inflammatory diseases, osteoporosis)
Outcomes
Primary Outcomes
Neck Pain
Time Frame: 8 week
Neck pain will be assessed using the Numeric Pain Rating Scale. The patient is asked to rate the severity of pain out of 10. The patient chooses the appropriate value between 0; no pain and 10; the worst pain felt. The Neck Pain Numeric Pain Rating Scale has been reported as a valid and reliable method in patients with neck pain.
Proprioception
Time Frame: 8 week
Neck proprioception will be assessed with the Cervical Joint Position Error Test. Participants will be asked to sit in a chair placed 90 cm from the wall and hold their head in a relaxed neutral position while facing the wall in front of them. A laser pointer will be attached to his/her head with an elastic strap. The laser light on the wall will be marked as the reference point and the participant will then be asked to perform active neck movements (flexion, extension, rotation) and then align the laser light to the reference point with eyes open. He/she will then be asked to repeat the same process with eyes closed and when he/she brings his/her head to the reference point, the new point on the wall will be marked as the target point. The joint position error will be found by measuring the distance between the target and the reference point in cm. Each procedure will be performed 3 times and average values will be taken.
Secondary Outcomes
- Physical activity level(8 weeks)
- Muscle strength(8 weeks)
- Neck Disability Index:(8 weeks)
- Craniovertebral Angle(8 weeks)
- Work performance(8 weeks)
- Pressure Pain Threshold(8 weeks)
- Range of motion(8 weeks)
- Fatigue Assessment(8 weeks)
- Stress Perception Level(8 weeks)
- Patient Satisfaction(8 week)