Cervical dynamic postural instability. Spinal instabilities, cervical region
Conditions
Interventions
Intervention 1: Intervention group: Intervention consists of 6 weeks training (12 sessions)
proprioception and craniocervical flexion trainings. Proprioception trainings include cervical movement sense, cervical joint position sense, and oculomotor control which they are all performed in sit
proprioception and placebo craniocervical flexion trainings. Proprioception trainings are same as intervention group and include cervical movement sense, cervical joint position sense, and oculomotor
but physiotherapist ask them to begin with 8 mmHg and increase the range of craniocervical flexion motion to 10 or 12 mmHg (less than minimal detectable change in pressure biofeedback) as the target.
Sponsors
Iran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Inclusion criteria
Inclusion criteria: Age range 18-55 years old, able to read and write Persian language Neck pain with or without referral pain to occiput, shoulder or upper limb for at least recent 3 months Pain intensity of less than 60 millimeters, based on visual analog scale Neck disability index range of 5.5 to 15.5
Exclusion criteria
Exclusion criteria: Regular exercise in recent 3 months Physical therapy or manual therapy in recent 3 months or regular antiinflammatory drugs consumption in recent 48 hours Cervical pathologies or obvious postural disorders Cervical disc herniation with radicular pain, myelopathy, radiculopathy, canal stenosis and progressive spondylosis History of surgery or trauma in head and neck Neurological, visual and vestibular disorders Tensional or cervicogenic headache Trigger points as the only pain source
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Upper and lower cervical postural angles. Timepoint: Before intervention and 6 weeks after intervention. Method of measurement: Dynamic postural angles are measured by quick release system to apply perturbation, camera for recording slow motion videos and kinovea software in order to calculation of angles. | — |
Secondary
| Measure | Time frame |
|---|---|
| Pain intensity. Timepoint: Before intervention and 6 weeks after intervention. Method of measurement: It is measured by visual analogue scale.;Neck disability index. Timepoint: Before intervention and 6 weeks after intervention. Method of measurement: It is measured by neck disability index questionnaire. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactMaryam Javani Vardin
Iran University of Medical Sciences
Outcome results
None listed