Eye-Cervical Re-education Versus Motor Imagery Therapy on Proprioception in Chronic Mechanical Neck Pain

NCT05733429 | Unknown

• 1 other identifier: P.T.REC/012/004164
• Study Type: interventional
• Target: 120
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of eye-cervical re-education versus motor imagery therapy on pain intensity level, pain pressure threshold, neck disability, cervical proprioception, and scapular protraction in patients with chronic mechanical neck pain.

Conditions

Neck Pain

Keywords

Eye-Cervical Re-education; Motor Imagery Therapy; neck pain

Outcome Measures

Primary Outcomes (1)

• joint position error

  The Cervical Joint Position Error (JPE) Test is a measurement tool used to clinically assess an individual's cervicocephalic proprioception ability. Cervicocephalic proprioception describes one's sense of position of their head and neck in space. The Cervical JPE Test measures the ability of a blindfolded patient to accurately relocate their head position back to a predetermined neutral point after cervical joint movement. The test is most commonly performed with head movement in the transverse and sagittal planes by cervical range of motion device (CROM).

  up to four weeks

Secondary Outcomes (4)

• disability

  up to four weeks

• pain intensity

  up to four weeks

• rounded shoulder

  up to four weeks

• pressure pain threshold

  up to four weeks

Study Arms (3)

eye cervical re-education

EXPERIMENTAL

patients will receive eye cervical re-education three times a week for four weeks

Other: eye cervical re-education; Other: conventional physical therapy

motor imagery therapy

EXPERIMENTAL

patients will receive motor imagery therapy three times a week for four weeks

Other: motor imagery therapy; Other: conventional physical therapy

conventional physical therapy

ACTIVE COMPARATOR

patients will receive conventional physical therapy three times a week for four weeks

Other: conventional physical therapy

Interventions

eye cervical re-education OTHER

patients will receive eye-cervical re-education in the form of 10 exercises at three phases; the first phase will include stimulation of ocular mobility, the second phase will consist of Cervical mobility exercise with restricted eye movement and the third phase will include stimulation of eye and neck movement co-ordination

eye cervical re-education

motor imagery therapy OTHER

the patients will receive motor imagery therapy for four weeks; the first week will receive kinesthetic imagery, the second week will receive visual imagery, the third week will receive action observation exercises with motor imagery and the fourth week will receive motor control exercises in front of a mirror.

motor imagery therapy

conventional physical therapy OTHER

the patients will receive conventional physical therapy programs in the form of hot packs, therapeutic massage, cervical isometric strengthening exercises, and scapular stabilization exercises.

conventional physical therapy; eye cervical re-education; motor imagery therapy

Eligibility Criteria

• Age: 18 Years - 70 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Age will range from 18 to 70 years
• Patients of both sexes.
• Neck pain diagnosed by physician greater than 3 months in duration.
• Active or latent myofascial trigger points (MTrPs) in at least one of the following muscles: upper trapezius, levator scapulae, or splenius capitis. Both active and latent MTrPs were considered because latent MTrPs have been associated with the development of sensory motor dysfunction and may contribute to different chronic musculoskeletal pain disorders

You may not qualify if:

• Dizziness syndrome.
• Post-traumatic as whiplash
• Neurological, infectious, or tumor cervical pain.
• Pregnant women.
• Patients having speech and understanding problems.
• Past history of neck surgery
• Dizziness syndrome.
• Post-traumatic as whiplash.
• Neurological, infectious, or tumor cervical pain.
• Pregnant women.
• Patients having speech and understanding problems.
• Past history of neck surgery .

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Central Study Contacts

al shaymaa sh abd el azeim, lecturer

CONTACT

01033771553; alshaymaa.shaaban@pt.cu.edu.eg

al shaymaa sh abd el azeim, lecturer

CONTACT

01033771553; alshaymaa.ahaaban@pt.cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Nabil mahmoud ismail

Model Details: eye cervical re-education and motor imagery therapy

Study Record Dates

• First Submitted: February 8, 2023
• First Posted: February 17, 2023
• Study Start: March 2, 2023
• Primary Completion: October 30, 2023
• Study Completion: October 30, 2023
• Last Updated: February 17, 2023

Record last verified: 2023-02