Relationship Between Chronic Non-Specific Neck Pain And Lumbar Reposition Sense

NCT ID: NCT06353802

Last Updated: 2024-04-09

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 67 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-09-01
• Study Completion Date: 2024-05-31

Brief Summary

to investigate the correlation between chronic non-specific neck pain and lumbar reposition sense.

Detailed Description

Around 67% of people on the planet may at some point in their lives experience chronic, non-specific neck pain. People who have chronic pain frequently need medical services and medications for pain treatment, and there is a link between their functional limitations and disabilities.

Cervical pain without a recognized clinical reason for the complaints is classified as chronic non-specific neck pain. Some symptoms include weakening in the neck muscles and reduced mobility of the cervical spine.

"Pain perceived anywhere in the posterior region of the cervical spine, from the superior nuchal line to the first thoracic spinous process" is how the International Association for the Study of Pain (IASP) characterized chronic non-specific neck pain.

Individuals who experience unilateral or central neck discomfort are said to have persistent non-specific neck pain. There will be restricted range of motion in the neck, which frequently re-creates the symptoms; referred shoulder girdle or upper extremity pain may also be felt. Patients may also get cervicogenic headaches (CGH).

Spine position, stability, and movement are all governed by motor control, which results from the ongoing interaction of sensory inputs, such as proprioception, on different neural system levels, and motor outputs to effectors, such as paraspinal muscles.

The capacity to precisely position the trunk at predefined points along the sagittal plane's range of motion is known as trunk position sense. Trunk repositioning protocols may be a valuable tool for measuring trunk control since they demand that participants precisely move and control the flexing trunk.

The most popular criterion for assessing proprioceptive senses is joint repositioning errors. By first generating a target angle or joint location using position or movement sensors, then having the subject represent that place, the test examines the discrepancy between the initial target location and the location realised by the subject.

Conditions

Chronic Non-specific Neck Pain

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: DIAGNOSTIC
• Blinding Strategy: NONE

Study Groups

group 1

Participants will be measured using iPhone® Inclinometer Application. The measurement app level, a measuring tool, was utilised with the iPhone® 10 (Apple Inc., California, USA). A free application that is built into the iPhone®, The measurement app level shows the numerical size in a manner similar to a digital inclinometer. The programme shows the angle measured using a digital display and the accelerometer included into the iPhone®. Degrees (°) were used as the measurement unit.

Group Type: OTHER

Chronic non-specific neck pain and lumbar reposition sense

Intervention Type: DIAGNOSTIC_TEST

In order to evaluate the lumbar joint repositioning error using the Joint Positioning Sense, the following guidelines were followed: (I) The participants were to stand with their arms at their sides, their feet externally rotated (about 20 degrees).

(II) With the feet flat on the floor and the arms resting on the front of the thighs, the person was seated in a height-adjustable seat that measured the length of the shank. (III) With a belt fastened, the iPhone® was positioned upright just above the iliac crest, (IV) the inclination of the inclinometer was 0°; (V) The inclinometer's 0° point was set as the initial position. (VI) The individual was passively guided by the assessor to a 30° flexion within the range of 0 to 30°; (VII) the subject was to memorize this position for 10 s; (VIII) the subject actively returned to the initial position. (IX) Subsequently, the participant was required to actively replicate the position three times.

Interventions

Chronic non-specific neck pain and lumbar reposition sense

In order to evaluate the lumbar joint repositioning error using the Joint Positioning Sense, the following guidelines were followed: (I) The participants were to stand with their arms at their sides, their feet externally rotated (about 20 degrees).

(II) With the feet flat on the floor and the arms resting on the front of the thighs, the person was seated in a height-adjustable seat that measured the length of the shank. (III) With a belt fastened, the iPhone® was positioned upright just above the iliac crest, (IV) the inclination of the inclinometer was 0°; (V) The inclinometer's 0° point was set as the initial position. (VI) The individual was passively guided by the assessor to a 30° flexion within the range of 0 to 30°; (VII) the subject was to memorize this position for 10 s; (VIII) the subject actively returned to the initial position. (IX) Subsequently, the participant was required to actively replicate the position three times.

Intervention Type: DIAGNOSTIC_TEST

Eligibility Criteria

Inclusion Criteria

1. Male and female patients,18-50 years old

2. Neck pain continued for at least the last 12 weeks

3. Normal Body mass index ranged from 18.5 to 24.9

Exclusion Criteria

1. Radiated neck pain

2. Neck pain associated with vertigo

3. A history of surgery on the lower limbs or back

4. Back or lower extremity trauma within the last three months.

5. neurological or vestibular disorders

6. Diagnosed psychological disorders

7. Vertebral fractures

8. Metal spine implants

9. Tumors

10. Diagnosed metabolic diseases

11. Using medications that could have an impact on balance in the 24 hours before to the study

12. Previous neck surgery

13. Red flags (night pain, severe muscle spasms, sudden loss of weight)

14. Physiotherapeutic treatment continued in the last 3 months

15. Pregnancy, including six months postpartum

16. A diagnosed psychiatric disorder or severe cognitive impairment

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Mohammed Hesham Abdelaziz

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Physical Therapy College Cairo University

Giza, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/004963

Identifier Type: -

Identifier Source: org_study_id