Effect of Cervical Stabilization and Oculomotor Exercises on Position Sense With Chronic Neck Pain
NCT ID: NCT05083858
Last Updated: 2021-10-19
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
72 participants
INTERVENTIONAL
2021-08-01
2022-07-31
Brief Summary
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Detailed Description
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Transcutaneous Electrical Nerve Stimulation, hotpack, classical massage and stretching/posture exercises will be given to participants within the scope of the Classical Physiotherapy program. In addition to the classical physiotherapy program, the participants in the 1st and 2nd groups will be given exercises that gradually increase in difficulty level, 3 days a week, for a total of 8 weeks, under the control of a physiotherapist. Participants in the 3rd group will be given only classical physiotherapy. At the same time, stretching and posture exercises will be performed under the control of a physiotherapist.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Classical Physiotherapy Program + Cervical Stabilization Exercises
In addition to classical physiotherapy, Cervical Stabilization Exercises will be applied to the individuals in the 1st group.
Classical Physiotherapy Program + Cervical Stabilization Exercises
First of all, patients will be taught correct craniocervical flexion movement without activation of superficial muscles in different positions (supine, prone, crawling, sitting, standing). The program will be continued by asking to maintain the cranio-cervical flexion position during all movements. In order to gain dynamic stabilization, unilateral, bilateral, contralateral, ipsilateral and reciprocal extremity movements will be added to the program together with craniocervical flexion movement. Resistance will be added to the exercises as control of the movement is achieved. The exercises will progress from static to dynamic, from stationary floors to moving floors, from simple movements to complex movements.
Classical Physiotherapy Program + Oculomotor Exercises
In addition to classical physiotherapy, Oculomotor Exercises will be applied to the individuals in the 2nd group.
Classical Physiotherapy Program + Oculomotor Exercises
Oculomotor Exercises is a program consisting of exercises that support proprioception in the cervical region. It consists of 4 main contents; Sacadic Eye movements, Gaze stability, Head/eye coordination, Head repositioning exercise.
Classical Physiotherapy Program
Only the classical physiotherapy program will be applied to the individuals in 3rd group.
Classical Physiotherapy Program
Conventional TENS will be applied to apply analgesic current. TENS application will be made to the cervical paravertebral region, using four 5 x 5 cm adhesive surface electrodes, at 80 Hz frequency for 20 minutes, 100 msec.
All participants will be asked to lie in a prone position. The neck will be in a neutral position. The hot pack will be applied to the cervical region for 20 minutes.
Classical massage will be applied for 20 minutes using the Swedish technique. The technique will be performed on the upper and neck region of the back with 3 strokes, 3 kneading and 3 strokes. The patient will be massaged while lying in the prone position.
Stretching/Posture Exercises Exercises will be applied as a 5-10 minute warm-up-cool-down program at the beginning and end of the study. Cervical flexor, lateral flexor, rotator muscles, pectorals, inferior shoulder joint capsule will be stretched. In addition to this, posture exercises will also be done.
Interventions
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Classical Physiotherapy Program + Cervical Stabilization Exercises
First of all, patients will be taught correct craniocervical flexion movement without activation of superficial muscles in different positions (supine, prone, crawling, sitting, standing). The program will be continued by asking to maintain the cranio-cervical flexion position during all movements. In order to gain dynamic stabilization, unilateral, bilateral, contralateral, ipsilateral and reciprocal extremity movements will be added to the program together with craniocervical flexion movement. Resistance will be added to the exercises as control of the movement is achieved. The exercises will progress from static to dynamic, from stationary floors to moving floors, from simple movements to complex movements.
Classical Physiotherapy Program + Oculomotor Exercises
Oculomotor Exercises is a program consisting of exercises that support proprioception in the cervical region. It consists of 4 main contents; Sacadic Eye movements, Gaze stability, Head/eye coordination, Head repositioning exercise.
Classical Physiotherapy Program
Conventional TENS will be applied to apply analgesic current. TENS application will be made to the cervical paravertebral region, using four 5 x 5 cm adhesive surface electrodes, at 80 Hz frequency for 20 minutes, 100 msec.
All participants will be asked to lie in a prone position. The neck will be in a neutral position. The hot pack will be applied to the cervical region for 20 minutes.
Classical massage will be applied for 20 minutes using the Swedish technique. The technique will be performed on the upper and neck region of the back with 3 strokes, 3 kneading and 3 strokes. The patient will be massaged while lying in the prone position.
Stretching/Posture Exercises Exercises will be applied as a 5-10 minute warm-up-cool-down program at the beginning and end of the study. Cervical flexor, lateral flexor, rotator muscles, pectorals, inferior shoulder joint capsule will be stretched. In addition to this, posture exercises will also be done.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Neck pain for at least 3 months,
* Sedentary or non-regular exercise habit (3 days a week, less than 30 min of physical activity per day)
* According to the Numerical Pain Scale, the pain intensity is 4 cm and above
Exclusion Criteria
* Congenital anomaly in the cervical region (such as Klippel Feil Syndrome)
* Having structural scoliosis at any level of the vertebral column,
* Acute or chronic neurological deficits (sensory and motor loss),
* With vertebrobasillary artery failure,
* Thoracic Outlet Syndrome,
* Any vestibular problem,
* With marked diplopia and oculomotor muscle insufficiency,
* Having a cervical rib,
* Having a history of fractures in the cervical vertebrae,
* Colorblind,
* Suffering from whiplash injury,
* Those with serious rheumatic diseases such as Ankylosing Spondylitis, Rheumatoid Arthritis
* Having undergone spine surgery from any region,
* Tumor or spinal cord compression due to another reason,
* Using any pain reliever drug other than simple analgesics.
* Those who have problems related to the lumbar region such as lumbal stenosis, lumbar disc herniation
30 Years
55 Years
ALL
No
Sponsors
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Hacettepe University
OTHER
Eastern Mediterranean University
OTHER
Responsible Party
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Cemaliye Hürer
Master of Science, Physiotherapist, Lecturer, Principal Investigator
Principal Investigators
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Zafer Erden
Role: PRINCIPAL_INVESTIGATOR
Hacettepe University
Locations
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Eastern Mediterranean University
Famagusta, , Cyprus
Countries
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References
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Jull GA, Falla D, Vicenzino B, Hodges PW. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Man Ther. 2009 Dec;14(6):696-701. doi: 10.1016/j.math.2009.05.004. Epub 2009 Jul 25.
Revel M, Minguet M, Gregoy P, Vaillant J, Manuel JL. Changes in cervicocephalic kinesthesia after a proprioceptive rehabilitation program in patients with neck pain: a randomized controlled study. Arch Phys Med Rehabil. 1994 Aug;75(8):895-9. doi: 10.1016/0003-9993(94)90115-5.
Jull G, Falla D, Treleaven J, Hodges P, Vicenzino B. Retraining cervical joint position sense: the effect of two exercise regimes. J Orthop Res. 2007 Mar;25(3):404-12. doi: 10.1002/jor.20220.
Strimpakos N, Sakellari V, Gioftsos G, Kapreli E, Oldham J. Cervical joint position sense: an intra- and inter-examiner reliability study. Gait Posture. 2006 Jan;23(1):22-31. doi: 10.1016/j.gaitpost.2004.11.019.
Other Identifiers
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HU
Identifier Type: -
Identifier Source: org_study_id