Cervical Sensorimotor Control Training in Chronic Neck Pain

NCT03933267 | Completed DMC

• 1 other identifier: RiphahIU Aruba Iram
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 1

Brief Summary

Impaired cervical joint position sense is associated with neck pain. This study will determine the effects of sensorimotor control training exercises on cervical joint position, pain, ROM and function in nonspecific chronic neck pain. There will be two groups ; experimental and control. Half of study group will receive cervical sensorimotor control training exercises and half of study group will receive conventional physiotherapy protocol.

Conditions

Nonspecific Chronic Neck Pain

Keywords

Cervical Pain; Kinesthesis

Outcome Measures

Primary Outcomes (4)

• Cervical Joint position error

  The task is to return head to the starting position as accurately as possible. Three trials will be performed of right and left rotation and extension. An average absolute error of \> 4.5° in any direction is indicative of a deficit in cervical joint position sense

  Baseline

• Cervical Joint position error

  The task is to return head to the starting position as accurately as possible. Three trials will be performed of right and left rotation and extension. An average absolute error of \> 4.5° in any direction is indicative of a deficit in cervical joint position sense

  post 6th week

• Clinical test of sensory interaction and balance (CTSIB)

  This test is design to assess how well an older adult is using sensory inputs when one or more sensory systems are compromise. Begin timing each trial using a stopwatch. The trial is over when (a) the participant opens his/her eyes in an eyes closed condition, (b) raises arms from sides, (c) loses balance and requires manual assistance to prevent a fall

  Baseline

• Clinical test of sensory interaction and balance (CTSIB)

  This test is design to assess how well an older adult is using sensory inputs when one or more sensory systems are compromise. Begin timing each trial using a stopwatch. The trial is over when (a) the participant opens his/her eyes in an eyes closed condition, (b) raises arms from sides, (c) loses balance and requires manual assistance to prevent a fall

  post 6th week

Secondary Outcomes (8)

• Numeric pain rating scale (NPRS)

  Baseline

• Numeric pain rating scale (NPRS)

  post 6th week

• Neck Disability Index (NDI):

  Baseline

• Neck pain and disability index (NDI):

  post 6th week

• CROM (inclinometer)

  Baseline

Study Arms (2)

Group I

EXPERIMENTAL

This group of participant will receive Cervical sensorimotor control training exercises. In addition to it conventional physical therapy protocol will be given.

Other: Cervical sensorimotor control training exercises

Group II Control

ACTIVE COMPARATOR

this group of participant will receive Conventional physical therapy protocol.

Other: Conventional Exercises

Interventions

Cervical sensorimotor control training exercises OTHER

Cervical sensory motor training exercises consisting of cervical position sense and cervical movement sense exercises with 3 levels of difficulty and 5 repetitions \* 3 sets for each exercise will be given. Some exercises are: Head relocation with laser feedback: head relocation to neutral and predetermined position with eyes opened (in horizontal / vertical direction) (5 reps x 3 sets) Head relocation to neutral, predetermined and to specific targets with eyes opened (in diagonal directions) (5 reps x 3 sets) Head relocation to neutral and predetermined position with eyes closed (in all directions)(5 reps x 3 sets) In addition to it conventional physical therapy protocol consisting of Generalized stretching and cervical strengthening exercises along with joint mobility.

Also known as: Prioprioception Exercises

Group I

Conventional Exercises OTHER

conventional physical therapy protocol consisting of Generalized stretching and cervical strengthening exercises along with joint mobility exercises will be given to patients.

Group II Control

Eligibility Criteria

• Age: 30 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 20 to 50 years
• Non specific neck pain
• Insidious neck pain for at least 3 month
• Average pain intensity over the past week \>4 on Numeric Pain Rating Scale(NPRS)

You may not qualify if:

• Previous history of neck and head trauma or surgery
• Inflammatory joint disease
• Systemic conditions
• Cognitive impairment
• Taking four or more medications

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Railway hospital

Rawalpindi, Punjab Province, 40100, Pakistan

Location

Related Publications (5)

• Javanshir K, Ortega-Santiago R, Mohseni-Bandpei MA, Miangolarra-Page JC, Fernandez-de-Las-Penas C. Exploration of somatosensory impairments in subjects with mechanical idiopathic neck pain: a preliminary study. J Manipulative Physiol Ther. 2010 Sep;33(7):493-9. doi: 10.1016/j.jmpt.2010.08.022.

  PMID: 20937427 BACKGROUND

• Saadat M, Salehi R, Negahban H, Shaterzadeh MJ, Mehravar M, Hessam M. Postural stability in patients with non-specific chronic neck pain: A comparative study with healthy people. Med J Islam Repub Iran. 2018 Apr 23;32:33. doi: 10.14196/mjiri.32.33. eCollection 2018.

  PMID: 30159284 BACKGROUND

• de Vries J, Ischebeck BK, Voogt LP, van der Geest JN, Janssen M, Frens MA, Kleinrensink GJ. Joint position sense error in people with neck pain: A systematic review. Man Ther. 2015 Dec;20(6):736-44. doi: 10.1016/j.math.2015.04.015. Epub 2015 May 2.

  PMID: 25983238 BACKGROUND

• Beinert K, Taube W. The effect of balance training on cervical sensorimotor function and neck pain. J Mot Behav. 2013;45(3):271-8. doi: 10.1080/00222895.2013.785928.

  PMID: 23663191 BACKGROUND

• Swait G, Rushton AB, Miall RC, Newell D. Evaluation of cervical proprioceptive function: optimizing protocols and comparison between tests in normal subjects. Spine (Phila Pa 1976). 2007 Nov 15;32(24):E692-701. doi: 10.1097/BRS.0b013e31815a5a1b.

  PMID: 18007229 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Huma Riaz, PHD*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: This study will be single blinded randomized control trail, participants will be unaware of treatment groups, they will be randomly allocated through sealed envelope method.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Both experimental and control groups will be treated simultaneously with one treatment option common to both groups

Study Record Dates

• First Submitted: April 27, 2019
• First Posted: May 1, 2019
• Study Start: April 25, 2019
• Primary Completion: June 30, 2019
• Study Completion: June 30, 2019
• Last Updated: August 9, 2019

Record last verified: 2019-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)