Chronic Neck Pain
Conditions
Interventions
rTMS Group:Genuine rTMS
rTMSsham Group:Sham rTMS
rTMS+DCF Group:Receives genuine rTMS stimulation first, followed immediately by standardized DCF training
rTMS Sham+DCF Group:Receives sham rTMS stimulation first, followed by the identical DCF training
DCF Group:Standardized DCF training
HE Group:Standardized, structured online health education
Sponsors
Chengdu Sport University
Eligibility
Sex/Gender
All
Age
18 Years to 30 Years
Inclusion criteria
Inclusion criteria: 1.Diagnosis by a physician, with neck pain duration .=3 months and neck pain episodes >=4 days per week; 2.Aged 18-30 years, right-handed; 3.Pain Visual Analogue Scale (VAS) score >3 but =4 hours; 5.Presence of mild to moderate neck dysfunction: Neck Disability Index (NDI) score >=10; 6.Negative findings on cervical distraction test, Spurling's test, and Adson's test, indicating no cervical radiculopathy or vascular compression; 7.Voluntary participation in the study, with full understanding of the procedures, risks, and benefits, and provision of written informed consent.
Exclusion criteria
Exclusion criteria: 1.Structural lesions of the cervical spine: cervical fracture, dislocation, congenital cervical deformity, cervical tumor, tuberculosis, or rheumatoid arthritis; 2.Symptoms indicating neurological involvement: numbness or weakness in upper limbs, unsteady gait, bowel or bladder dysfunction; history of cervical spine surgery, whiplash injury, or significant trauma to the head or neck; 3.Acute cervical injury within the past 6 months; 4.Receipt of neck pain-specific treatments within the past 3 months: such as cervical manipulation, acupuncture, medication (e.g., non-steroidal anti-inflammatory drugs, opioid analgesics), or rehabilitation training; 5.Intolerance to rTMS-induced discomfort (e.g., scalp pain, headache, teeth or facial muscle twitching); 6.Systemic diseases: uncontrolled hypertension or diabetes, severe cardiopulmonary diseases, coagulation disorders, or malignant tumors; 7.Pregnancy, lactation, or plans for pregnancy within the next 6 months; 8.Inability to provide accurate information regarding caffeine and nicotine use, or unwillingness to comply with basic pre-experiment requirements (to control for potential interference with fNIRS signals, participants are required to abstain from caffeine for at least 6 hours and from smoking for at least 2 hours prior to the experiment).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Oxyhemoglobin concentration;Craniocervical Flexion Test;Joint Position Error Test; | — |
Countries
China
Contacts
Public ContactJianuo Liu
Chengdu Sport University
Outcome results
None listed