The Acute Effect of Proprioceptive Neuromuscular Facilitation on Cervical Range of Motion, Strength and Proprioception.

Not Applicable

Completed

• Conditions: Proprioception; Neck
• Interventions: Other: Proprioceptive Neuromuscular Facilitation stretching; Other: Passive range of motion; Other: Proprioceptive Neuromuscular Facilitation Patterns

• Registration Number: NCT04045106
• Lead Sponsor: Yeditepe University

Brief Summary

the aim of the study was to investigate the immediate influence of proprioceptive neuromuscular facilitation on cervical range of motion, strength and proprioception

Detailed Description

the study evaluates the influence of two proprioceptive neuromuscular facilitation techniques (PNF patterns and PNF stretching) on cervical proprioception. PNF techniques are regularly used techniques among physiotherapist. also there is a lack of studies that investigated the effect of PNF on cervical proprioception

Study Timeline

• Study Start: 2019-02-20
• Primary Completion: 2019-05-27
• Study Completion: 2019-05-27
• Status Verified: 2019-07
• Study First Submitted: 2019-08-01
• Study First Submitted QC: 2019-08-02
• Study First Posted: 2019-08-05
• Last Update Submitted: 2019-08-26
• Last Update Posted: 2019-08-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 104

Inclusion Criteria

• Neck disability index score of 5 or less
• Able to understand and follow instructions
• Above 18 years old

Exclusion Criteria

• Cervical trauma
• History of cervical inter-vertebral disc pathology
• Rheumatic diseases
• Whiplash syndrome
• History of surgeries to the neck, face and shoulders
• History of systemic diseases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
PNF stretching	Proprioceptive Neuromuscular Facilitation stretching	PNF stretching was done using contract-relax-antagonist contract (CRAC) technique for cervical flexors, extensors, right and left lateral flexors, right rotators and left rotators.
control	Passive range of motion	Participants allocated to the control group received ineffective passive ROM.
PNF pattern	Proprioceptive Neuromuscular Facilitation Patterns	PNF patterns were performed using Dynamic of reversals technique which is characterized as active motion alternating from one direction (agonist) to the opposite (antagonist) without relaxing. The cervical patterns consisted of 1. Cervical flexion with right rotation followed by extension with left rotation. 2. Cervical flexion with left rotation followed by extension with right rotation.

Primary Outcome Measures

Name	Time	Method
Cervical Proprioception: Joint position accuracy method using cervical range of motion instrument.	1 day	Joint position accuracy method using cervical range of motion instrument. Participants were asked to sit and put on the CROM instrument, then they were instructed to start moving their head to one of directions then the assessor stopped them at 30 degrees and told them to feel the amount of movement and muscle tension, this was repeated 3 times as a reference, then they were asked to do the movement with the eyes closed until they reach the target angle, this was repeated for 3 times, this was done for each direction and the assessor recorded the results. Cervical proprioception was done for flexion, extension, right side bending, left side bending, right and left rotation

Secondary Outcome Measures

Name	Time	Method
Range Of Motion	1 day	Active Range of motion (AROM) was measured using cervical range of motion instrument.; CROM instrument were placed on the participants head, then the assessor asked the participant to move towards the movement direction until they reach the limit.
Muscle strength	1 day	The measurement were taken for cervical flexors, extensors, right and left rotators, right and left side benders, each was done in an against gravity position.

Trial Locations

Locations (2)

Yeditepe University; 🇹🇷 Ataşehir, İstanbul, Turkey

Bahcesehir University; 🇹🇷 Beşiktaş, Istanbul, Turkey