Effects of Deep Neck Stabilizers Retraining With Pressure Biofeedback on Cervical Pain, Range of Motion and Temporomandibular Dysfunction in Patients With Chronic Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- Temporomandibular dysfunction
研究概览
简要总结
The present study aims to evaluate the effects of deep neck stabilizers retraining with pressure biofeedback on cervical range of motion, pain, and temporomandibular dysfunction in patients with chronic neck pain.
Participants will receive biofeedback-assisted deep neck flexor retraining in one group, while the other group will perform conventional exercises. The neurological connection between the TMJ and neck means that therapies such as neck flexion exercises and biofeedback can alleviate neck pain and jaw issues.
详细描述
Chronic neck pain is increasingly affecting young adults in Pakistan. This rise is linked to poor posture, being overweight, aging, and various other factors. Weakness in deep neck muscles can affect neck stability. The craniocervical flexion test (CCFT) is useful for evaluating and engaging these muscles. The jaw joint (Temporomandibular joint) and the neck are closely connected through shared nerves. Therefore, problems in the neck can lead to jaw issues (pain and difficulty moving the jaw). Using biofeedback to train deep neck muscles helps improve muscle control, posture, and reduces stress on surface and jaw muscles, easing TMJ symptoms. However, many studies on deep neck stabilizer (DNS) exercises don't focus on jaw problems. This study utilizes pressure biofeedback to relieve pain, improve mobility, and reduce jaw tension by promoting better neck posture.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Diagnosis: Chronic neck pain (duration more than 3 months and less than 1 year and 6 months)
- •TMJ Dysfunction (RCD TMJ Axis I Confirmation on Helkino Index) Fonseca Anamnestic Index (FAI) 20-65 score mild to moderate
排除标准
- •Traumatic neck injury
- •Neurological disorders
- •Cervical spine infection or surgery
研究组 & 干预措施
Group 1 (Biofeedback-assisted deep neck flexor retraining )
Each session includes TENS and hot pack therapy, crook lying exercises with a 20 mmHg pressure biofeedback sensor, the Cranio-Cervical Flexion Test, and neck and shoulder stretches. Data will be collected at the initial point, after 3 weeks, and once more at the 6-week point.
干预措施: Biofeedback-assisted deep neck flexor retraining (Other)
Group 2 (Conventional exercises)
Each session begins with TENS and hot pack therapy, followed by stretching and strengthening exercises for neck and shoulder muscles. Data will be collected at the initial point, after 3 weeks, and once more at the 6-week point.
干预措施: Conventional exercises (Other)
结局指标
主要结局
Temporomandibular dysfunction
时间窗: 6 weeks
Mandibular Functional Impairment Questionnaire
Pain Intensity
时间窗: 6 weeks
Numeric Pain Rating Scale will be used
Cervical Range of Motion
时间窗: 6 weeks
Inclinometer
次要结局
未报告次要终点
研究者
Umber Nawaz
Assistant Professor
Lahore University of Biological and Applied Sciences