Effectiveness of NMES on Neck Pain

NCT06320340 | Completed

• 1 other identifier: 07032024
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this randomized-controlled study was to determine the effectiveness of neuromuscular electrical stimulation (NMES) applied simultaneously to exercise on pain, static endurance of cervical deep flexor muscles, fear of movement and disability in chronic neck pain. The participants were randomly assigned to one group which in only five clinical pilates exercises were performed (Group I) or the other group which NMES was applied on lower trapezius and serratus anterior muscles while the same exercises were performing (Group II).

Conditions

Chronic Neck Pain

Keywords

cervical spine; exercise; neck pain; neuromuscular electrical stimulation

Outcome Measures

Primary Outcomes (2)

• Neck disability

  The Neck Disability Index consisted 10 questions investigating the pain intensity and difficulty in lifting, reading, concentration, working, sleeping and recreational activities. Each question is scoring from 0 to 5 and higher score means greater disability.

  baseline (first assessment)

• Neck disability

  The Neck Disability Index consisted 10 questions investigating the pain intensity and difficulty in lifting, reading, concentration, working, sleeping and recreational activities. Each question is scoring from 0 to 5 and higher score means greater disability.

  at the end of the invervention program (8 weeks after from baseline)

Secondary Outcomes (8)

• Pain intensity

  baseline (first assessment)

• Pain intensity

  at the end of the invervention program (8 weeks after from baseline)

• Range of Motion

  baseline (first assessment)

• Range of Motion

  at the end of the invervention program (8 weeks after from baseline)

• Static endurance of cervical deep flexor muscles

  baseline (first assessment)

Study Arms (2)

Group I

ACTIVE COMPARATOR

Other: Exercise

Group II

EXPERIMENTAL

Other: Exercise; Other: Electrotherapy

Interventions

Exercise OTHER

the patients were performed following five exercises for 20 minutes of treatment session two days a week for the 8 weeks.: (1) the swan-dive vol. I, (2) the swan-dive vol II., (3) breast stroke preparation vol. I, (4) breast stroke preparation vol. II, and (5) swimming vol. II. All the exercises were repeated for the 10 times in a session. Before the exercises, patients were taught and instructed about the five key elements (lateral expansion, centralization, positioning the chest, the shoulder girdle, and the head) of clinical pilates that they should pay attention to while performing the exercises. In addition, verbal and tactile feedbacks were given to patients during all the treatment sessions to maintain the good posture and to perform exercises properly.

Group I; Group II

Electrotherapy OTHER

Two channels of four-channelled Compex SP Fit-3 (MediCompex SA in Geneva, Switzerland) was used to apply NMES (120 mA, 400 μs, 150 Hz) on lower trapezius and serratus anterior muscles for 20 minutes during exercise.

Group II

Eligibility Criteria

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

You may qualify if:

• (1) being aged from 18 to 65 years old,
• (2) having neck pain shows mechanical nature longer than 3 months, and
• (3) getting a score of at least 10 from Neck Disability Index.

You may not qualify if:

• (1) having a surgery on neck and shoulder regions,
• (2) having a neurological symptom, and
• (3) did not complete the process of the assessment and intervention of this study.

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

İstanbul Aydın University

Istanbul, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity; Neck Pain

Interventions

Exercise; Electric Stimulation Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PT, MSc, Research Assistant, Principal Investigator

Study Record Dates

• First Submitted: March 9, 2024
• First Posted: March 20, 2024
• Study Start: March 15, 2021
• Primary Completion: May 15, 2021
• Study Completion: September 15, 2021
• Last Updated: March 20, 2024

Record last verified: 2024-03

Locations

TU (1)