Chronic neck pain
Conditions
Interventions
TMS Group:Repetitive Transcranial Magnetic Stimulation (rTMS) targeting the left M1 area
Combined Group:Elastic band resistance exercises for neck flexion, extension, left lateral flexion, and right lateral flexion, with resistance applied in four directions, performed three times a week,
Functional Training Group:The combination of the above two methods involves first performing transcranial magnetic stimulation, followed by functional training.
Sponsors
Beijing Sport University
Eligibility
Sex/Gender
All
Age
18 Years to 35 Years
Inclusion criteria
Inclusion criteria: 1. Aged between 18 and 35 years; 2. Experiencing recurrent non-traumatic neck and shoulder pain and discomfort, accompanied by muscle tension and stiffness; 3. With a VAS score of >=3 and pain duration of >=3 months; 4. Exhibiting physical signs such as local tenderness, stiffness, muscle fasciculations, and limited mobility in the neck and shoulder muscles during physical examination, but without abnormal findings in upper limb muscle strength, muscle tone, sensation, or reflexes, and with negative results for the brachial plexus traction test and head compression test; 5. Not having undergone treatment for neck pain in the past three months; 6. Willing to participate in this study and having signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Having contraindications for transcranial magnetic stimulation such as metal implants, pacemakers, etc., in the body; 2. Experiencing cervical spine fractures, spinal cord compression, tumors, or systemic diseases; 3. Neck pain accompanied by spinal injuries, spinal canal stenosis, or cervical disc herniation, etc.; 4. Having severe heart, brain, or vascular diseases, as well as mental illnesses; 5. Having a history of diagnosed cervical spondylosis with a clear classification; 6. Being pregnant or lactating women
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analog Scale (VAS);Neck Disability Index (NDI); | — |
Secondary
| Measure | Time frame |
|---|---|
| The CHN-ProFitMap-neck scale;Hospital Anxiety and Depression Scale,HADS;Joint Position Sense Test;Neck muscle strength test;Cervical flexor endurance test;Electromyographic (EMG) indicators;Neck Musculoskeletal Ultrasound; | — |
Countries
China
Contacts
Public ContactYanan Wang
School of Sport Medicine and Rehabilitation, Beijing Sport University
Outcome results
None listed