Combined Effect of Kendall and Scapulothoracic Exercises on Brachial Plexus Mechanoreceptors in Chronic Non-specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 3
- 主要终点
- The strength-duration curve to assess the change in mechanosensitivity of brachial plexus
研究概览
简要总结
The purpose of the clinical trial is to investigate the effect of the combined Kendall and scapulothoracic exercises program on mechanosensitivity of brachial plexus, cervical range of motion, neck functional ability, and craniovertebral angle in patients with chronic non-specific neck pain.
we have 3 groups to compare between traditional treatment, scapulothoracic and kendall exercises in treatment of chronic non-specific neck pain.
详细描述
Non-specific neck pain is a generalized pain in the neck and/or shoulder that has mechanical characteristics, such as symptoms brought on by holding a certain neck position, moving the neck, or palpating the cervical muscles (Fernández-de-las-Penas et al., 2007). Minor injuries to the neck caused by poor posture and abrupt muscle contractions might further cause the muscles that are not frequently utilized to shrink, which can result in mechanical dysfunction and chronic pain (Boyd-Clark et al., 2002).
Kendall exercise is generally used as physical therapy for forward head posture and induces proper neck alignment generally using strengthening methods for two muscles (deep cervical flexors and retractors of the scapula) and stretching methods for two muscles (neck extensor muscles and pectoralis) to help with forward head posture, which is a state of imbalance of muscles) (Kendall et al., 2005).
Scapulothoracic strength training may have positive impacts across subjective and objective parameters including pain, and sequentially, activities of daily living, neck range of motion, and strength (Anna-Maria et al., 2020)
PURPOSE:
The purpose of study is to investigate the effect of the combined Kendall and scapulothoracic exercises program on mechanosensitivity of brachial plexus, cervical range of motion, neck functional ability, and craniovertebral angle in patients with chronic non-specific neck pain.
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 (Participant)
入排标准
- 年龄范围
- 25 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Sixty patients of both genders were recruited in the study.
- •The age of the recruited subjects were ranging from 25 to 50 years old
- •Patients having neck pain symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature, for at least the last 3 months
- •Patients with a craniovertebral angle of less than 54º
- •Subjects with a BMI 25-30
排除标准
- •History of previous injury of the neck
- •History of surgical intervention at the neck
- •History of inflammatory joint disease affecting facet joints
- •Neurological disorders such as cervical spondylosis, spondylolisthesis or disc prolapse (Kim et al., 2012).
- •Rheumatic diseases.
- •Cancer patients
- •Patients who received pain medication or physical therapy for their neck pain during the last 3 months
- •Patients who are unable to perform the exercises.
研究组 & 干预措施
Group A will receive conventional treatment
干预措施: Conventional treatment program (Other)
Group C will receive Kendall exercises, scapulothoracic exercises and conventional treatment
干预措施: Kendall exercises (Other)
Group B will receive scapulothoracic exercises and conventional treatment.
干预措施: Conventional treatment program (Other)
Group B will receive scapulothoracic exercises and conventional treatment.
干预措施: Scapulothoracic exercises (Other)
Group C will receive Kendall exercises, scapulothoracic exercises and conventional treatment
干预措施: Conventional treatment program (Other)
Group C will receive Kendall exercises, scapulothoracic exercises and conventional treatment
干预措施: Scapulothoracic exercises (Other)
结局指标
主要结局
The strength-duration curve to assess the change in mechanosensitivity of brachial plexus
时间窗: at first week and after 4 weeks of treatment
The mechanosensitivity of brachial plexus will be measured with strength duration curve by EMG. Assessment will be before and after treatment
次要结局
- Change in Cervical range of motion(at first week and after 4 weeks of treatment)
- Change in Functional performance will be measured by Neck disability index(at first week and after 4 weeks of treatment)
- Change in Craniovertebral angle(at first week and after 4 weeks of treatment)
研究者
Doaa Rafat
Assistant professor of physical therapy
Cairo University