Joint position sense in individuals with forward head posture with and without neck pain: A comparative study
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 28
- 试验地点
- 1
研究概览
简要总结
Proprioception provides sensory feedback from the body to the nervous system, thus contributes to maintenance of optimal body alignment.Joint position sense is a primary measure to operationalize proprioception. Joint position sense is altered by several factors which include muscle fatigue, whiplash injuries, degenerative changes in muscles etc. Head posture is also a crucial factor affecting joint position sense. Poor ergonomics, excessive smartphones and computer usage are crucial factors leading to forward head posture, which ultimately results in neck pain. Various studies have assessed joint position sense in individuals with neck pain and forward head posture independently, however there is lack of comparative research focusing on individuals with forward head posture who have neck pain versus those who do not have neck pain. There is a need to bridge the gap in the current research by comparing joint position sense in individuals with forward head posture with neck pain versus those without neck pain. Thus, this study aims to compare joint position sense in individuals with forward head posture who have neck pain versus those who do not have neck pain. Total 28 participants with forward head posture will be recruited in the study. 14 participants will be with neck pain and 14 without neck pain. Participants will be recruited in the study by purposive sampling method and according to the inclusion and exclusion criteria. Participants will be assessed for pain intensity using visual analogue scale, head posture will be assessed using photogrammetry method and craniovertebral angle will be calculated. Cervical joint position sense will be assessed using head repositioning accuracy test in study group and control group. Data will be collected in a single session. The data will be analyzed by comparing mean values of joint position sense error between individuals with forward head posture with neck pain and those without neck pain using appropriate parametric or non-parametric tests depending on data normality. The study will also analyze the odds of finding altered joint position sense in those exposed to neck pain.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •FOR STUDY GROUP 1)Patients with mechanical neck pain extending from C3 vertebral level to C7 vertebral level 2)Neck pain present more than 3 months 3)Pain intensity- 3 to 7 as per visual analogue scale 4)Individuals with forward head posture assessed by craniovertebral angle(less than 50 degrees) 5)Age- 18 to 45 years 6)Both males and females INCLUSION CRITERIA FOR CONTROL GROUP 1)Subjects with no neck pain 2)No previous history of neck pain 3)Individuals with forward head posture assessed by craniovertebral angle( less than 50 degrees) 4)Age- 18 to 45 years 5)Both males and females.
排除标准
- •EXCLUSION CRITERIA 1)Patients with Non-mechanical causes of neck pain like- Prolapsed intervertebral disc, Positive Radicular Symptoms, infection, tumor, etc.
- •Congenital or acquired musculoskeletal disorders like Scoliosis, Klippel Feil syndrome, etc.
- •Traumatic conditions affecting Cervical Spine- Fractures, Whiplash related disorders, etc.
- •History of surgery of spine 5)Vestibular impairments such as Vertigo, Tinnitus, etc.
- •Migraine and Headache 7)Auditory impairments without correction 8)Any neurological impairments- Stroke, Cervical myelopathy, Spinal cord injury, Posterior column lesions, Multiple sclerosis, Basal ganglia related disorders 9)Comorbid conditions such as Diabetes Mellitus 10)Seronegative Autoimmune disorders such as Rheumatoid arthritis, Ankylosing spondylitis, Systemic lupus erythematosus, Psoriatic arthritis.
研究者
Dr Swati Paranjape
PT School and Centre, Seth GS Medical College and KEM Hospital