Cranio-Cervical dynamometry in the rehabilitation of neck pain

The efficacy of cranio-cervical dynamometry in the management of chronic neck pain and retraining of neck muscle impairment

Status

Completed

Phases

Phase 3

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12605000500651

Acronym

Nil used

Enrollment

Registered

2005-09-23

Start date

2004-01-31

Completion date

2005-06-30

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Objectives: To determine if changes in motor performance following a course of exercise in patients with mechanical neck pain (MNP) were dependent on the primary behavioral demand of the exercise performed. Design: Randomised clinical trial Setting: University laboratory. Participants: Sixty volunteers with chronic MNP were randomly allocated into either an endurance training group (ETr) (n=20), a coordination training group (CTr) (n=20), or an active mobility training group (MTr) (n = 20). Intervention: Exercise targeted to improve cervical motor performance Main Outcome Measures: Changes in cervical motor performance (strength, endurance, coordination, active mobility) following the training program were evaluated immediately following the 10 week training program, and at a 26 week follow-up. Results: Between group comparisons revealed significantly greater gains in endurance (P = 0.01) by the ETr group, and significantly greater gains in coordination (P = 0.02) by the CTr group. All three groups experienced improvement in pain (P < 0.05) and disability (P < 0.01). Conclusions: Changes in motor performance in individuals with MNP in response to an exercise program were dependent on the specific mode of exercise performed, with minimal improvement in other domains of motor performance

Interventions

Comparison of a new method of cranio-cervical dynamometry (strength and endurance training) to two other common forms of neck exercise therapy (cranio-cervical flexion retraining, active range of motion.All 3 exercise programs are supervised by physiotherapists over a 10 week period.

Study design

Allocation

Randomised controlled trial

Intervention model

Parallel

Primary purpose

Treatment

Masking

Blinded (masking used)

Eligibility

Sex/Gender

All

Age

18 Years to 55 Years

Healthy volunteers

Inclusion criteria

Neck pain of 6 months duration or greater;NPQ score of greater than 20%;Demonstrable poor muscle performance on the clinical test of cranio-cervical flexion.

Exclusion criteria

Neck pain from non-musculoskeletal causes;Neurological signs;Any medical disorder which contra-indicates physical exercise.

Outcome results