Effects of Specific Training for Deep Neck Muscle

NCT ID: NCT02656030

Last Updated: 2016-02-15

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2015-11-30
• Study Completion Date: 2017-12-31

Brief Summary

Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.

Exercise is known to be an important component of treatment programs for patients with neck pain. Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles.Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects.

The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.

Detailed Description

Neck pain is a second the most common problems in musculoskeletal problems the low back pain in general population.The prevalence of neck pain at the some point in their lifetime in general population had been reported to be between 43 to 66.7 percent.the neck problems could be involved physical function, psychological function and social function. The economic burden for neck pain is very high.Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles. The specific training on deep cervical muscles aims to improve control strategy, improve activation of deep cervical flexor muscles to optimize movement control of segmental motion of the cervical spine. Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep and superficial cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. So, the activation of the deep cervical extensors should be emphasized for the management in people with neck pain. Schomacher et al (2012) suggested that isometric resisted exercise at the second cervical vertebra can improve semispinalis cervicis muscle activity in neck pain patients. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects. The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.

Conditions

Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

semispinalis cervicis resisted exercise

semispinalis cervicis resisted exercise 2 times/week, 6 weeks duration

Group Type: EXPERIMENTAL

semispinalis cervicis resisted exercise

Intervention Type: OTHER

semispinalis cervicis resisted exercise, 2 time per week, 6 weeks duration

cranio-cervical flexion exercise

cranio-cervical flexion exercise 2 times/week, 6 weeks duration

Group Type: EXPERIMENTAL

cranio-cervical flexion exercise

Intervention Type: OTHER

cranio-cervical flexion exercise, 2 time per week, 6 weeks duration

usual care

Usual care 2 times/week, 6 weeks duration

Group Type: ACTIVE_COMPARATOR

usual care

Intervention Type: OTHER

usual care, 2 time per week, 6 weeks duration

Interventions

semispinalis cervicis resisted exercise

semispinalis cervicis resisted exercise, 2 time per week, 6 weeks duration

Intervention Type: OTHER

cranio-cervical flexion exercise

cranio-cervical flexion exercise, 2 time per week, 6 weeks duration

Intervention Type: OTHER

usual care

usual care, 2 time per week, 6 weeks duration

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Chronic mechanical neck pain
• Aged between 18 to 59 years
• The symptom more than three months in duration
• A baseline the Thai version of Neck Disability Index (NDI-TH) score of 10 percent or greater

Exclusion Criteria

• a previous history of whiplash injury
• a previous history injury to the cervical and thoracic spine
• diagnosed with osteoporosis, malignancy or other spinal inflection
• a positive vertebro-basilar artery insufficient test
• diagnosed with cervical radiculopathy and/or myelopathy

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 59 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Khon Kaen University

OTHER

Sponsor Role: lead

Responsible Party

Thavatchai Suvarnnato

Member of Research Center in Back, Neck, Other Joint Pain and Human Performance

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Thavatchai Suvarnnato, M.Sc. PT

Role: PRINCIPAL_INVESTIGATOR

Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University

Locations

Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University

Muang, Changwat Khon Kaen, Thailand

Site Status: RECRUITING

Countries

Thailand

Central Contacts

Thavatchai Suvarnnato, M.Sc. PT

Role: CONTACT

suvarnnato@hotmail.com

+66890092175

Thavatchai Suvarnnato, M.Sc. PT

Role: CONTACT

Facility Contacts

Thavatchai Suvarnnato, M.Sc. PT

Role: primary

suvarnnato@hotmail.com

+66890092175

References

Falla D, O'Leary S, Farina D, Jull G. The change in deep cervical flexor activity after training is associated with the degree of pain reduction in patients with chronic neck pain. Clin J Pain. 2012 Sep;28(7):628-34. doi: 10.1097/AJP.0b013e31823e9378.

Reference Type: RESULT

PMID: 22156825 (View on PubMed)

Schomacher J, Petzke F, Falla D. Localised resistance selectively activates the semispinalis cervicis muscle in patients with neck pain. Man Ther. 2012 Dec;17(6):544-8. doi: 10.1016/j.math.2012.05.012. Epub 2012 Jun 22.

Reference Type: RESULT

PMID: 22728210 (View on PubMed)

Suvarnnato T, Puntumetakul R, Uthaikhup S, Boucaut R. Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial. J Pain Res. 2019 Mar 7;12:915-925. doi: 10.2147/JPR.S190125. eCollection 2019.

Reference Type: DERIVED

PMID: 30881101 (View on PubMed)

Other Identifiers

TSuvarnnato

Identifier Type: -

Identifier Source: org_study_id