The Acute Effect of Proprioceptive Neuromuscular Facilitation on Cervical Range of Motion, Strength and Proprioception.

NCT04045106 | Completed

• 1 other identifier: 10269393
• Study Type: interventional
• Target: 104
• Locations: 1 country
• Sites: 2

Brief Summary

the aim of the study was to investigate the immediate influence of proprioceptive neuromuscular facilitation on cervical range of motion, strength and proprioception

Conditions

Proprioception; Neck

Keywords

Proprioception; Proprioceptive Neuromuscular Facilitation,; Cervical spine; stretching

Outcome Measures

Primary Outcomes (1)

• Cervical Proprioception: Joint position accuracy method using cervical range of motion instrument.

  Joint position accuracy method using cervical range of motion instrument. Participants were asked to sit and put on the CROM instrument, then they were instructed to start moving their head to one of directions then the assessor stopped them at 30 degrees and told them to feel the amount of movement and muscle tension, this was repeated 3 times as a reference, then they were asked to do the movement with the eyes closed until they reach the target angle, this was repeated for 3 times, this was done for each direction and the assessor recorded the results. Cervical proprioception was done for flexion, extension, right side bending, left side bending, right and left rotation

  1 day

Secondary Outcomes (2)

• Range Of Motion

  1 day

• Muscle strength

  1 day

Study Arms (3)

PNF pattern

EXPERIMENTAL

PNF patterns were performed using Dynamic of reversals technique which is characterized as active motion alternating from one direction (agonist) to the opposite (antagonist) without relaxing. The cervical patterns consisted of 1. Cervical flexion with right rotation followed by extension with left rotation. 2. Cervical flexion with left rotation followed by extension with right rotation.

Other: Proprioceptive Neuromuscular Facilitation Patterns

PNF stretching

EXPERIMENTAL

PNF stretching was done using contract-relax-antagonist contract (CRAC) technique for cervical flexors, extensors, right and left lateral flexors, right rotators and left rotators.

Other: Proprioceptive Neuromuscular Facilitation stretching

control

SHAM COMPARATOR

Participants allocated to the control group received ineffective passive ROM.

Other: Passive range of motion

Interventions

Proprioceptive Neuromuscular Facilitation Patterns OTHER

The participants were asked to sit on a chair, the therapist performed the pattern of movement himself then passively applied the pattern on the participant then asked the participant to perform the pattern, and the therapist observed and corrected the movement if it was done improperly.Then participants were told that the therapist will resist their movement, they were also told to keep breathing normally and to report any discomfort and/or pain.After mastering the pattern,the therapist placed one hand on the participant's mandibular and the other hand approximately between parietal and occipital bones to apply resistance through out the ROM, each pattern performed for 3 sets of 10 repetitions with 1-2-minute rest between sets.

PNF pattern

Proprioceptive Neuromuscular Facilitation stretching OTHER

was done for 6 repetitions with hold for 6 seconds in position of stretch and sub maximal isometric contraction for 6 seconds, 1-2-minute rest was given before changing the target muscle group

PNF stretching

Passive range of motion OTHER

ineffective passive ROM for 10 repetitions for flexion, extension, right and left side bending and right and left rotation, it was done from neutral position to the limit of motion without causing any stretch to the muscle.

control

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Neck disability index score of 5 or less
• Able to understand and follow instructions
• Above 18 years old

You may not qualify if:

• Cervical trauma
• History of cervical inter-vertebral disc pathology
• Rheumatic diseases
• Whiplash syndrome
• History of surgeries to the neck, face and shoulders
• History of systemic diseases

Sponsors & Collaborators

• Yeditepe University: lead
• Bahçeşehir University: collaborator

Study Sites (2)

Yeditepe University

Ataşehir, Istanbul, 34755, Turkey (Türkiye)

Location

Bahcesehir University

Beşiktaş, Istanbul, 34353, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Muscle Stretching Exercises; Range of Motion, Articular

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Physical Examination; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• SULE DEMIRBASISTANBUL

  Yeditepe University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: SCREENING
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 1, 2019
• First Posted: August 5, 2019
• Study Start: February 20, 2019
• Primary Completion: May 27, 2019
• Study Completion: May 27, 2019
• Last Updated: August 29, 2019

Record last verified: 2019-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (2)