Effectiveness of Two Exercise Programs on the Neck. Secondary Analysis of a Randomized Clinical Trial.
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 105
- 试验地点
- 2
- 主要终点
- Measurement of Cervical Multifidus and Longus Colli Muscle size.
研究概览
简要总结
The purpose of this study is to evaluate the clinical results in lower cervical range of motion, size deep muscles, endurance, craniovertebral angle and cervical propioception by a training protocol with the new device for cervical treatment (CDAT) and the conventional training protocol (CT) versus a control group (C) in subjects with cervical deep muscle strength deficit.
详细描述
Neck pain is one of the major public health problems, which has a great impact on people's lives, with high prevalence and recurrence rate. Cervical vertebral column is heavily dependent on the muscles for its physical support and activities. There are increasing evidences to support that cervical muscles may impair in patients with neck disorders. Training protocols can help to improve pain, cervical function, posture and cross-sectional area. However, there are no training protocols in subjects with strength deficit of deep cervical muscles, including deep neck extensor and flexor muscles. The cervical device treatment (CDAT) allows us to train the cervical flexor and extensor muscle in a simple and comfortable way.
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
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Deep flexor strength deficit in craniocervical flexion test.
- •Deep extensor strength deficit in neck extensor muscle endurance.
- •≤ 14 score in Neck disability Index
排除标准
- •Have received cervical treatment during the last six month, presented any red flag, neurological or cognitive impairment (inability to understand the questionnaires or examination).
- •Have received cervical manual therapy treatment during the last six month.
- •A history of cervical trauma or surgery during the last year.
- •Chronic neck pain occurring during the last six months (intensity, visual analogue scale >3/10, frequency > 2 days/week, duration >3 hours/day).
结局指标
主要结局
Measurement of Cervical Multifidus and Longus Colli Muscle size.
时间窗: Baseline and 6 weeks, 10 weeks, 14 weeks
The examiners assess these deep muscles with ultrasound after 6 weeks, 10 weeks and 14 weeks.
Physical activity enjoyment Scale (PACES)
时间窗: 6 weeks
The examiners assess participant satisfaction with cervical deep muscle training. This scale measures enjoyment during physical activity through 16 items, which are preceded by the phrase "When I am active..." This instrument measures enjoyment and bipolar enjoyment, through statements such as "I enjoy it", "I'm bored", "It's very exciting", and "I don't like it". The answers will be collected on a Likert scale from 1 (totally disagree) to 5 (totally agree).
Deep neck flexor endurance Test.
时间窗: Baseline and 6 weeks, 10 weeks, 14 weeks
The Chin Tuck Neck Flexion Test is an assessment technique intended to determine the endurance of the deep cervical flexors.
Neck extensor muscle endurance Test
时间窗: Baseline and 6 weeks, 10 weeks, 14 weeks
Mean change from baseline in neck extensor muscle endurance Test after 6 weeks, 10 weeks and 14 weeks. The examiners assess the endurance of deep cervical extensor muscle.
次要结局
- Neck Disability Index(Baseline and 6 weeks, 10 weeks, 14 weeks)
- Neck Pain(Baseline and 6 weeks, 10 weeks, 14 weeks)
研究者
Pilar Pardos Aguilella
Colaborator Lecturer in Physiotherapy
Universitat Internacional de Catalunya