Ignite Creation Date:
2024-05-06 @ 8:19 PM
Last Modification Date:
2024-10-26 @ 3:25 PM
Study NCT ID:
NCT06337916
Status:
COMPLETED
Last Update Posted:
2024-04-02
First Post:
2022-11-07
Brief Title:
The Effect of Cervical Stabilization Exercises on the Cervical Proprioception in Patients With Chronic Neck Pain
Sponsor:
Şenay Özdolap
Organization:
Bulent Ecevit University
Study Overview
Official Title:
The Effect of Cervical Stabilization Exercises on the Sense of Cervical Proprioception in Patients With Chronic Neck Pain
Status:
COMPLETED
Status Verified Date:
2024-03
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Neck pain is one of the most common musculoskeletal complaints and its prevalence is between 10-22 Approximately half of all individuals will experience a clinically important neck pain episode over the course of their lifetime Neck pain is categorized by duration as acute subacute and chronic neck pain acute 6 weeks subacute 3 months chronic 3 months Chronic neck pain is more common in women and its incidence increases with age Cervical disc herniation cervical spondylosis cervical stenosis myofascial pain syndrome cervical instability whiplash injury Klippel feil syndrome thoracic outlet syndrome cervical sprain cervical strain tumors rheumatic diseases torticollis inflammatory neck pain are the main causes
Anterior tilt of the head is a common posture in neck pain In this posture the upper cervical vertebrae are extension the lower cervical vertebrae are flexion and the cervical lordosis is decreased With neck pain inhibition occurs in the deep neck flexor longus coli and capitis and extensor multifidus rotator semispinalis muscles increased fat infiltration deterioration in type 1 and 2 fiber ratios and muscle atrophy The risk of micro and macro trauma increases and muscle support decreases Thus there is an increase in the activation response and fatigue of the neck superficial muscle group trapeze scalene sternocleidomastoid muscles and a decrease in neck joint movement and proprioception sense As a result it was determined that there are deficiencies in the sense of proprioception in patients with neck pain
Studies have shown that many receptors related to the sense of position are on deep cervical flexor muscles such as Musculus Longus Capitis and Musculus Longus Colli In cases where there are changes such as atrophy and fat infiltration in these muscles there is a decrease in proprioceptive sensationConservative treatment is the first choice in the treatment of neck pain The important components of this treatment are stretching strengthening posture stabilization proprioception relaxation joint movement exercises and aerobic exercises The purpose of stabilization exercises which have been used in the treatment of chronic neck pain recently to support the vertebral column by activating the stabilizing muscles and to improve posture by increasing kinesthetic awareness
This study will examine the relationship between the sense of cervical proprioception and cervical stabilization exercises in patients with chronic neck pain
In this study between 15 June 2022 and 30 January 2023 72 volunteers aged between 18-55 years with neck pain for more than 3 months with good cognitive function who applied to the our Physical Medicine and Rehabilitation Clinic will be included The patients will be randomized to two groups as cervical stabilization exercise group and conventional cervical exercise treatment group The patients in group 1 will receive cervical stabilization exercises 1 session a day 3 days a week for 6 weeks and the patients in group 2 will perform cervical stabilization exercises for 6 weeks 3 days a week 1 session a day conventional cervical exercises will be given Patients of both groups will do their exercises in the first 3 weeks accompanied by a physiotherapist and in the last 3 weeks as a home exercise program
Before the start of the treatment at the end of the 3rd week and at the end of the 6th week pain intensity level of neck disability quality of life cervical range of motion and cervical joint position sense will be evaluated and both groups will be compared in these parameters
Demographic information address telephone age occupation height weight marital status etc of the patients to be included in the study will be recorded and general musculoskeletal examinations will be performed The patients will be compared to evaluate for Visual Analogue Scale VAS Neck Disability Index NDI and Short Form-36 SF-36 cervical range of motion and cervical joint position sense after intervention Cervical range of motion and cervical joint position sense will be evaluated with the Cervical Range of Motion Deluxe Device CROM
Anterior tilt of the head is a common posture in neck pain In this posture the upper cervical vertebrae are extension the lower cervical vertebrae are flexion and the cervical lordosis is decreased With neck pain inhibition occurs in the deep neck flexor longus coli and capitis and extensor multifidus rotator semispinalis muscles increased fat infiltration deterioration in type 1 and 2 fiber ratios and muscle atrophy The risk of micro and macro trauma increases and muscle support decreases Thus there is an increase in the activation response and fatigue of the neck superficial muscle group trapeze scalene sternocleidomastoid muscles and a decrease in neck joint movement and proprioception sense As a result it was determined that there are deficiencies in the sense of proprioception in patients with neck pain
Studies have shown that many receptors related to the sense of position are on deep cervical flexor muscles such as Musculus Longus Capitis and Musculus Longus Colli In cases where there are changes such as atrophy and fat infiltration in these muscles there is a decrease in proprioceptive sensationConservative treatment is the first choice in the treatment of neck pain The important components of this treatment are stretching strengthening posture stabilization proprioception relaxation joint movement exercises and aerobic exercises The purpose of stabilization exercises which have been used in the treatment of chronic neck pain recently to support the vertebral column by activating the stabilizing muscles and to improve posture by increasing kinesthetic awareness
This study will examine the relationship between the sense of cervical proprioception and cervical stabilization exercises in patients with chronic neck pain
In this study between 15 June 2022 and 30 January 2023 72 volunteers aged between 18-55 years with neck pain for more than 3 months with good cognitive function who applied to the our Physical Medicine and Rehabilitation Clinic will be included The patients will be randomized to two groups as cervical stabilization exercise group and conventional cervical exercise treatment group The patients in group 1 will receive cervical stabilization exercises 1 session a day 3 days a week for 6 weeks and the patients in group 2 will perform cervical stabilization exercises for 6 weeks 3 days a week 1 session a day conventional cervical exercises will be given Patients of both groups will do their exercises in the first 3 weeks accompanied by a physiotherapist and in the last 3 weeks as a home exercise program
Before the start of the treatment at the end of the 3rd week and at the end of the 6th week pain intensity level of neck disability quality of life cervical range of motion and cervical joint position sense will be evaluated and both groups will be compared in these parameters
Demographic information address telephone age occupation height weight marital status etc of the patients to be included in the study will be recorded and general musculoskeletal examinations will be performed The patients will be compared to evaluate for Visual Analogue Scale VAS Neck Disability Index NDI and Short Form-36 SF-36 cervical range of motion and cervical joint position sense after intervention Cervical range of motion and cervical joint position sense will be evaluated with the Cervical Range of Motion Deluxe Device CROM
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None