Cervical Sensorimotor Control Training in Chronic Neck Pain

Not Applicable

Completed

• Conditions: Nonspecific Chronic Neck Pain
• Interventions: Other: Cervical sensorimotor control training exercises; Other: Conventional Exercises

• Registration Number: NCT03933267
• Lead Sponsor: Riphah International University

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.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2019-04-25
• Study First Submitted: 2019-04-27
• Study First Submitted QC: 2019-04-30
• Study First Posted: 2019-05-01
• Primary Completion: 2019-06-30
• Study Completion: 2019-06-30
• Status Verified: 2019-08
• Last Update Submitted: 2019-08-08
• Last Update Posted: 2019-08-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 28

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)

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Exclusion Criteria

• Previous history of neck and head trauma or surgery
• Inflammatory joint disease
• Systemic conditions
• Cognitive impairment
• Taking four or more medications

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group I	Cervical sensorimotor control training exercises	This group of participant will receive Cervical sensorimotor control training exercises. In addition to it conventional physical therapy protocol will be given.
Group II Control	Conventional Exercises	this group of participant will receive Conventional physical therapy protocol.

Primary Outcome Measures

Name	Time	Method
Cervical Joint position error	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)	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 Outcome Measures

Name	Time	Method
Numeric pain rating scale (NPRS)	post 6th week	Numeric pain rating scale (NPRS) is an 11 point (0-10) Scale used to measure pain. Patient verbally select value between (0-10) on the basis of intensity of pain. (0) means No pain and (10) means maximum pain experienced at 6th week of intervention.
Patient-Specific Functional Scale (PSFS)	post 6th week	The patient-specific functional scale (PSFS) will be use to assess participants' functional status. Participants will be ask to nominate 3 to 5 activities that they are unable to do or having difficulty doing because of their neck pain. These activities will be rated on a 0-10 scale, where 0 is unable to perform the activity and 10 is able to perform the activity at same. An average of all activities scores will be use for analysis
Neck Disability Index (NDI):	Baseline	Neck Disability Index (NDI) is a questionnaire designed to assess how neck pain has affected patient's ability to manage in everyday life. It has total 10 sections, For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated and converted into percentages. The maximum Score of Neck Disability Index (NDI) is 50. It is measured at Baseline before Intervention.
Neck pain and disability index (NDI):	post 6th week	Neck Disability Index (NDI) is a questionnaire designed to assess how neck pain has affected patient's ability to manage in everyday life. It has total 10 sections, For each section the total possible score is 5: if the first statement is marked the section score = 0, if the last statement is marked it = 5. If all ten sections are completed the score is calculated and converted into percentages. The maximum Score of Neck Disability Index (NDI) is 50. It is measured after 6th week of Intervention.
CROM (inclinometer)	post 6th week	A cervical range of motion (CROM) inclinometer will be use to assess cervical range of motion in flexion, extension, left right lateral flexion and left-right rotation. Participants will be seated upright and asked to actively move their neck in each direction.

Trial Locations

Locations (1)

Pakistan Railway hospital; 🇵🇰 Rawalpindi, Punjab, Pakistan