Cervical Stabilization Exercises on Respiratory Strength in Chronic Neck Pain

NCT ID: NCT04674891

Last Updated: 2021-03-08

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 44 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-03-30
• Study Completion Date: 2021-01-30

Brief Summary

This project was a Randomized control trial conducted to check the effects of Cervical Stabilization Exercises on Respiratory Strength in Chronic Neck Pain Patients with Forward Head Posture, duration of study was of 6 months, convenient sampling was done, subject following eligibility criteria from Jinnah Hospital Lahore, were randomly allocated in two groups via lottery method, baseline assessment was done, Group A participants were given baseline treatment protocol for 4 weeks which included 3 sessions per week. Heating Pad applied for 15 min and TENS (Transcutaneous Electric Nerve Stimulation) for 10 min. After that Cervical isometric exercises performed in sitting (10sec hold, 10 to 15 reps). Group B was experimental group and participants were given baseline treatment in addition to Cervical Stabilization exercises for 4 weeks which included 3 sessions per week. The baseline measurement was taken on day one for Numeric Pain Rating Scale (NRPS) and Neck Disability Index (NDI). Forward head posture assessed by measuring Cranio Vertebral Angle (CVA). Respiratory muscle strengths measured by Spirometer and SBC (single breath count). All the measurements repeated at the end of fourth week. Data was analyzed by using SPSS version 20.

Detailed Description

Extensive usage of electronic gadgets in today's life leads to the musculoskeletal problems among which neck pain is the most common problem reported to physicians, orthopedics and physical therapists. Even before reporting to clinics there is long history of using over the counter pain killers. Pain avoidance behaviors let the cervical spine stiff so much that a clinician help is sought. There is huge literature regarding the management of chronic neck pain and yet after the decades of research there are gaps in treatment options. In modern age of health care, it is common goal of every healthcare to make patient self-sufficient as early as possible. The self-care models have tremendous advantages. The current study has compared the effects of cervical stabilization exercises and isometric exercises. The current study was novel in a way that there is limited literature about treating Chronic Neck Pain Patients with effects of physiotherapy on respiratory strength in improving forward head posture. All the methods were employed to see if they improve ranges along with accompanying pain and disability.

Conditions

Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

baseline physical therapy treatment

baseline physical therapy treatment ,Control group- Group A

Group Type: ACTIVE_COMPARATOR

baseline physical therapy treatment

Intervention Type: OTHER

Group A was control group and the patients received Conventional treatment protocol for 4 weeks which included 3 sessions per week. Patients received hot pack for 15 min and TENS (Transcutaneous Electric Nerve Stimulation) for 10 min. After that Cervical isometric exercises will be performed in sitting (10sec hold,10 to 15 reps)

Cervical Stabilization exercises

baseline physical therapy treatment along with Cervical Stabilization exercises- Experimental Group- Group B

Group Type: EXPERIMENTAL

Cervical Stabilization exercises

Intervention Type: OTHER

Group B was experimental group and received baseline physiotherapy treatment in addition to Cervical Stabilization exercises. Pillow was placed beneath cervical spine in supine position and guided patients to nod head as though they said 'yes' and asked them to hold for 10 seconds. 10 repetitions were done before progressing to the next target level.

4 weeks (3 sessions per week)

• Hot pack: 10 min
• TENS: 10 min
• Cervical isometric exercises in sitting (10sec hold,10 to 15 reps)
• Cervical Stabilization exercises (10 sec hold, 10 reps)

On eligible participants baseline assessment was taken on day 1, post intervention assessment was taken at the end of 4th week.

Interventions

baseline physical therapy treatment

Group A was control group and the patients received Conventional treatment protocol for 4 weeks which included 3 sessions per week. Patients received hot pack for 15 min and TENS (Transcutaneous Electric Nerve Stimulation) for 10 min. After that Cervical isometric exercises will be performed in sitting (10sec hold,10 to 15 reps)

Intervention Type: OTHER

Cervical Stabilization exercises

Group B was experimental group and received baseline physiotherapy treatment in addition to Cervical Stabilization exercises. Pillow was placed beneath cervical spine in supine position and guided patients to nod head as though they said 'yes' and asked them to hold for 10 seconds. 10 repetitions were done before progressing to the next target level.

4 weeks (3 sessions per week)

• Hot pack: 10 min
• TENS: 10 min
• Cervical isometric exercises in sitting (10sec hold,10 to 15 reps)
• Cervical Stabilization exercises (10 sec hold, 10 reps)

On eligible participants baseline assessment was taken on day 1, post intervention assessment was taken at the end of 4th week.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with chronic neck pain for more than 3 months.
• Mild neck disability (NDI score 5-15)

Exclusion Criteria

• Neck pain secondary to trauma
• Deformities of thoracic region or vertebral column
• History of any thoracic or vertebral column surgery.
• History of smoking
• Patients with any other serious pathology/red flags

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Syed Shakil Ur Rehman

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Jinnah Hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

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Reference Type: BACKGROUND

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Migliarese S, White E. Review of Forward-Head Posture and Vestibular Deficits in Older Adults. Current Geriatrics Reports. 2019;8(3):194-201.

Reference Type: BACKGROUND

Gurudut P, Welling A, Chodankar A. Effect of self-care exercises in forward head posture on craniovertebral angle and craniocervical flexion endurance: A pilot study. Indian Journal of Physical Therapy and Research. 2020;2(1):25.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Reference Type: BACKGROUND

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Other Identifiers

REC/LHR/20/1048 Tooba Arif

Identifier Type: -

Identifier Source: org_study_id