Isometric Exercises With and Without Pressure Biofeedback in Computer Users With Cervical Spine Overload

NCT ID: NCT05026086

Last Updated: 2022-04-22

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 20 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-08-05
• Study Completion Date: 2022-02-28

Brief Summary

Neck pain is defined as the pain experienced from the base of the skull or occiput to the upper part of the back and extending laterally to the outer and superior bounds of the shoulder blade. Office work is a kind of job that demands sitting for prolonged time requiring the use of computer. These two factors are mainly responsible for overloading of the spine. Neck pain and computer users are clearly connected due to extended periods of sitting in a certain position with no breaks to stretch the neck muscles. Prolonged computer use with neck bent forward will cause the anterior neck muscles to gradually get shorter and tighter, while the muscles in the back of neck will grow longer and weaker. These changes will lead to development of neck pain. Neck problem also accounts for a large proportion of occupational illness and disability. Neck pain is common among computer workers in our country and contributes importantly to the demand for medical services and the economic burden of absence from work due to sickness.

The main purpose of this randomized clinical trial will be to find out the effects of Isometric exercises with and without Pressure Biofeedback Unit on Cervical pain and Muscle strength in Computer users with cervical spine overload. Patients will be recruited in the study by convenient sampling technique after that will be allocated to groups by simple random assignment with an inclusion criteria having chronic neck pain for more than 3 months, current pain level ranging greater than 3 on NPRS, patient with minimum and moderate disability and male and female computer users with age 25 to 40 years with cervical pain. Patients with history of cervical trauma, postural deformity, spinal cord deformity, current pregnancy and significant neurological deficits were excluded.

Numeric Pain Rating Scale (NPRS) and Neck Disability Index (NDI) will be used to measure before and after treatment session. Treatment will be given to both groups for 4 weeks and each group will receive 3 sessions per week. After collecting the data it will entered and analysed using Statistical Package for the Social Sciences (SPSS) version 25. Data will be assessed by using parametric/ non parametric test after completion of the study.

Conditions

Pain, Neck

Study Design

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

Study Groups

biofeedback

10 patients will be treated with isometric exercises and pressure biofeedback.

Group Type: EXPERIMENTAL

pressure biofeedback

Intervention Type: OTHER

10 patients will be treated with isometric exercises and pressure biofeedback.

isometric exercises

10 patients will be treated with isometric exercises without pressure biofeedback.

Group Type: ACTIVE_COMPARATOR

isometric exercises

Intervention Type: OTHER

10 patients will be treated with isometric exercises

Interventions

pressure biofeedback

10 patients will be treated with isometric exercises and pressure biofeedback.

Intervention Type: OTHER

isometric exercises

10 patients will be treated with isometric exercises

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Aged between 20-40 years among male and female with cervical pain
• Having chronic pain for more than 3 months.
• Current pain level ranging greater than 3 on NPRS
• Patients with minimum and moderate disability based on NDI

Exclusion Criteria

• History of cervical trauma
• Postural deformity
• Spinal cord deformity ( scoliosis, kyphosis, lordosis)
• Current pregnancy
• Significant neurological deficits ( cervical radiculopathy, cervical spondylosis)

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Salman Bashir, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Muhammad Hahim

Lahore, Ppunjab, Pakistan

Countries

Pakistan

References

Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017 Aug 14;358:j3221. doi: 10.1136/bmj.j3221.

Reference Type: BACKGROUND

PMID: 28807894 (View on PubMed)

Barrett JM, McKinnon C, Callaghan JP. Cervical spine joint loading with neck flexion. Ergonomics. 2020 Jan;63(1):101-108. doi: 10.1080/00140139.2019.1677944. Epub 2019 Oct 15.

Reference Type: BACKGROUND

PMID: 31594480 (View on PubMed)

Genebra CVDS, Maciel NM, Bento TPF, Simeao SFAP, Vitta A. Prevalence and factors associated with neck pain: a population-based study. Braz J Phys Ther. 2017 Jul-Aug;21(4):274-280. doi: 10.1016/j.bjpt.2017.05.005. Epub 2017 May 20.

Reference Type: BACKGROUND

PMID: 28602744 (View on PubMed)

Khan R, Surti A, Rehman R, Ali U. Knowledge and practices of ergonomics in computer users. J Pak Med Assoc. 2012 Mar;62(3):213-7.

Reference Type: BACKGROUND

PMID: 22764450 (View on PubMed)

Other Identifiers

REC/RCR&AHS/21/0115

Identifier Type: -

Identifier Source: org_study_id