The Acute Effect of Proprioceptive Neuromuscular Facilitation on Cervical Range of Motion, Strength and Proprioception.

NCT ID: NCT04045106

Last Updated: 2019-08-29

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 104 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2019-02-20
• Study Completion Date: 2019-05-27

Brief Summary

the aim of the study was to investigate the immediate influence of proprioceptive neuromuscular facilitation on cervical range of motion, strength and proprioception

Detailed Description

the study evaluates the influence of two proprioceptive neuromuscular facilitation techniques (PNF patterns and PNF stretching) on cervical proprioception. PNF techniques are regularly used techniques among physiotherapist. also there is a lack of studies that investigated the effect of PNF on cervical proprioception

Conditions

Proprioception; Neck

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: SCREENING
• Blinding Strategy: DOUBLE

Study Groups

PNF pattern

PNF patterns were performed using Dynamic of reversals technique which is characterized as active motion alternating from one direction (agonist) to the opposite (antagonist) without relaxing. The cervical patterns consisted of

1. Cervical flexion with right rotation followed by extension with left rotation.

2. Cervical flexion with left rotation followed by extension with right rotation.

Group Type: EXPERIMENTAL

Proprioceptive Neuromuscular Facilitation Patterns

Intervention Type: OTHER

The participants were asked to sit on a chair, the therapist performed the pattern of movement himself then passively applied the pattern on the participant then asked the participant to perform the pattern, and the therapist observed and corrected the movement if it was done improperly.Then participants were told that the therapist will resist their movement, they were also told to keep breathing normally and to report any discomfort and/or pain.After mastering the pattern,the therapist placed one hand on the participant's mandibular and the other hand approximately between parietal and occipital bones to apply resistance through out the ROM, each pattern performed for 3 sets of 10 repetitions with 1-2-minute rest between sets.

PNF stretching

PNF stretching was done using contract-relax-antagonist contract (CRAC) technique for cervical flexors, extensors, right and left lateral flexors, right rotators and left rotators.

Group Type: EXPERIMENTAL

Proprioceptive Neuromuscular Facilitation stretching

Intervention Type: OTHER

was done for 6 repetitions with hold for 6 seconds in position of stretch and sub maximal isometric contraction for 6 seconds, 1-2-minute rest was given before changing the target muscle group

control

Participants allocated to the control group received ineffective passive ROM.

Group Type: SHAM_COMPARATOR

Passive range of motion

Intervention Type: OTHER

ineffective passive ROM for 10 repetitions for flexion, extension, right and left side bending and right and left rotation, it was done from neutral position to the limit of motion without causing any stretch to the muscle.

Interventions

Proprioceptive Neuromuscular Facilitation Patterns

The participants were asked to sit on a chair, the therapist performed the pattern of movement himself then passively applied the pattern on the participant then asked the participant to perform the pattern, and the therapist observed and corrected the movement if it was done improperly.Then participants were told that the therapist will resist their movement, they were also told to keep breathing normally and to report any discomfort and/or pain.After mastering the pattern,the therapist placed one hand on the participant's mandibular and the other hand approximately between parietal and occipital bones to apply resistance through out the ROM, each pattern performed for 3 sets of 10 repetitions with 1-2-minute rest between sets.

Intervention Type: OTHER

Proprioceptive Neuromuscular Facilitation stretching

was done for 6 repetitions with hold for 6 seconds in position of stretch and sub maximal isometric contraction for 6 seconds, 1-2-minute rest was given before changing the target muscle group

Intervention Type: OTHER

Passive range of motion

ineffective passive ROM for 10 repetitions for flexion, extension, right and left side bending and right and left rotation, it was done from neutral position to the limit of motion without causing any stretch to the muscle.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Neck disability index score of 5 or less
• Able to understand and follow instructions
• Above 18 years old

Exclusion Criteria

• Cervical trauma
• History of cervical inter-vertebral disc pathology
• Rheumatic diseases
• Whiplash syndrome
• History of surgeries to the neck, face and shoulders
• History of systemic diseases

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Bahçeşehir University

OTHER

Sponsor Role: collaborator

Yeditepe University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

SULE DEMIRBASISTANBUL

Role: STUDY_DIRECTOR

Yeditepe University

Locations

Yeditepe University

Ataşehir, Istanbul, Turkey (Türkiye)

Bahcesehir University

Beşiktaş, Istanbul, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Document Type: Informed Consent Form

View Document

Other Identifiers

10269393

Identifier Type: -

Identifier Source: org_study_id