Effect of Visio-Vestibular Exercises on Pain, Function, Balance, and Reaction Time in Chronic Neck Pain

NCT06802601 | Completed

• 1 other identifier: 1620
• Study Type: interventional
• Target: 54
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study was to improve pain, function, balance and reaction times in people with chronic neck pain by stimulating and improving the components that provide input to the central nervous system (proprioceptive, visual, vestibular) through manual therapy and exercise and to reveal the results of vizio-vestibular training applied in addition to manual therapy and exercise. Therefore, the hypotheses of this study were; H1: Manual therapy and exercise have a positive effect on pain, function, balance and reaction time in people with chronic neck pain. H2: Vizio-vestibular exercises given in addition to manual therapy and exercise have a positive effect on pain, function, balance and reaction time in people with chronic neck pain. H3: There is no difference between the effects of manual therapy and exercise and viziovestibular exercises in addition to manual therapy and exercise on pain, function, balance and reaction time in people with chronic neck pain.

Conditions

Neck Pain; Chronic Neck Pain

Keywords

Manual Therapy; Neck Pain

Outcome Measures

Primary Outcomes (3)

• Pain

  Pain intensity will be questioned with the Visual Analog Scale. The Visual Analog Scale pain assessment scale was first used by Hayes and Patterson in 1921. It measures the severity of pain based on the patient's statement. A straight thin 10 cm line is used. 0 is defined as "no pain" and 10 as "unbearable pain". The patient is asked to mark the point on the line describing the pain. The length of the distance indicates the severity of the patient's pain.

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

• Cervical Range of Motion

  Goniometric measurement is used in the clinic as an objective measurement tool for the assessment of active range of motion. Goniometer is a durable, simple, easy-to-carry device that can be easily used in almost all joints. Neck flexion, extension, lateral flexion and rotation movements will be evaluated with goniometer.

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

• Function

  The Neck and Neck Disability Index will be used to assess the level of function in people with neck pain. The questionnaire, whose Turkish validity and reliability study was conducted by Aslan et al. consists of 10 items. Each item is scored from 0 (no disability) to 5 (complete disability). The total score is between 0 (no disability) and 50 (total disability). Disability increases with increasing score and decreases with decreasing score.

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

Secondary Outcomes (6)

• Pressure Pain Threshold

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

• Balance

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

• Reaction Time

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

• The Cervical Flexor Endurance Test

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

• Cervical Extensor Endurance Test

  From enrollment to the end of treatment at week 6. Follow-up assessment 6 weeks after the end of treatment.

Study Arms (2)

Manuel Therapy and Stabilization Exercises

ACTIVE COMPARATOR

Other: Manual Therapy and Exercise

Manuel Therapy and Stabilization Exercises plus Visio-Vestibular Exercises

EXPERIMENTAL

Other: Manual Therapy, Exercise and Visio-Vestibular Exercise

Interventions

Manual Therapy and Exercise OTHER

Manual Therapy and Exercise

Manuel Therapy and Stabilization Exercises

Manual Therapy, Exercise and Visio-Vestibular Exercise OTHER

Manual Therapy, Exercise and Visio-Vestibular Exercise

Manuel Therapy and Stabilization Exercises plus Visio-Vestibular Exercises

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Be between the ages of 18 and 55
• Complaining of neck pain for at least 3 months or experiencing neck pain at least 2 times in 3 months
• Volunteering for the study
• To be able to read and understand Turkish

You may not qualify if:

• Previous history of neck and head trauma or surgery
• Vertigo or dizziness caused by known or suspected vestibular pathology, ear or brain disorders, sensory nerve pathways (e.g. BPPV) or vascular disorders (e.g. migraine, hypertension)
• Any musculoskeletal or neurological condition that may affect balance
• Inflammatory joint disease
• Cognitive impairment
• Taking four or more medicines
• Received physiotherapy treatment for neck pain in the last 12 months
• People with strabismus, lazy eye and severe refractive errors

Sponsors & Collaborators

• Izmir Katip Celebi University: lead

Study Sites (1)

Izmir Katip Celebi Univeristy

Izmir, Cigli, Turkey (Türkiye)

Location

Related Publications (2)

• Guitton D, Kearney RE, Wereley N, Peterson BW. Visual, vestibular and voluntary contributions to human head stabilization. Exp Brain Res. 1986;64(1):59-69. doi: 10.1007/BF00238201.

  PMID: 3490396 BACKGROUND

• Kristjansson E, Treleaven J. Sensorimotor function and dizziness in neck pain: implications for assessment and management. J Orthop Sports Phys Ther. 2009 May;39(5):364-77. doi: 10.2519/jospt.2009.2834.

  PMID: 19411769 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Interventions

Musculoskeletal Manipulations; Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

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

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Pt, MSc

Study Record Dates

• First Submitted: January 16, 2025
• First Posted: January 31, 2025
• Study Start: October 28, 2024
• Primary Completion: May 21, 2025
• Study Completion: June 1, 2025
• Last Updated: September 10, 2025

Record last verified: 2025-09

Locations

TU (1)