The Effectiveness of Exercises Protocol in Management of Neck Pain

NCT02225873 | Completed DMC

• 1 other identifier: M2013/046/20140528
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study will verify whether the cranio-cervical flexion coordination (motor control) and muscle strength training protocol is more effective in improving muscle than the proprioception and muscle strength protocol in patients with chronic neck pain. Hypothesis: The craniocervical flexion (motor control) and muscle strength training protocol will improve muscle function more than the proprioception and muscle strength protocol in patients with chronic cervical pain. Objective: To find out if applying the strength therapeutic exercise protocol and the craniocervical flexion coordination (motor control) training is more effective than the strength and articular repositioning protocol when carrying out the craniocervical flexion test in patients with chronic cervical pain.

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (1)

• Craniocervical Flexion Test

  This test measures the activation and resistance of the neck flexor muscles in 5 steps, with isometric contractions on the patient every 2 mmHg, increasing pressure sequentially from 20 mmHg up to 30 mmHg. Once carried out the test, performance will be measured by the pressure level achieved and the number of times pressure can be maintained by the patient with the correct cranioflexion movement in each level.

  up to six months after treatment

Study Arms (2)

strength-endurance exercises

EXPERIMENTAL

Group 1 (experimental) will carry out motor control exercises through cranio-cervical flexion training and strength-endurance exercises.

Other: motor control exercises

strength-endurance and proprioception

PLACEBO COMPARATOR

Group 2 (control) will carry out exercises to improve muscle strength-endurance and proprioception.

Other: muscle strength-endurance and proprioception

Interventions

motor control exercises OTHER

Will carry out intermuscular coordination exercises through cranio-cervical training, following Jull et al. and exercises to increase strength-endurance on the neck flexor muscles

strength-endurance exercises

muscle strength-endurance and proprioception OTHER

Will carry out proprioception exercises through articular repositioning training and exercises to increase strength-endurance on the neck flexor muscles. They will be performed in the same way as the experimental group protocol.

strength-endurance and proprioception

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• History of cervical pain of at least 3 months.
• Between 18 and 55 years old.
• Altered movement and/or loss of cervical control.
• Pain after palpation of the muscles to be treated.

You may not qualify if:

• Previous history of central neurological condition.
• Previous surgery of the cervical, cranial, scapular waist, upper limb or jaw.
• Having received specific treatment or therapy of the cervical region in the 6 months prior to the study.
• Neck pain or headache with no musculo-skeletal causes.
• Any other disorder that prevents physical activity.
• Having received psychological treatment due to neck pain.
• Patients with fibromyalgia, rheumatoid arthritis, vascular diseases, neoplasm or vestibular system pathologies.

Sponsors & Collaborators

• University of Alcala: lead

Study Sites (1)

Alcalá University

Alcalá de Henares, Madrid, 28871, Spain

Location

MeSH Terms

Conditions

Neck Pain

Interventions

Proprioception

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Vestibulocochlear Physiological Phenomena; Physiological Phenomena; Sensation; Nervous System Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Tomas Gallego-Izquierdo, Dr

  Alcala University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr.

Study Record Dates

• First Submitted: August 24, 2014
• First Posted: August 26, 2014
• Study Start: September 1, 2014
• Primary Completion: November 1, 2014
• Study Completion: January 1, 2015
• Last Updated: December 2, 2015

Record last verified: 2015-11

Locations

ES (1)