Investigation of Morphological Changes of Cervical Spinal Stabilization Exercise Programs Focused on Flexor and Extensor Muscles in Cervical Muscles by Magnetic Resonance Imaging in Healthy Individuals
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 27
- 试验地点
- 2
- 主要终点
- Cervical muscles cross sectional area
研究概览
简要总结
The aim of this study was to investigate the morphological changes in the neck muscles of cervical spinal stabilization exercises focused on flexor and extensor muscles applied to healthy individuals.
详细描述
In the prevention and treatment of cervical region pathologies, various exercise methods are applied in the clinic. The clinical exercises vary according to the time and severity of the pathology but also according to the pathology itself. These exercises include exercises focusing on flexor or extensor muscles. The aim of this study was to investigate the morphological changes in the neck muscles of cervical spinal stabilization exercises focused on flexor and extensor muscles applied to healthy individuals. At least 27 healthy male subjects between the age of 18-30 are planned to be included in the study. Individuals will be divided into 3 groups by simple randomization method. In one group cervical stabilization exercise program focused on the flexor muscles will be applied and the other group cervical stabilization exercise program focused on the extensor muscles will be applied for 8 weeks. Individuals in the control group will only be evaluated without exercise. In the study, by using magnetic resonance imaging (MRI) method as the main evaluation, muscle anatomical cross-sectional area and T2 relaxation time measurements will be made and morphological changes in muscles will be determined. These evaluation procedures will be performed on longus colli, sternocleidomastoid, semispinalis cervicis, multifidus and upper trapezius muscles. As additional evaluation methods, muscle strength and muscle endurance tests, normal joint motion measurements, posture evaluation and MRI measurement of cervical spine curvature will be performed. All evaluations will be performed at the beginning and at the end of these 8 weeks and the effects of the exercises applied on the muscles in the two groups will be examined.
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 (Investigator, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- Male
- 接受健康志愿者
- 是
入选标准
- •being healthy
- •age between 18 to 30 years
- •agree to participate in the study
排除标准
- •to undergo any surgical procedure of the vertebral column
- •inflammatory disease
- •rheumatological disease
- •history of malignancy
- •congenital spinal cord anomaly
- •congenital and/or spinal deformities
- •radiculopathy
- •myelopathy
- •other neurological disorders
- •vestibular disorders and/or trauma history
研究组 & 干预措施
Exercises focused on flexor muscles.
Flexor cervical stabilization exercises will be applied.
干预措施: Exercises focused on flexor muscles (Other)
Exercises focused on extensor muscles.
Extensor cervical stabilization exercises will be applied.
干预措施: Exercises focused on extensor muscles (Other)
Control.
No intervention will be applied.
结局指标
主要结局
Cervical muscles cross sectional area
时间窗: Change from baseline time at the end of 8 week
Measurement of the cross-sectional area of the examined muscles by axial mri images. The circles of the muscles will be drawn by hand and examined with a computer program.
Cervical muscle T2 relaxation time
时间窗: change from baseline time at the end of 8 week
T2 relaxation time of circled muscles will be measured with milliseconds. T2 axial and t2 mapping images will be obtained with mri.
次要结局
- Tragus angle measurement(change from baseline score at the end of 8 week)
- Cervical muscle strength(change from baseline score at the end of 8 week)
- New York posture rating chart(change from baseline score at the end of 8 week)
- Cervical range of motion measurement(change from baseline score at the end of 8 week)
- Cervical flexor and extensor endurance test(change from baseline score at the end of 8 week)
- Evaluation of cervical spine curvature(change from baseline score at the end of 8 week)
研究者
Erdi Kayabınar
Principal Investigator
Hacettepe University