Chronic Non-Specific Neck Pain.
Conditions
Interventions
Intervention 1: Intervention group: This group receives cervical stabilization exercises, Mulligan mobilization (SNAGs) and core stabilization exercises. this intervention is performed 3 sessions per
Sponsors
Tehran University of Medical Sciences
Eligibility
Sex/Gender
All
Age
20 Years to 55 Years
Inclusion criteria
Inclusion criteria: Pain intensity should be at least 4 out of 10 The Neck Disability Index score should be at least out of 50 Neck pain that has persisted for at least 3 months, either continuously or recurrently. Non-specific neck pain (pain in the neck region without a pathological cause, with or without radiation to the arm) The ratio of trunk flexor endurance Test to trunk extensor endurance Test is less than 0/5 or greater than 1/5 Men and women aged between 20 and 55 years
Exclusion criteria
Exclusion criteria: Having a specific cause for neck pain Signs of infection Inflammatory disorder Tumor Osteoporosis Fracture or traumatic injury Disk herniation medically diagnosed as requiring surgical intervention. Pregnancy People who had neck surgery within the last 6 months Use of medications affecting pain, inflammation, or musculoskeletal function—such as NSAIDs, analgesics, muscle relaxants, corticosteroids, or antidepressants—within the week prior to the study. History of lumbar spine surgery, such as discectomy or laminectomy. History of dizziness before enrollment and during the study period. Uncontrolled blood pressure before enrollment and during the study period.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pain intensity: Chronic non-specific neck pain, with or without radiation to the arms, lasting at least three months, will be assessed. Timepoint: Pain intensity will be measured at three time points: before the intervention, after the completion of the intervention (after 24 treatment sessions), and one month post-intervention. Method of measurement: The Visual Analog Scale (VAS) will be used to evaluate the average pain experienced by participants during the past week. This tool consists of a 10-centimeter horizontal line, with one end representing no pain (score 0) and the other end representing the worst imaginable pain (score 10). Participants will be asked to indicate their pain over the past week by marking a point on the line. The distance from the beginning of the line to the mark will be measured in millimeters, and the final pain intensity score will be reported as a number between 0 and 10. | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional disability. Timepoint: Functional disability will be measured at three time points: before the intervention, after the completion of the intervention (after 24 treatment sessions), and one month post-intervention. Method of measurement: In this study, the Persian version of the Neck Disability Index (NDI) questionnaire, scored from 0 (no disability) to 50 (severe disability) is used to assess the level of neck disability.;Cervical range of motion. Timepoint: Cervical range of motion will be measured at three time points: before the intervention, after the completion of the intervention (after 24 treatment sessions), and one month post-intervention. Method of measurement: In this study cervical range of motion is measured using a standard goniometer in the direction of flexion, extension, rotation and lateral bending.;Dynamic balance (Y-Balance Test). Timepoint: Dynamic Balance will be measured at three time points: before the intervention, after the completion of the intervention (after 24 treatment sessions), and one month post-intervention. Method of measurement: In this study, dynamic balance is assessed using the Y-Balance Test in the anterior, posteromedial, and posterolateral directions. The distances reached by the participant’s reaching leg in these directions are measured by the examiner using a measuring tape.;Patient global impression of change (PGIC). Timepoint: Patient global impression of change will be measured at two time points: after the completion of the intervention (after 24 treatment sessions), and one month post-intervention. Method of measurement: In this study, the patient’s global impression of change after treatment is evaluated using the Patient Global Impression of Change (PGIC) scale. This instrument is a 7-point scale that asks the patient to subjectively rate the overall changes in their condition compared to the beginning of treatment. The response options range from “very much worse” to “very much improved.” Higher scores | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFatemeh Razmkhah
Tehran University of Medical Sciences
Outcome results
None listed