Comparison the Effectiveness of Cervical Stabilization and Oculomotor Exercises in Addition to the Classical Physiotherapy on Pain Severity, Joint Position Sense and Physical Parameters in Individuals With Chronic Neck Pain
试验速览
- 阶段
- 不适用
- 入组人数
- 72
- 试验地点
- 1
- 主要终点
- Cervical Joint Position Sense
研究概览
简要总结
The aim of this study is to compare the effectiveness of Cervical Stabilization and Oculomotor Exercises in addition to the classical physiotherapy on pain severity, cervical joint position sense, posture, cervical joint range of motion, strength and endurance of deep cervical flexor muscles, static and dynamic balance, neck awareness, functional disability and patient satisfaction in individuals with chronic neck pain. When the literature is examined, there is no study comparing the effectiveness of cervical stabilization and oculomotor exercises in individuals with chronic neck pain. However, it has also attracted our attention that a progressive and dynamic program was not followed in studies stating the oculomotor exercise program. In this sense, The study is important in terms of both comparing the effects of these 3 treatments and presenting a progressive and dynamic exercise protocol to the literature.
详细描述
The Participants included in the study will be divided into 3 groups. Participants in Group 1 will receive cervical stabilization exercises in addition to the classical physiotherapy program, individuals in Group 2 will receive oculomotor exercises in addition to the classical physiotherapy program, and only the classical physiotherapy program will be applied to group 3.
Transcutaneous Electrical Nerve Stimulation, hotpack, classical massage and stretching/posture exercises will be given to participants within the scope of the Classical Physiotherapy program. In addition to the classical physiotherapy program, the participants in the 1st and 2nd groups will be given exercises that gradually increase in difficulty level, 3 days a week, for a total of 8 weeks, under the control of a physiotherapist. Participants in the 3rd group will be given only classical physiotherapy. At the same time, stretching and posture exercises will be performed under the control of a physiotherapist.
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
- None
入排标准
- 年龄范围
- 30 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Men and women between the ages of 30-55,
- •Neck pain for at least 3 months,
- •Sedentary or non-regular exercise habit (3 days a week, less than 30 min of physical activity per day)
- •According to the Numerical Pain Scale, the pain intensity is 4 cm and above
排除标准
- •• Has received any physiotherapy program due to neck or back pain in the last 6 months,
- •Congenital anomaly in the cervical region (such as Klippel Feil Syndrome)
- •Having structural scoliosis at any level of the vertebral column,
- •Acute or chronic neurological deficits (sensory and motor loss),
- •With vertebrobasillary artery failure,
- •Thoracic Outlet Syndrome,
- •Any vestibular problem,
- •With marked diplopia and oculomotor muscle insufficiency,
- •Having a cervical rib,
- •Having a history of fractures in the cervical vertebrae,
- •Colorblind,
- •Suffering from whiplash injury,
- •Those with serious rheumatic diseases such as Ankylosing Spondylitis, Rheumatoid Arthritis
- •Having undergone spine surgery from any region,
- •Tumor or spinal cord compression due to another reason,
- •Using any pain reliever drug other than simple analgesics.
- •Those who have problems related to the lumbar region such as lumbal stenosis, lumbar disc herniation
研究组 & 干预措施
Classical Physiotherapy Program + Cervical Stabilization Exercises
In addition to classical physiotherapy, Cervical Stabilization Exercises will be applied to the individuals in the 1st group.
干预措施: Classical Physiotherapy Program + Cervical Stabilization Exercises (Other)
Classical Physiotherapy Program + Oculomotor Exercises
In addition to classical physiotherapy, Oculomotor Exercises will be applied to the individuals in the 2nd group.
干预措施: Classical Physiotherapy Program + Oculomotor Exercises (Other)
Classical Physiotherapy Program
Only the classical physiotherapy program will be applied to the individuals in 3rd group.
干预措施: Classical Physiotherapy Program (Other)
结局指标
主要结局
Cervical Joint Position Sense
时间窗: Change from Cervical Joint Position Sense at the end of 8 weeks
Joint Position Sense of flexion-extension, right-left rotation and right-left lateral flexion movements of the cervical region will be evaluated. A laser marker will be used to perform the assessment. The target angle for cervical flexion, extension and right-left rotation joint position sense measurement is 30°, and 20° for right-left cervical lateral flexion. Measurements will be made with eyes open and eyes closed. Before the JPS evaluations, the method will be explained to the individuals in detail and a sufficient number of trials will be made before the tests. Considering that fatigue may affect the results, all individuals will be warned not to forcefully move their neck and back muscles before the measurement. In order to prevent proprioceptive input, they will be asked to come in comfortable clothes that do not wrap around the neck on the day of their evaluation.
次要结局
- Pain Intensity(Change from Pain Intensity at the end of 8 weeks)
- Static Balance(Change from Static Balance at the end of 8 weeks)
- Patient Satisfaction(End of eight weeks)
- Cervicothoracic angle(Change from Cervicothoracic angle at the end of 8 weeks)
- Functional Disability(Change from Functional Disability at the end of 8 weeks)
- Strength and Endurance of the Deep Cervical Flexor Muscles(Change from Strength and Endurance of the Deep Cervical Flexor Muscles at the end of 8 weeks)
- Neck Awareness(Change from Neck Awareness at the end of 8 weeks)
- Craniovertebral Angle(Change from Craniovertebral Angle at the end of 8 weeks)
- Cervical Joint Range of Motion(Change from Cervical Joint Range of Motion at the end of 8 weeks)
- Dynamic Balance(Change from Dynamic Balance at the end of 8 weeks)
研究者
Cemaliye Hürer
Master of Science, Physiotherapist, Lecturer, Principal Investigator
Eastern Mediterranean University