Effect of Cervical Stabilization Exercises on Proprioception and Hand Grip Strength in Sedentary Office Workers

NCT06494553 | Not Yet Recruiting

• 1 other identifier: CSE in SOW
• Study Type: interventional
• Target: 52
• Locations: 0 countries
• Sites: N/A

Brief Summary

The purpose of the study is to evaluate the effect of cervical stabilization exercises on pain intensity level, cervical range of motion, proprioception, and handgrip strength in sedentary office workers.

Conditions

Cervical Pain

Outcome Measures

Primary Outcomes (4)

• handgrip strength

  Handgrip strength is a crucial measure of overall muscle strength and function to assess the functionality of the hand and forearm muscles. This measure is typically obtained using a handgrip dynamometer, a device that quantifies the maximum isometric strength of the hand and forearm muscles.

  2 months

• cervical range of motion

  Cervical Range of Motion (CROM) refers to the degree of movement in the neck and cervical spine across different planes of motion. It is an important measure of neck flexibility and function, encompassing movements such as flexion, extension, lateral flexion, and rotation. Assessing CROM is crucial in diagnosing and managing various musculoskeletal and neurological conditions affecting the neck. This measure is typically obtained using CROM devices that play a pivotal role in accurately quantifying the range of motion in various planes, including flexion, extension, lateral flexion, and rotation.

  2 months

• cervical pain

  Cervical pain, commonly known as neck pain, is a prevalent condition characterized by discomfort, stiffness, or aching in the cervical spine-the region of the spine that comprises the neck. This condition can arise from various causes, ranging from muscle strain to more complex structural issues, and it can significantly impact a person's quality of life, daily activities, and functional capabilities. This measure is typically obtained using Alternate Visual Analog Scale in Hausa (VAS-H). The VAS-H was used to measure the level of pain experienced by the patients. Patients were asked to rate their pain on a scale of 0-10, with 0 indicating no pain/no interference and 10 indicating the worst possible pain/extreme interference. The alternate VAS-H has been shown to have high validity, increased patient compliance, greater sensitivity, and reduced bias.

  2 months

• cervical proprioception

  Cervical proprioception refers to the sensory ability of the neck muscles and joints to perceive their position and movement in space. This sensory feedback is critical for maintaining balance, coordinating head and eye movements, and performing complex motor tasks. Impaired proprioception in the cervical region can contribute to dizziness, balance disorders, and increased risk of injury. This measure is typically obtained using CROM devices that play a pivotal role in accurately quantifying the range of motion and proprioception in various planes, including flexion, extension, lateral flexion, and rotation.

  2 months

Study Arms (2)

control group

ACTIVE COMPARATOR

Received traditional treatment program in the form of US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors .

Device: Ultrasound therapy; Other: traditional treatment program; Device: Infrared therapy

cervical stabilization exercises group

EXPERIMENTAL

Received cervical stabilization exercises (included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction) was given in 3 sets with 10 repetitions for 24 sessions (3 sessions per week for 8 weeks) plus traditional treatment program in the form of US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors.

Other: cervical stabilization exercises; Device: Ultrasound therapy; Other: traditional treatment program; Device: Infrared therapy

Interventions

cervical stabilization exercises OTHER

Neck stabilization exercises included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction

cervical stabilization exercises group

Ultrasound therapy DEVICE

The Chattanooga Intelect ultrasound made in America. Year of production: 2013. It was clinically proven to provide the best possible treatment outcomes by utilizing a high-quality transducer to ensure maximum ultrasound delivery to the treatment area. The output is a clean, culminated beam with the lowest available beam non-uniformity ratio

cervical stabilization exercises group; control group

traditional treatment program OTHER

US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors.

cervical stabilization exercises group; control group

Infrared therapy DEVICE

Infrared therapy is a non-invasive treatment modality that uses infrared light to promote healing, reduce pain, and improve circulation. It involves the application of infrared light, which penetrates deep into the tissues, providing therapeutic benefits.

cervical stabilization exercises group; control group

Eligibility Criteria

• Age: 25 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age range between 25 and 35 years.
• Both male and female patients were included.
• Informed consent was obtained from all participants.
• Subjects with cervical pain lasting for more than 3 months (chronic pain).
• Cooperative patients who were able to follow instructions for assessment procedures.
• body mass index (18.5 - 29.99 Kg/m2).

You may not qualify if:

• Unwillingness to participate in the treatment.
• Pre-existing heart or respiratory diseases.
• Acute cervical pain.
• Cervical disc or spondylosis.
• History of any major cervical spine surgery.
• Subjects taking analgesics.
• Any fracture of cervical region.

Sponsors & Collaborators

• Cairo University: lead

Related Publications (2)

• Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.

  PMID: 32723399 BACKGROUND

• Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019 Oct 15;20(1):447. doi: 10.1186/s12891-019-2846-z.

  PMID: 31615495 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Interventions

Ultrasonic Therapy

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Diathermy; Hyperthermia, Induced; Therapeutics

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Simple randomization was done as the following the name of each subject was written on a paper folding it and putting it in a box; finally papers were picked and assigned to two groups
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Doctor of Physical therapy

Model Details: Pre and post randomized control trial design will be used in this study

Study Record Dates

• First Submitted: June 25, 2024
• First Posted: July 10, 2024
• Study Start: July 1, 2024
• Primary Completion: September 1, 2024
• Study Completion: October 1, 2024
• Last Updated: July 10, 2024

Record last verified: 2024-07