Influence of Cervical Stabilization Exercises on Neural Tissue Mechanosensitivity in Patients With Chronic Nonspecific Neck Pain
Overview
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 80
- Primary Endpoint
- mechanosensitivity of upper limb nerves
Overview
Brief Summary
this study will be conducted to investigate the effect of cervical stabilization exercises on cervical pain intensity, upper limbs mechanosensitivity, cervicovertebral angle, and cervical proprioception in individuals with chronic nonspecific neck pain
Detailed Description
Neck pain is the sensation of discomfort in the neck area. Neck pain can result from disorders of any of the structures in the neck, including the cervical vertebrae and intervertebral discs, nerves, muscles, blood vessels, esophagus, larynx, trachea, lymphatic organs, thyroid gland, or parathyroid glands.Forward head posture (FHP) is one of the commonly recognized types of poor head posture in the sagittal plane in patients with neck pain. FHP has been defined as 'any alignment in which the external auditory meatus is positioned anterior to the plumb line through the shoulder joint, with a general prevalence of about 64% in both males and females.Several studies reported the effect of cervical stabilization exercises on pain, ROM and cranio-cervical angle in patients with chronic non-specific neck pain. No studies have been concerned with measuring mechanosensitivity as an indicator technique of the effect of different modalities on chronic non-specific neck pain. With the proposal of the cervical and scapulothoracic stabilization program for patients with chronic non-specific neck pain secondary to forward head posture deviations.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Masking Description
opaque sealed envelope
Eligibility Criteria
- Ages
- 18 Years to 36 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •participants with age range from 18 to 36 years and BMI from 25 to 30kg/m2 will be recruited
- •Participants having neck pain symptoms provoked by neck postures, neck movement, or palpation of the cervical musculature, for 3 months
- •Patients with a craniovertebral angle of less than 50º
Exclusion Criteria
- •History of previous injury of the neck.
- •History of surgical intervention at the neck.
- •History of inflammatory joint disease affecting facet joints
- •participants with congenital disorders of the cervical spine.
- •participants who received pain medication or physical therapy for their neck pain during the last 3 months.
Arms & Interventions
cervical and scapulothoracic stabilization exercises.
forty patients will receive cervical and scapulothoracic stabilization exercises plus traditional therapy three times a week for six weeks
Intervention: cervical and scapulothoracic stabilization exercises. (Other)
cervical and scapulothoracic stabilization exercises.
forty patients will receive cervical and scapulothoracic stabilization exercises plus traditional therapy three times a week for six weeks
Intervention: traditional therapy (Other)
traditional therapy
forty patients will receive traditional therapy three times a week for six weeks
Intervention: traditional therapy (Other)
Outcomes
Primary Outcomes
mechanosensitivity of upper limb nerves
Time Frame: up to 6 weeks
A handheld algometer will be used to assess mechanosensitivity. To apply this test test, specific points on the peripheral nerve trunks of the tested upper limb nerves will be identified through manual palpation, being easily accessible by the probe of the algometer and as they are commonly used sites of peripheral nerves' palpation with moderate inter-tester reliability. The supine lying posture will be assumed to test median and ulnar nerves, while sitting posture will be the choice for radial nerve. Median nerve will be located and tested in the antebrachial fossa just medial to the biceps brachii tendon. Ulnar will be tested in the cubital tunnel between humeral medial epicondyle and olecranon process, with the arm in 90º shoulder abduction as well as external rotation, and elbow flexion. Radial nerve palpation point lies between the middle and lower thirds of the humerus.
Secondary Outcomes
- craniovertebral angle(up to 6 weeks)
- pain intensity(up to six weeks)
- cervical joint position error (cervical proprioception)(up to six weeks)
Investigators
nada ashraf mohamed zuhairy
principle investigator : nada ashraf mohamed zuhairy
Cairo University