The Effectiveness of Dynamic Neuromuscular Stabilization (DNS) Exercises Compared to Localized Exercises and Standard Care on Pain Intensity, Neck Dysfunction, and Upper Cervical Range of Motion in Patients With Chronic Neck Pain: A Pilot Randomized Controlled Trial (RCT)
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 45
- 主要终点
- Numeric Ratic Scale
研究概览
简要总结
Many people experience long-lasting neck pain, which can affect daily life, work, and overall well-being. This study aims to find out which type of exercise program is most effective in reducing neck pain, improving neck movement, and making daily activities easier.
What Is Being Studied?:
The study compares three different types of treatment:
DNS Exercises (Dynamic Neuromuscular Stabilization):
Whole-body exercises focusing on posture, breathing, and core stability.
Localized Neck Exercises:
Targeted exercises for the neck and shoulder muscles.
Standard Care:
Usual physiotherapy treatment commonly provided in clinical practice.
Study Procedures:
Participants are randomly assigned to one of the three groups. Each participant receives individual exercise instruction from a physiotherapist.
Participants are also given simple home exercises to perform on their own. The study lasts for about 12 weeks.
What Will Be Measured?:
At the beginning, during, and at the end of the study, the following will be assessed:
Neck pain intensity (pain scale) Neck range of motion How much the pain affects daily life and activities
Possible Benefits:
Participants may experience:
Less neck pain Improved neck mobility Better overall body awareness Even if not every participant notices improvement, taking part will help researchers improve future treatment options for chronic neck pain.
Risks:
No major risks are expected. All exercises are supervised by qualified physiotherapists and adjusted to each participant's abilities.
Participation can be stopped at any time if discomfort or pain occurs.
Voluntary Participation and Data Privacy:
Participation is completely voluntary. All personal data will be kept confidential and analyzed anonymously for research purposes only.
Participants may withdraw from the study at any time without any disadvantages.
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
- Triple (Participant, Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •between 18 and 50 years of age. This ensures a homogeneous population that in-cludes both young adults and middle-aged individuals.
- •have suffered from neck pain continuously for at least 12 weeks, as described by the International Association for the Study of Pain (IASP)
- •have current neck pain greater than 40 on the Numeric Rating Scale (NRS) (on a scale of 0 to 100).
- •have an NDI score of over 10 points.
排除标准
- •Patients with existing or previous fractures in the cervical spine
- •Patients who have undergone surgery on the cervical spine
- •Patients who, in addition to neck pain, also have or have had dizziness or balance disorders
- •People with osteoporosis
- •Fibromyalgia
- •People with diagnosed rheumatoid arthritis
- •People with red flags identified during a thorough physical examination
- •Patients with neurological deficits identified during a thorough physical examination
- •Participants who have undergone physiotherapy within the last 3 months.
研究组 & 干预措施
Usual_Care
干预措施: Usual Care (Other)
DNS_Group
干预措施: Dynamic Neuromuscular Stabilization (DNS) Exercises (Other)
Local_Exercise
干预措施: Local Exercises (Other)
结局指标
主要结局
Numeric Ratic Scale
时间窗: From enrollment to the end of treatment at 12 weeks
次要结局
- Neck Disability Index(From enrollment to the end of treatment at 12 weeks)
- Flexio Rotation Test(From enrollment to the end of treatment at 12 weeks)
- Fear-Avoidance Beliefs Questionnaire(From enrollment to the end of treatment at 12 weeks)