Neck Pain
Conditions
Brief summary
Neck pain (NP) is a common work related disorder. Teaching is one profession in which its prevalence is high. The Daily job of a school teacher involves head down posture while reading, writing, etc., exposing them to risk of developing NP. Deep cervical flexor (DCF) muscles have been shown to have lower endurance in patients with cervical impairment which has been associated with disability. There is limited evidence that reports efficacy of DCF muscles training in occupational NP. This study was done to see the effect of DCF muscles training using pressure biofeedback on pain, muscle endurance and functional disability in school teachers with NP.
Detailed description
Neck pain (NP) is a common work related disorder. Teaching is one profession in which its prevalence is high. The Daily job of a school teacher involves head down posture while reading, writing, etc., exposing them to risk of developing NP. Deep cervical flexor (DCF) muscles have been shown to have lower endurance in patients with cervical impairment which has been associated with disability. There is limited evidence that reports efficacy of DCF muscles training in occupational NP. This study was done to see the effect of DCF muscles training using pressure biofeedback on pain, muscle endurance and functional disability in school teachers with NP. 65 teachers, aged between 25 to 45 years with experience of more than 5 years were agreed to participate in this study. Subjects were randomly divided into two groups, experimental (EG) and control group (CG). In EG, subjects received DCF muscles training using pressure biofeedback in addition to conventional exercises for neck pain while in CG subjects received only conventional exercises. Pain, muscle endurance and disability measured at day 0 (before treatment), day 14 and day 42 after treatment. Endurance of DCF muscles was measured by CCF test using pressure biofeedback instrument, Pain intensity was measured using NPRS and Functional disability was assessed using NDI questionnaire.
Interventions
BEHAVIORALDCF muscles training using pressure biofeedback in addition to conventional exercises
DCF muscles training using pressure biofeedback in addition to conventional exercises
BEHAVIORALconventional exercises
conventional exercises
Sponsors
King Saud University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* experience of more than 5 years * neck pain score of more than 5 on numeric pain rating scale (NPRS), mild to moderate disability score on neck disability index (NDI) and poor cranio-cervical flexion (CCF) test
Exclusion criteria
* any neurological sign or symptom, history of spinal surgery or if they were taking any treatment for their pain.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pain at day 42, day 14 after intervention from baseline | at day 0 (before treatment), day 14 and day 42 after treatment | Numeric pain rating scale (NPRS): NPRS. Subjects had to rate their pain on the 0-10 rating scale, where 0 means no pain while 10 is the worst possible pain. |
| Change in muscle endurance at day 42, day 14 after intervention from baseline | at day 0 (before treatment), day 14 and day 42 after treatment | Craniocervical flexion test (CCF) test using pressure biofeedback instrument |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| disability | at day 0 (before treatment), day 14 and day 42 after treatment | Functional disability was assessed using Neck disability index (NDI) questionnaire. Subjects had to answer the multiple choice questions and their score was interpreted on range from 0 to 50, 0 being no disability and 50 indicating complete disability. |
Outcome results
None listed