Efficacy of Cervical Stabilization Exercises on Hand Grip Strength in Chronic Myofascial Neck Pain

NCT06468904 | Recruiting

• 1 other identifier: P.T.REC/012/004710
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 2

Brief Summary

The purpose of this study is to examine effect of cervical stabilization exercises on hand grip strength, key pinch strength, pain intensity, pain pressure threshold and hand function in chronic myofascial neck pain patients.

Conditions

Chronic Neck Pain

Keywords

cervical stabilization; hand grip; myofascial neck pain

Outcome Measures

Primary Outcomes (1)

• primary outcome measure

  hand grip strength was measured by hand held dynamometer.

  up to four weeks

Secondary Outcomes (4)

• secondary outcome measures

  up to four weeks

• secondary outcome measure

  up to four weeks

• secondary outcome measure

  up to 4 weeks

• secondary outcome measure

  up to four weeks

Study Arms (2)

cervical stabilization exercises and integrated neuromuscular inhibition technique

EXPERIMENTAL

patients received cervical stabilization exercises and integrated neuromuscular inhibition technique for 3 sessions / week for 4 weeks. Cervical stabilization included chin tucks, isometric holds, ball squeeze. Integrated neuromuscular inhibition technique included: 1. ischemic compression: therapist applied an intermittent ischemic compression on upper trapezius trigger point by thumb for 90sec. 2. Strain counter-strain: therapist applied pressure at trigger point. patient's head was laterally flexed towards the affected side passively by one hand of the therapist. The other hand held the subject's forearm and moved the affected shoulder to 90degree of abduction and external rotation for 90 secs. 3. Muscle energy technique: patient laterally flexed the neck to opposite side patient was moved the stabilized shoulder and ear towards each other. The contraction was maintained for 10 sec followed by 5 seconds of relaxation. The muscle was stretched for 30 secs.

Procedure: cervical stabilization exercises and integrated neuromuscular technique.

Integrated neuromuscular inhibition technique

ACTIVE COMPARATOR

patients received integrated neuromuscular inhibition technique for 3 sessions / week for 4 weeks.it included Ischemic compression, Strain counter-strain and muscle energy technique. 1. ischemic compression. therapist applied an intermittent ischemic compression on upper trapezius trigger point by thumb for 90 sec. 2. Strain counter-strain: therapist applied pressure at trigger point. patient laterally flexed towards the affected side passively by one hand of the therapist. The other hand held the subject's forearm and moved the affected side shoulder passively to 90degree of abduction and external rotation for 90 secs. 3. Muscle energy technique: patient was asked to laterally flex the neck to opposite side. patient was requested to move the stabilized shoulder and ear towards each other. The contraction was maintained for 10 sec followed by 5 seconds of relaxation. The muscle was stretched for 30 secs.

Procedure: cervical stabilization exercises and integrated neuromuscular technique.

Interventions

cervical stabilization exercises and integrated neuromuscular technique. PROCEDURE

Patients received cervical stabilization exercises and integrated neuromuscular inhibition technique. Cervical stabilization protocol included strengthening exercises of deep cervical flexors muscles which included chin tucks, isometric holds, ball squeeze, as well as deep cervical extensors muscles which included cranio-cervical flexion from neutral, upper cervical rotation and extension of cervical spine. integrated technique includes ischemic compression, muscle energy technique and strain counter strain.

Integrated neuromuscular inhibition technique; cervical stabilization exercises and integrated neuromuscular inhibition technique

Eligibility Criteria

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

You may qualify if:

• Chronic neck pain for more than 3 months.
• Active MTrPs in the UT muscle with a tender nodule.
• Constant neck pain, a jump sign during palpation of UT muscle.
• Referred pain.
• Symptoms of ipsilateral hand muscles weakness.

You may not qualify if:

• Signs of severe pathology such as malignancy of the cervical area.
• Fractures of the cervical spine.
• Cervical radiculopathy or myelopathy.
• Diabetes.
• Trauma, congenital anomalies and surgery around neck, shoulder and hand.
• Fibromyalgia or vascular syndromes such as vertebra-basilar insufficiency.
• Pregnancy.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (2)

Cairo University

Giza, 11251, Egypt

COMPLETED

Faculty of physical therapy

Giza, 11251, Egypt

RECRUITING

Study Officials

• soheir sh Rezkallah, PHD

  professor of physaical therapy

  STUDY DIRECTOR

• Ghada Abd Elmoneim, PHD

  assistant professor of physical therapy

  STUDY DIRECTOR

• Haidy S Roshdy, PHD

  lecturer of physical therapy

  STUDY DIRECTOR

Central Study Contacts

Fatma Alzahraa M Ali, Master

CONTACT

01028371924; fatmaalzahraa@pt.bsu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: double (investigator, outcome assessor)
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle invesyigator

Model Details: cervical stabilization exercises

Study Record Dates

• First Submitted: June 5, 2024
• First Posted: June 21, 2024
• Study Start: October 1, 2023
• Primary Completion: August 1, 2024
• Study Completion: August 1, 2024
• Last Updated: June 26, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (2)