Isokinetic Assessment of Wrist Muscle Performance Among Medical Students With Neck Pain
NCT ID: NCT06240611
Last Updated: 2024-02-05
Study Results
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Basic Information
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COMPLETED
45 participants
OBSERVATIONAL
2023-05-01
2023-12-25
Brief Summary
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1. To assess the effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight among Egyptian physical therapy students.
2. To assess the effect of chronic non-specific neck pain on extensor / flexor wrist ratio among Egyptian physical therapy students.
3. To assess the effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance among Egyptian physical therapy students.
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Detailed Description
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Although it is widely acknowledged that chronic non-specific neck pain is linked to hand disability as previously studied on dentists and ministry of health care stuff, there is still a gap in illustrating the effect of chronic non-specific neck pain on Egyptian physical therapy students' functional ability of wrist in the upper limb. However, the assessment of extensor / flexor wrist strength ratio has only recently gained attention. Furthermore, there is limited research investigating the strength control ratio that incorporates both concentric and eccentric muscle actions, and additional scientific evidence is needed to establish the relationship between chronic non-specific neck pain and upper limb disability. This study will be conducted to set new assessment and rehabilitation goals. This will subsequently be translated into home therapy program, contributing to decrease the burden of neck pain economically and on health care management.
Our study aims to evaluate peak torque of wrist extensor and flexor muscle/ body weight and extensor / flexor wrist ratio and wrist extensor and flexor muscle endurance among Egyptian physical therapy students with non-specific neck pain. Torque results are adjusted for body weight and compared to normative data for the gender and activity specialty to determine whether the unaffected limb is strong enough to act as a reference for the afflicted limb also compared between right- and left-handed subjects.
HYPOTHESES:
* There will be no significant effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight.
* There will be no significant effect of chronic non-specific neck pain on extensor / flexor wrist ratio.
* There will be no significant effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance.
RESEARCH QUESTIONS:
* Does chronic non-specific neck pain affect wrist extensor and flexor muscles performance among Egyptian physical therapy students?
* Does chronic non-specific neck pain affect peak torque of wrist extensor and flexor muscles/ body weight among Egyptian physical therapy students?
* Does chronic non-specific neck pain affect extensor / flexor wrist ratio among Egyptian physical therapy students?
* Does chronic non-specific neck pain affect wrist extensor and flexor muscles endurance among Egyptian physical therapy students?
Conditions
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Study Design
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CASE_CONTROL
CROSS_SECTIONAL
Study Groups
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Group A (Control)
A healthy matched volunteers' group (n = 23) between 18 and 23 years of age was included in this study. For students of both genders, the body mass index was not less than 18.5 and not more than 29.5, and there was no recent or previous musculoskeletal injury or pain.
No interventions assigned to this group
Group B (Experimental)
Participants with CNSNP (n = 22) were between 18 and 23 years of age. Patients with CNSNP For students of both genders, the duration of the non-specific neck pain was more than 3 months (for the symptomatic group with no neurological manifestations and with referral from orthopedic surgeons by diagnosis of non-specific neck pain), and for matched students, they did not have any history of neck pain. The student's age ranges from 18 to 23 years. Neck pain intensity on the numerical Pain Rating Scale was between 3 and 8, and neck pain-related disability on the Neck Disability Index was between 5 and 14 points (10-28%) for mild disability and 15-24 points (30-48%) for moderate disability. The body mass index for students was not less than 18.5 and not more than 29.5.
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Duration of neck pain (\> 3 months)
* Age from 18 to 23 years
* The neck pain intensity is between 3 and 8 on the Numerical Pain Rating Scale
* Neck pain-related disability was between 5 and 14 points on the Neck Disability Index
* Body mass index from 18.5 to 29.5
Exclusion Criteria
* Headache
* Cancer, infection, or any other illness symptoms.
* Trauma
* Cardiovascular problems or cerebrovascular insufficiency symptoms.
* Musculoskeletal disorder (i.e., joint replacement, amputation, physically limiting arthritis, contractures of fixed deformity, or muscular dystrophy)
* Orthopedic or neurological conditions such as fractures, surgeries on the upper limb or hand, carpal tunnel syndrome, De Quervain's syndrome, or diabetic mellitus
* Cervical spine spondylosis, disc prolapse, spinal stenosis, cervical fracture, etc.
