Global Postural Reeducation Exercises Versus Deep Neck Flexor Activation on Non Specific Neck Pain With Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- neck disability
研究概览
简要总结
this study will be conducted to compare between global postural reeducation (GPR) and deep neck flexors (DNF) activation in patients with chronic nonspecific neck pain (NSNP) on pain, disability, forward head posture and deep neck flexors endurance
详细描述
Neck pain (NP) is highly prevalent and is the sixth largest cause of disability in the world, causing considerable economic impact. Between 50% and 75% of people will not recover from an acute episode and will experience recurrent neck pain within the next 1 to 5 years, approximately 68% of people will develop persistent and chronic neck pain.Forward head posture (FHP) is a common posture malalignment which characterized by increased craniocervical angle more than 50 degrees. There is a significant association between neck pain and forward head posture. According to previous studies, it has been proven that an average of 60% of patients with neck pain have a forward head posture.Cranio-cervical flexor muscles training focuses on the deep flexor muscles such as longus capitis and longus colli muscles, which flex the neck, not the head. Also, these low-load exercises train the deep cervical flexors more specifically, rather than all the neck flexors involved in the head-lifting exercise.Global postural reeducation (GPR) is a method of physiotherapy, developed by Phillipe Souchard in the 1950s.Its therapeutic approach depends on causality, and globality and is based on the hypothesis that the muscular system is organized into muscle chains, which can be shortened because of musculoskeletal disorders and constitutional, behavioral and psychological factors. forty four patients will be assigned randomly into two equal groups; fist one will receive global postural reeducation plus active neck exercise and the other will receive deep neck flexor exercises plus active neck exercise
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)
盲法说明
opaque sealed envelope
入排标准
- 年龄范围
- 18 Years 至 24 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Adult physiotherapists with mechanical neck pain and base line score of at least 3 out of 10 pain intensity on VAS .
- •Adult physiotherapists with FHP and CVA less than 50 as a reference angle
- •Adult physiotherapists aged from 18 to 24.
排除标准
- •Specific cause of neck pain as (rheumatic ,sytemic ,neuromuscular diseases ).
- •Cognitive impairment .
- •Cervical radiculopathy .
- •Cervical spondylolisthesis
研究组 & 干预措施
global postural reeducation exercise
the patients will receive global postural reeducation and active neck flexor exercises twice a week for four weeks
干预措施: global postural reeducation exercises (Other)
deep neck flexor activation exercise
the patients will receive deep neck flexor activation with active neck exercises
干预措施: deep neck flexor activation exercise (Other)
结局指标
主要结局
neck disability
时间窗: up to four weeks
neck disability will be measured by the Arabic version of neck disability index. NDI is a self-reported questionnaire that consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50. However, the NDI is frequently normalized to 100 and reported as percent Because the questionnaire is straightforward, most of the patients need approximately 5 minutes to complete it
次要结局
- pain intensity(up to four weeks)
- Craniovertebral Angle(up to four weeks)
- deep neck flexors endurance(up to four weeks)
研究者
Esraa Ahmed Mohamed Ahmed Mostafa
esraa ahmed mohamed ahmed
October 6 University