Scapular Motor Control for Chronic Mechanical Neck Pain

NCT ID: NCT05845853

Last Updated: 2023-05-06

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 56 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-01
• Study Completion Date: 2024-06-30

Brief Summary

The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain.

Detailed Description

Chronic mechanical neck pain (CMNP) is defined as generalized neck and/ or shoulder pain for more than 3 months with symptoms provoked by neck movement, neck postures, or palpation of the cervical muscles .

regional interdependence (RI) is defined as the concept that a patient's primary musculoskeletal symptom(s) may be directly or indirectly related or influenced by impairments from various body regions and systems regardless of proximity to the primary symptom(s)'.

Changes in scapular posture and alteration of muscle activation patterns of scapulothoracic muscles are cited as potential risk factors for neck pain the structural connectivity of the cervical spine and scaopulothorathic muscles . The bones and muscles of the cervical spine and the shoulders are connected to each other mechanically, thus a continuously applied mechanical load on the shoulders directly increases the load on the cervical region, which may cause joint and ligament pain Scapular malalignment can contribute to prolonged compressive loading of the posterior cervical structures .

It has been suggested that abnormal joint stress affects the firing of cervical afferents, leading to changes in proprioceptive function. Moreover, pain leads to changes in motor control . we believe that scapular motor control exercises using PNF technique may help to restore normal alignment and reverse this vicious circle PNF Technique is based on movement patterns to facilitate and correct sensory-motor function it has been suggested that PNF correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and desires to improve the strength of muscles. PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position .The purpose of this study is to investigate the effect of motor control training using scapular PNF exercise on neck pain, function, proprioception, and scapular muscle strength in patients with chronic mechanical neck pain.

Conditions

Chronic Mechanical Neck Pain

Study Design

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

Study Groups

interventinal group

28 subject will receive a program of scapular motor control exercises using PNF technique in addition to the conventional treatment for 18 sessions (3 sessions per week for six weeks)

Group Type: EXPERIMENTAL

scapular PNF technique

Intervention Type: OTHER

PNF Technique is based on movement patterns to facilitate and correct sensory-motor function,then correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and improve the strength of muscles.

PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position .

control group

28 subject will receive conventional physical therapy program (heat-TENS) for 18 sessions (3 sessions per week for six weeks)

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

scapular PNF technique

PNF Technique is based on movement patterns to facilitate and correct sensory-motor function,then correct the impaired impulses emerging from proprioceptive receptors in the muscle. Therefore, it decreases pain and improve the strength of muscles.

PNF position renders a greater amount of sensory input coming from the periphery than that in the neutral position .

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• -The subject will be referred from orthopedic surgeon with diagnosis of CMNP.
• Subjects with CMNP of more than 3 months with age range between 18 and 45 years
• Subjects having a baseline NDI score of at least 20% (10 points)
• At least 3/10 pain intensity on VAS

Exclusion Criteria

• Spinal canal stenosis.
• Traumatic injury to the cervical spine.
• Previous surgery related to cervical spine.
• Hypermobility of the cervical spine,
• Any red flags e.g. cervical instability, history of cancer, long use of corticosteroids.
• Presence of an inflammatory rheumatologic disease,

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Aisha Said ABDEL Raouf Agoor

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Tala Central Hospital

Tala, Munofia, Egypt

Site Status: RECRUITING

Tala Central Hospital

Tala, , Egypt

Site Status: NOT_YET_RECRUITING

Countries

Egypt

Central Contacts

Aisha said, master

Role: CONTACT

aishasaid1960@gmail.com

01061157728

mohammed abdelmaged

Role: CONTACT

+1 (909) 583-4966

Facility Contacts

mohammed mostafa, second

Role: primary

mohammedabdelbary24@gmail.com

01061157728

Related Links

https://doi.org/10.16965/ijpr.2020.162

Bansal, R., \& Paul, M. (2020). Effectiveness of Motor Control Therapeutic Exercise Vs. Proprioceptive Neuromuscular Facilitation in Subjects With Cervical Spondylosis on Pain and Functional Disability. International Journal of Physiotherapy and Researc

https://doi.org/10.1016/j.math.2015.07.003

Celenay, S. T., Kaya, D. O., \& Akbayrak, T. (2016). Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Manual Therapy, 21, 144-150.

https://doi.org/10.1016/j.math.2011.05.011

Ha, S. min, Kwon, O. yun, Yi, C. hwi, Jeon, H. seon, \& Lee, W. hwee. (2011). Effects of passive correction of scapular position on pain, proprioception, and range of motion in neck-pain patients with bilateral scapular downward-rotation syndrome. Manu

https://doi.org/10.1186

25\. Ijspeert, J., Kerstens, H. C. J. W., Janssen, R. M. J., Geurts, A. C. H., Van Alfen, N., \& Groothuis, J. T. (2019). Validity and reliability of serratus anterior hand held dynamometry. BMC Musculoskeletal Disorders, 20(1), 1-8.

Other Identifiers

motor control in neck pain

Identifier Type: -

Identifier Source: org_study_id