Could Cervical Postural Changes Affect the Long Thoracic Nerve Electromyographic Findings?

NCT02639104 | Unknown

• 1 other identifier: KA15-220
• Study Type: interventional
• Target: 100
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates one of the mechanism factors of neck pain. Cervical lordotic angle alterations affect the tension of serratus anterior muscle. Expected result that the long thoracic nerve can be affected in this situation, and could be observed the functional changes of the nerve with serratus anterior electromyographic findings.

Conditions

Cervicalgia

Keywords

neck pain; cervical lordosis; long thoracic nerve

Outcome Measures

Primary Outcomes (1)

• Visual Analogue Scale

  Pain is a sensory and emotional experience, modified by multiple factors, including meaning, context, previous pain experience, culture, gender, expectation, anxiety, depression, fear, family and social factors. Patients admitted to hospital experience a high prevalence of moderate and severe pain. The VAS (Visual Analog Scale, 0 mm "no pain", to 100 mm," the worst pain possible ") is used to assess chronic neck pain. The authors aim to find a correlation between factors either neck pain (with VAS), cervical lordosis angle and long thoracic nerve electrophysiological results.

  1 hour

Study Arms (2)

Cervical postural related neck pain

EXPERIMENTAL

Patients recruit in this group who has a neck pain without radiculopathy. If the patient examination shows neurologic deficits, this patient will exclude in this study. All patients will undergo lateral cervical spine spot radiography and serratus anterior needle electromyography. Cervical segmental angle measurements will be done in all patients.

Radiation: Radiography; Other: Electromyography

Control group

SHAM COMPARATOR

The healthy volunteers recruit in this group. All inviduals will undergo lateral cervical spot radiography and serratus anterior needle electromypography

Radiation: Radiography; Other: Electromyography

Interventions

Radiography RADIATION

Obtaining patients lateral spot cervical spine radiography and will measure; 1. The segmental angle will be measured from C2-C7 inferior endplates on the lateral radiography 2. If there is a segmental kyphosis (for example kyphotic angle in C4-5 level), the segmental cobb angle will be measured in the level of the main kyphosis 3. The segmental cobb angle will be measured between C2-C4 inferior endplates and C4-C7 inferior endplates

Cervical postural related neck pain; Control group

Electromyography OTHER

Serratus anterior needle electromyography: The needle can be inserted into the muscle superficially to the fourth to sixth rib in the medial or posterior axillary line. The usual nerve latency time is between 2.6-4 ms.

Cervical postural related neck pain; Control group

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patient whose age is \> to 18 years and \<40 yo
• Patient presenting a chronic neck pain (symptoms over 3 months)
• No neurological deficit
• Asymptomatic volunteers (for control group)
• Obtaining the enlightened consent of the patient

You may not qualify if:

• Patient having refused to sign his consent
• Patients whose age is \< to 18 years or \>40 yo.
• Patients with neurologic deficits
• Patients presenting history of allergy
• History of cervical spine surgery
• Patient presenting an anticoagulant or salicylated treatment which can not be interrupted.
• Pregnant woman.
• Patient with acute head and neck trauma
• Patient with a contra-indication to radiography.
• Patient with a psychiatric pathology preventing a clinical evaluation.
• Patient with contra-indication (cutaneous or different) to needle electromyography.
• Surgery contra-indication (cardiac failure, respiratory…)
• Patient without health coverage.

Sponsors & Collaborators

• Baskent University: lead

Study Sites (1)

Baskent University Konya Hospital

Konya, 42080, Turkey (Türkiye)

Location

Related Publications (1)

• Castelein B, Cools A, Bostyn E, Delemarre J, Lemahieu T, Cagnie B. Analysis of scapular muscle EMG activity in patients with idiopathic neck pain: a systematic review. J Electromyogr Kinesiol. 2015 Apr;25(2):371-86. doi: 10.1016/j.jelekin.2015.01.006. Epub 2015 Jan 31.

  PMID: 25683111 RESULT

MeSH Terms

Conditions

Neck Pain

Interventions

X-Rays; Neurofeedback

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Electromagnetic Radiation; Electromagnetic Phenomena; Magnetic Phenomena; Physical Phenomena; Radiation; Radiation, Ionizing; Biofeedback, Psychology; Mind-Body Therapies; Complementary Therapies; Therapeutics; Behavior Therapy; Psychotherapy; Behavioral Disciplines and Activities; Feedback, Psychological

Study Officials

• Cem Yılmaz, M.D.

  Baskent University, Department of Neurosurgery

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: M.D.

Study Record Dates

• First Submitted: December 8, 2015
• First Posted: December 24, 2015
• Study Start: December 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: April 1, 2016
• Last Updated: December 28, 2015

Record last verified: 2015-12

Locations

TU (1)