Effectiveness of Cervical Rehabilitation Program on Neck Pain, ROM and Disability After Thyroidectomy.
- Conditions
- Thyroiditis, Postpartum
- Interventions
- Other: control groupOther: cervical rehabilitation program
- Registration Number
- NCT05497752
- Lead Sponsor
- Riphah International University
- Brief Summary
The aim of this research is to determine the Effects of cervical rehabilitation program on neck pain, ROM and disability after thyroidectomy. Randomized controlled trials will be done at Pakistan ordinance factory (POF) Hospital. The sample size will be 52. The subjects were divided in two groups, with 26 subjects in Group A and 26 in Group B. Study duration will be of 6 months. Sampling technique applied will be Non probability Convenience Sampling technique. Both males and females of aged 30-50 years with thyroidectomy will be included. Tools used in the study are Numeric Pain Rating Score (NPRS), goniometer and neck disability index (NDI).
- Detailed Description
Thyroidectomy, or surgical removal of the gland, is highly recommended treatment for thyroid disorders. The most prevalent of these conditions are symptomatic benign large goiter and tumorous condition of the thyroid gland. Both younger females and postmenopausal older women are prevalent towards these disorders (nodular goiter, cancer, and hypothyroidism).
Due to hyperextended position of neck during surgery patient usually complaint about the posterior neck pain, movement difficulties of shoulder and neck, occipital headaches, shoulder stiffness, motion's cervical range of limitations and some of them experiences the discomfort symptoms such as stretching, pressing, or choking feelings in the neck, headache, shoulder stiffness, and difficulty in moving the neck or shoulders. These symptoms may persist for an extended period following surgery and may even have a negative effect on the patient's quality of life. It has been reported that hyperextension can cause bilateral hypoglossal palsy, tetraplegia and cervical artery dissection.
Recently, a variety of treatment modalities have been used to overcome these disturbing symptoms, such as intraoperative transcutaneous electrical nerve stimulation (TENS), preoperative bilateral greater occipital nerve (GON) block, bilateral superficial cervical plexus block combined with bilateral GON block, and postoperative neck stretching exercise. Due to surgical position of thyroidectomy patient often develops posture syndrome of thyroid surgery (PSTS), symptoms include postoperative nausea, vomiting, dizziness, headache and some discomfort associated with neck an occipital radiating pain.
Position of neck during surgery and static posture of patient after thyroidectomy causes tightness of surrounding muscles which leads to posterior neck pain, limited ROM and functional disability. Everyone is focused on the incisional pain but not on this disability, there is some literature on neck stretching exercises to treat posterior neck pain but no other technique is used for treatment of posterior neck pain. The purpose of this study is to check the effectiveness of cervical rehabilitation program on neck pain, ROM and disability following thyroidectomy.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 52
-
• Both genders (male & female)
- Post-thyroidectomy patients
- Indoor patients
-
• Any cervical fracture/dislocations
- Cervical instability
- Vertebrobasilar insufficiency
- Cervical Radiculopathy
- Disc prolapsed at cervical region
- Any neurological impairment
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description control group control group shoulder and neck exercises cervical rehabilitation group cervical rehabilitation program Positional release technique on trapezius muscle, suboccipital muscle release, pectoralis muscle stretching
- Primary Outcome Measures
Name Time Method Neck disability index 1 week is used to asses that how neck pain affects the quality of life of a person. It consists of 10 items, from 0-5 points in each item. Total score of NDI is 50 that is converted into percentage of 100 latterly.
0-4 points (0-8%) no disability, 5-14 points ( 10 - 28%) mild disability, 15-24 points (30-48% ) moderate disability, 25-34 points (50- 64%) severe disability, 35-50 points (70-100%) complete disabilityNPRS 1 Week It used to assess neck pain intensity. Patients were asked to rate how bad their neck pain will on average (NPRS; range, 0, no pain, to 10, maximum pain). pain will be assessed at baseline and after 1 week.
- Secondary Outcome Measures
Name Time Method neck Extension ROM 1 week Goniometer is a tool used to assess the range of motion. The range of motion from neutral position to backward movement will be measured. reading will be taken at baseline and at 1st week.
neck Rt side flexion ROM 1 week Goniometer is a tool used to assess the range of motion. The range of motion from neutral position to Rt side, ear towards the shoulder movement will be measured. reading will be taken at baseline and at 1st week.
neck Lt Rotation ROM 1 week Goniometer is a tool used to assess the range of motion. The range of motion from neutral position to Rt side, face towards the Lt side movement will be measured. reading will be taken at baseline and at 1st week.
neck flexion ROM 1 week Goniometer is a tool used to assess the range of motion. The range of motion from neutral position to forward movement will be measured. reading will be taken at baseline and at 1st week.
neck Lt side flexion ROM 1 week Goniometer is a tool used to assess the range of motion. The range of motion from neutral position to Lt side, ear towards the shoulder movement will be measured. reading will be taken at baseline and at 1st week.
neck Rt Rotation ROM 1 week Goniometer is a tool used to assess the range of motion. The range of motion from neutral position to Rt side, Face towards the Rt side movement will be measured. reading will be taken at baseline and at 1st week.
Trial Locations
- Locations (1)
Heavy Industrial Taxila Hospital
🇵🇰Rawalpindi, Punjab, Pakistan