Additional Benefits of Neck Exercises in Addition to Ergonomic Training in Office Workers With Neck Pain

NCT06079957 | Unknown

• 1 other identifier: FUI/CTR/2023/20
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain is a multifactorial disease and the factors related to neck pain are physical workloads, poor ergonomic work design and certain psychosocial factors. It arises due to disease of cervical spine and soft tissues of the neck, muscle spasm, falling asleep in awkward position, prolong working at computer desk with bent neck. The objective of the study is to compare the effects of neck exercises in addition to ergonomic training and ergonomic training alone on pain severity, neck disability, cervical range of motion and burnout in neck pain among office workers

Conditions

Neck Pain

Keywords

neck pain, ergonomics, strengthening exercises, stretching, pain, burnout, range of motion, disability

Outcome Measures

Primary Outcomes (4)

• Numeric Pain Rating Scale (NPRS)

  It is an 11 item self-rated scale. Participants rate their pain from 0 to 10. Score of 0 indicates no pain whereas 10 represents worst pain ever experienced. It has an excellent reliability with an ICC of 0.93-0.96.

  3 weeks

• Neck Disability Index Urdu version (NDI-U)

  This is a 10 item questionnaire. This is a self-rated questionnaire to rate disability. Participants choose from an option from 0 to 5. Scoring is done by taking sum of all the answers. Score of 0 shows no disability whereas 50 indicate maximum level of disability. Score 0-4 indicates no disability, 5-14 indicates mild disability, 15-24 indicates moderate disability, 25-34 indicates severe disability and above 34 indicates that the person is completely disabled by the pain. It has an excellent reliability with an ICC of 0.88.

  3 weeks

• Cervical Range of Motion using Goniometer

  A goniometer has 12-inch arms and a full circle body. It has one stationary arm and the second moving arm. Movement is performed and range of motion is measured. Goniometer will be used to measure flexion, extension, lateral flexion and rotation. It has an ICC of 0.83-0.98

  3 weeks

• Oldenburg Burnout Inventory (OLBI)

  This is a 16 item questionnaire. It is also a self-rated questionnaire which is used to determine burnout level. Participants choose an option from 0 to 4 on a likert scale. Scores of question number 2,3,4,6,8,9,11,12 are reversed in order to find a true score. Scoring is done by taking a sum of all the answers. 0 indicates no burnout whereas score of 64 indicates highest level of burnout encountered by an individual.

  3 weeks

Study Arms (2)

Exercise and ergonomic intervention group

EXPERIMENTAL

Patients will be explained about the procedure and informed consent will be taken. 1. Individuals will be given a copy of ergonomic guidelines to follow which includes: * Organize workstation according to the primary , secondary and tertiary zones. * Place frequently used items within the reach of an arm. * Don't move head while reading documents instead raise or lower the eyes to read. * Correct the monitor height such that the top of the screen is at or slightly lower than eye level. * Keep reference material upright at desk. * Avoid slouched postural habits, sit upright. * Adjust chair height in such a way that it shouldn't compress the thigh. * Arm rest should be at elbow flexion of 90 degrees. * Phone must be cradled between neck and shoulder to avoid forward head posture. 2. Neck exercises will be given

Procedure: Ergonomic training; Procedure: Neck Exercises

Group B(Ergonomic intervention group)

ACTIVE COMPARATOR

Patients will be explained about the procedure and informed consent will be taken. Individuals will be given a copy of ergonomic guidelines to follow which includes: * Organize workstation according to the primary , secondary and tertiary zones. * Place frequently used items within the reach of an arm. * Don't move head while reading documents instead raise or lower the eyes to read. * Correct the monitor height such that the top of the screen is at or slightly lower than eye level. * Keep reference material upright at desk. * Avoid slouched postural habits, sit upright. * Adjust chair height in such a way that it shouldn't compress the thigh. * Arm rest should be at elbow flexion of 90 degrees. * Phone must be cradled between neck and shoulder to avoid forward head posture.

Procedure: Ergonomic training

Interventions

Ergonomic training PROCEDURE

1\. Individuals will be given a copy of ergonomic guidelines to follow which includes: * Organize workstation according to the primary , secondary and tertiary zones. * Place frequently used items within the reach of an arm. * Don't move head while reading documents instead raise or lower the eyes to read. * Correct the monitor height such that the top of the screen is at or slightly lower than eye level. * Keep reference material upright at desk. * Avoid slouched postural habits, sit upright. * Adjust chair height in such a way that it shouldn't compress the thigh. * Arm rest should be at elbow flexion of 90 degrees. * Phone must be cradled between neck and shoulder to avoid forward head posture.

Exercise and ergonomic intervention group; Group B(Ergonomic intervention group)

Neck Exercises PROCEDURE

Neck Exercises Strengthening exercises of Deep cervical flexors,rhomboids,lower Trapezius, Middle Trapezius, serratus anterior. Neck Stretching of Suboccipitals,Sternocleidomastoid ,Scalenes,Upper trapezius, Levator scapulae,Pectoralis major and minor.

Exercise and ergonomic intervention group

Eligibility Criteria

• Age: 25 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both male and female office workers.
• Age 25-50 years.
• Individuals with working hours duration of 7-9 hours.
• Individuals with postural neck pain.
• Individuals with neck pain above 4 on NPRS.
• Individuals with primary complaint of neck pain without radiculopathy.

You may not qualify if:

• History of trauma to neck.
• Bilateral upper limb symptoms.
• Prior surgery to cervical and upper thoracic spine.
• History of whiplash injury.
• Degenerative disc disease.
• Diminished or absent sensations to pinprick in upper limb dermatomes.
• Positive two or more neurological signs.

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Neck Pain; Pain; Burnout, Psychological

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Stress, Psychological; Behavioral Symptoms; Behavior

Central Study Contacts

sana Nawaz, MS-MSKPT

CONTACT

03482797719; sananawaz13@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Single blind study; in which only analyst will be blinded.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Both groups will be recruited concurrently. both groups will recieve treatment

Study Record Dates

• First Submitted: October 8, 2023
• First Posted: October 12, 2023
• Study Start: October 1, 2023
• Primary Completion: January 1, 2024
• Study Completion: February 1, 2024
• Last Updated: October 12, 2023

Record last verified: 2023-10

Locations

PA (1)