* Any recent treatment for neck pain.
* Visual, auditory and speech problems
* Forward head posture.
18 Years
23 Years
ALL
Yes
Sponsors
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Mohamed Mahmoud Refaey
OTHER
Responsible Party
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Mohamed Mahmoud Refaey
Department of Biomechanics, Faculty of Physical Therapy
Principal Investigators
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Enas F Youssef, Dr
Role: STUDY_CHAIR
Department of Musculoskeletal Disorders Faculty of Physical Therapy Cairo University
Anees S Gheit, Dr
Role: STUDY_DIRECTOR
Department of Biomechanics, Faculty of Physical Therapy Kafr El Sheikh University
Aya A Khalil
Role: PRINCIPAL_INVESTIGATOR
Department of Biomechanics, Faculty of Physical Therapy Cairo University
Locations
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Faculty of Physical Therapy, Cairo University
Cairo, Giza Governorate, Egypt
Countries
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References
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Ortego G, Lluch E, Herrero P, Boudreau SA, Domenech-Garcia V. Profiling and Association over Time between Disability and Pain Features in Patients with Chronic Nonspecific Neck Pain: A Longitudinal Study. J Clin Med. 2022 Feb 28;11(5):1346. doi: 10.3390/jcm11051346.
Alreni AS, Harrop D, Gumber A, McLean S. Measures of upper limb function for people with neck pain: a systematic review of measurement and practical properties (protocol). Syst Rev. 2015 Apr 7;4:43. doi: 10.1186/s13643-015-0034-2.
Andrew D, Yielder P, Haavik H, Murphy B. The effects of subclinical neck pain on sensorimotor integration following a complex motor pursuit task. Exp Brain Res. 2018 Jan;236(1):1-11. doi: 10.1007/s00221-017-5103-4. Epub 2017 Oct 12.
Alsalameh AM, Harisi MJ, Alduayji MA, Almutham AA, Mahmood FM. Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. J Family Med Prim Care. 2019 Sep 30;8(9):2953-2959. doi: 10.4103/jfmpc.jfmpc_665_19. eCollection 2019 Sep.
Ajimsha MS, Shenoy PD, Gampawar N. Role of fascial connectivity in musculoskeletal dysfunctions: A narrative review. J Bodyw Mov Ther. 2020 Oct;24(4):423-431. doi: 10.1016/j.jbmt.2020.07.020. Epub 2020 Jul 30.
de la Motte SJ, Gribbin TC, Lisman P, Murphy K, Deuster PA. Systematic Review of the Association Between Physical Fitness and Musculoskeletal Injury Risk: Part 2-Muscular Endurance and Muscular Strength. J Strength Cond Res. 2017 Nov;31(11):3218-3234. doi: 10.1519/JSC.0000000000002174.
Gane EM, McPhail SM, Hatton AL, Panizza BJ, O'Leary SP. The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection. J Cancer Surviv. 2018 Oct;12(5):619-631. doi: 10.1007/s11764-018-0697-5. Epub 2018 May 16.
Stenner HT, Eigendorf J, Kerling A, Kueck M, Hanke AA, Boyen J, Nelius AK, Melk A, Boethig D, Bara C, Hilfiker A, Berliner D, Bauersachs J, Hilfiker-Kleiner D, Eberhard J, Stiesch M, Schippert C, Haverich A, Tegtbur U, Haufe S. Effects of six month personalized endurance training on work ability in middle-aged sedentary women: a secondary analysis of a randomized controlled trial. J Occup Med Toxicol. 2020 May 6;15:8. doi: 10.1186/s12995-020-00261-4. eCollection 2020.
Provided Documents
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Document Type: Study Protocol and Statistical Analysis Plan: Statistical Analysis Plan
Document Type: Statistical Analysis Plan: Results of Agonist to Antagonist Ratio in Both Group
Document Type: Statistical Analysis Plan: Results of Peak torque to Body weight in Both Group
Document Type: Statistical Analysis Plan: Results of Work Fatigue in Both Group
Other Identifiers
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neck pain on wrist muscles
Identifier Type: -
Identifier Source: org_study_id
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