Effects of Cervical Sensorimotor Control Training in Nonspecific Chronic Neck Pain
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Nonspecific Chronic Neck Pain
- Sponsor
- Riphah International University
- Enrollment
- 28
- Locations
- 1
- Primary Endpoint
- Cervical Joint position error
- Status
- Completed
- Last Updated
- 6 years ago
Overview
Brief Summary
Impaired cervical joint position sense is associated with neck pain. This study will determine the effects of sensorimotor control training exercises on cervical joint position, pain, ROM and function in nonspecific chronic neck pain. There will be two groups ; experimental and control. Half of study group will receive cervical sensorimotor control training exercises and half of study group will receive conventional physiotherapy protocol.
Detailed Description
The study is Randomized Control Trail , which is being conducted in physical therapy Out patient department of Pakistan Railway hospital (April 2019-July 2019) . Sample size of 18 individual was calculated using Epitool with 95% confidence interval (CI), and power 80%. Individual will be screened out according to inclusion criteria. Individuals will be allocated randomly into two groups , 9 in cervical Sensori-motor training group and 9 in conventional physiotherapy protocol group by sealed envelope method. Both groups will receive conventional physiotherapy protocol (hot pack, stretching exercises and strengthening exercises) for neck pain in common and the experimental group will receive cervical sensorimotor control training in addition to conventional protocol. Assessment will be done on baseline and 6th week. Data will be analysed on SPSS version 21.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Age between 20 to 50 years
- •Non specific neck pain
- •Insidious neck pain for at least 3 month
- •Average pain intensity over the past week \>4 on Numeric Pain Rating Scale(NPRS)
Exclusion Criteria
- •Previous history of neck and head trauma or surgery
- •Inflammatory joint disease
- •Systemic conditions
- •Cognitive impairment
- •Taking four or more medications
Outcomes
Primary Outcomes
Cervical Joint position error
Time Frame: post 6th week
The task is to return head to the starting position as accurately as possible. Three trials will be performed of right and left rotation and extension. An average absolute error of \> 4.5° in any direction is indicative of a deficit in cervical joint position sense
Clinical test of sensory interaction and balance (CTSIB)
Time Frame: post 6th week
This test is design to assess how well an older adult is using sensory inputs when one or more sensory systems are compromise. Begin timing each trial using a stopwatch. The trial is over when (a) the participant opens his/her eyes in an eyes closed condition, (b) raises arms from sides, (c) loses balance and requires manual assistance to prevent a fall
Secondary Outcomes
- Numeric pain rating scale (NPRS)(post 6th week)
- Patient-Specific Functional Scale (PSFS)(post 6th week)
- Neck Disability Index (NDI):(Baseline)
- Neck pain and disability index (NDI):(post 6th week)
- CROM (inclinometer)(post 6th week)