Benefit of Adding Stretching to Standard Intervention For Patients With Nonspecific Mechanical Neck Pain

NCT03194490 | Completed Results

• 1 other identifier: 5160230
• Study Type: interventional
• Target: 43
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to assess the benefit of adding stretching exercises to cervical mobilization and cervical range of motion exercises on cervical range of motion, pain, pain threshold, level of disability and patient satisfaction for patient with non-specific mechanical neck pain

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (4)

• Cervical Range of Motion

  The cervical range of motion device (CROM) will be used to assess the changes in active range of motion for cervical rotation, flexion and extension when comparing baseline,week two, four and eight.

  Participants ROM measurement at baselines

• Cervical Range of Motion

  The cervical range of motion device (CROM) will be used to assess the changes in active range of motion for cervical rotation, flexion and extension when comparing baseline, week two, four and eight.

  Participants ROM measurement at week 2

• Cervical Range of Motion

  The cervical range of motion device (CROM) will be used to assess the changes in active range of motion for cervical rotation, flexion and extension when comparing baseline, week two, four and eight.

  Participants measurement at week four

• Cervical Range of Motion

  The cervical range of motion device (CROM) will be used to assess the changes in active range of motion for cervical rotation, flexion and extension when comparing baseline,week two, four and eight.

  Participants ROM measurement at week 8

Secondary Outcomes (15)

• Numeric Pain Rating Scale

  NPRS score at baseline

• Numeric Pain Rating Scale

  NPRS score at week two

• Numeric Pain Rating Scale

  NPRS score at week four

• Numeric Pain Rating Scale

  NPRS score at week eight

• Neck Disability Index

  NDI score at baseline

Study Arms (2)

The combined intervention group

EXPERIMENTAL

The combined intervention group will receive the cervical passive mobilization, stretching, and home program (Stretching and ROM exercise).

Other: combined intervention group

The standard intervention

ACTIVE COMPARATOR

The standard intervention group will receive cervical mobilization and home program (ROM exercises).

Other: The standard intervention

Interventions

combined intervention group OTHER

The combined intervention group received the cervical passive mobilization, stretching, and home program (Stretching and ROM exercise).Stretching, cervical passive mobilization, and range of motion: The manual therapy was conducted by a physical therapist who has licensed from the California Board of Physical Therapy. The cervical passive mobilization were selected by the physical therapist based on the participant's condition. Stretching techniques were performed in the combined intervention group for 30 seconds and repeated 3 times twice a week in the following order on the following muscles: anterior, middle and posterior scalene, upper fibers of trapezius, pectoralis minor and interspinous muscles .AROM Exercise were performed 10 repetitions 3-4 times daily. The ACROM exercise consisted of the subject placing fingers over the manubrium bone and placing chin on the fingers. The subject was then instructed to rotate to one side as far as possible and return to neutral.

The combined intervention group

The standard intervention OTHER

The standard intervention group will receive cervical mobilization and home program (ROM exercises). Cervical mobilization and range of motion: The manual therapy was conducted by a physical therapist who has experience in manual therapy and is licensed from the California Board of Physical Therapy. The manual therapy intervention will consist of Passive Accessory Intervertebral Movements (PAIVMs). The nature of PAIVMs techniques was selected by the physical therapist based on the participant's condition. Active Cervical Range of Motion Exercises (ACROM) were performed 10 repetitions 3-4 times daily. Subjects were advised to maintain their usual activity within the limits of pain. The ACROM exercise consisted of the subject placing fingers over the manubrium bone and placing chin on the fingers. The subject was then instructed to rotate to one side as far as possible and return to neutral .

The standard intervention

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• The participant will be eligible to participate in the study if he or she is between 18 and 60 years of age, had non-specific neck pain for at least 2 weeks

You may not qualify if:

• Participants will be excluded from the study if they had one or more of the following conditions: had previous surgery in cervical spine area, chronic disease such as diabetes, vertigo, dizziness, fracture of the cervical vertebra or scapula, multiple sclerosis, osteoporosis, rheumatoid arthritis or osteoarthritis as approximately 60% of people who aged between 50-60 years will have osteoarthritis.

Sponsors & Collaborators

• Loma Linda University: lead

Study Sites (1)

Loma Linda U

Loma Linda, California, 92354, United States

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Limitations and Caveats

This study had some limitations which they are short follow up period, no control group, and small sample size

Results Point of Contact

• Title: Dr. Everett Lohman III
• Organization: Loma Linda University

elohman@llu.edu

(909) 558-4632

Study Officials

• Everett B Lohman

  Loma Linda U

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: Yes

Study Design

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

Study Record Dates

• First Submitted: June 13, 2017
• First Posted: June 21, 2017
• Study Start: August 24, 2016
• Primary Completion: January 8, 2018
• Study Completion: January 8, 2018
• Last Updated: October 31, 2019
• Results First Posted: October 31, 2019

Record last verified: 2019-10

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)