Scapular Motor Control for Chronic Mechanical Neck Pain

NCT05845853 | Unknown

• 1 other identifier: motor control in neck pain
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain.

Conditions

Chronic Mechanical Neck Pain

Outcome Measures

Primary Outcomes (4)

• change in cervical pain

  by using the Arabic version of Numeric pain rating scale , ranging from 0 ("no pain") to 10 ("worst pain imaginable")

  one week after end of treatment

• change in neck function

  by using the Arabic version of neck disability index that consists of 10 questions: pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored from 0 (no disability) to 5 (total disability). The maximum possible score is 50.

  one week after end of treatment

• change in proprioceptive inputs of cervical

  Bubble Inclinometer will be used to assess proprioceptive inputs of cervical * flexion - extension * right side bending - left side bending * cervical right rotate - cervical left rotation

  one week after end of treatment

• change in muscle strength

  Hand-held dynamometer will be used to assess muscle strength * upper trapezius - middle trapezius * lower trapezius - serratus anterior

  one week after end of treatment

Study Arms (2)

interventinal group

EXPERIMENTAL

28 subject will receive a program of scapular motor control exercises using PNF technique in addition to the conventional treatment for 18 sessions (3 sessions per week for six weeks)

Other: scapular PNF technique

control group

NO INTERVENTION

28 subject will receive conventional physical therapy program (heat-TENS) for 18 sessions (3 sessions per week for six weeks)

Interventions

scapular PNF technique OTHER

PNF Technique is based on movement patterns to facilitate and correct sensory-motor function,then correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and improve the strength of muscles. PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position .

interventinal group

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The subject will be referred from orthopedic surgeon with diagnosis of CMNP.
• Subjects with CMNP of more than 3 months with age range between 18 and 45 years
• Subjects having a baseline NDI score of at least 20% (10 points)
• At least 3/10 pain intensity on VAS

You may not qualify if:

• Spinal canal stenosis.
• Traumatic injury to the cervical spine.
• Previous surgery related to cervical spine.
• Hypermobility of the cervical spine,
• Any red flags e.g. cervical instability, history of cancer, long use of corticosteroids.
• Presence of an inflammatory rheumatologic disease,

Sponsors & Collaborators

• Cairo University: lead

Study Sites (2)

Tala Central Hospital

Tala, Munofia, Egypt

RECRUITING

Tala Central Hospital

Tala, Egypt

NOT YET RECRUITING

Related Links

• Bansal, R., \& Paul, M. (2020). Effectiveness of Motor Control Therapeutic Exercise Vs. Proprioceptive Neuromuscular Facilitation in Subjects With Cervical Spondylosis on Pain and Functional Disability. International Journal of Physiotherapy and Researc
• Celenay, S. T., Kaya, D. O., \& Akbayrak, T. (2016). Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Manual Therapy, 21, 144-150.
• Ha, S. min, Kwon, O. yun, Yi, C. hwi, Jeon, H. seon, \& Lee, W. hwee. (2011). Effects of passive correction of scapular position on pain, proprioception, and range of motion in neck-pain patients with bilateral scapular downward-rotation syndrome. Manu
• 25\. Ijspeert, J., Kerstens, H. C. J. W., Janssen, R. M. J., Geurts, A. C. H., Van Alfen, N., \& Groothuis, J. T. (2019). Validity and reliability of serratus anterior hand held dynamometry. BMC Musculoskeletal Disorders, 20(1), 1-8.

Central Study Contacts

Aisha said, master

CONTACT

01061157728; aishasaid1960@gmail.com

mohammed abdelmaged

CONTACT

+1 (909) 583-4966

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Patients will be randomly assigned into one of the two groups. We will use a simple randomization method to allocate participants to the groups. A random number generator available online from www.randomization.com will be used.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: This will be a double blinded, randomized, controlled, pre-post test clinical trial

Study Record Dates

• First Submitted: March 25, 2023
• First Posted: May 6, 2023
• Study Start: May 1, 2023
• Primary Completion: May 1, 2024
• Study Completion: June 1, 2024
• Last Updated: May 6, 2023

Record last verified: 2023-05

Locations

EG (2)