Neck Pain
Conditions
Keywords
Inspiratory Muscle Training, Exercise, Cervical Posture
Brief summary
The aim of the present study is to investigate the effects of additional functional inspiratory muscle training in individuals with non-specific chronic neck pain.
Detailed description
Patients participating in the study will be divided two parallel groups. The patients in study group will instruct to perform both functional inspiratory muscle training and conventional treatments for neck pain, the patients in the control group will instruct to perform just conventional treatments. The severity of the pain, disability, fear of movement and depression levels will be assessed by visual analog scale, neck disability index, Tampa Scale of kinesiophobia and beck depression inventory, respectively. Neck postures (craniovertebral angle) will be evaluated by photogrammetric method.Endurance of deep cervical flexor muscles will be measured using Stabilizer Pressure Biofeedback Unit with cranio-cervical flexion test. Pain threshold will be measured by algometer from the middle point of upper trapezius. Cervical proprioceptions will be evaluated by laser pointer method in the right and left rotational directions. In addition, diaphragma thickness will be measured by two-dimensional ultrasonography. Assessments were repeated before and after the treatment.
Interventions
OTHERConventional plus Functional Inspiratory Muscle Training Group
functional inspiratory muscle training is an exercise program that practises gradual training of the diaphragm muscle.
conventional physiotherapy is a treatment program consisting of evidence based modalities as mobilization and specific exercises.
Sponsors
Dokuz Eylul University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Single (Participant)
Intervention model description
Parallel Assignment
Eligibility
Sex/Gender
FEMALE
Age
25 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* NDI score above 15 * Be able to adapt exercise commands * Neck pain for at least six months * Agree to participate in the study
Exclusion criteria
History of spinal surgery Traumatic cervical injuries Acute or chronic musculoskeletal pain other than neck pain Serious comorbidities (neurological, neuromuscular, cardiological, psychiatric) Tumoral conditions Obesity (Body Mass Index-BMI\> 40)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Changes in Pain Severity | change from baseline in pain severity at 6 weeks | Patients' resting pain intensities will be assessed by Visual Analog Scale. (a 10 cm horizontal line). There is two anchors in the tips of the visual analog scale and while the zero represented no pain, ten indicated excessive pain. The length from the zero to marked point was recorded in cm. |
| Changes in Disability | change from baseline in disability at 6 weeks | Patients' disability levels will be assessed by neck disability index. The questionnaire has ten sections; pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item is scored between zero (no disability) and five (total disability). The maximum score is therefore 50. Higher scores indicates having more disability. |
| Changes in Fear of Movement | change from baseline in disability at 6 weeks | Patients' fear of movement will be assesed by Tampa Kinesiophobia Scale. The scale has 17 pain statements, and the patient selected her agreement for each question using a 4-point scale. The maximum score is 68. Higher score indicates having more fear of movement. |
| Changes in Depression | change from baseline in disability at 6 weeks | Patients' depression levels will be assessed by Beck Depression Inventory. composed 21 questions. The maximum total score is 63. Higher scores demonstrate greater level of depression |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Diaphragma thickness | change from baseline in disability at 6 weeks | Diaphragma thickness will be measured by two dimensional ultasonography |
| Craniovertebral Angle | change from baseline in disability at 6 weeks | Photogrammetric method will be used to evaluate craniovertebral angle. |
| Respiratory Muscle Strength | change from baseline in disability at 6 weeks | Respiratory Muscle Strength (maximum inspiratory and expiratory mouth pressure) will be measured by Micro RPM device |
| Pain threshold | change from baseline in disability at 6 weeks | Pain threshold will be measured by Algometer device. |
| Cervical Proprioception | change from baseline in disability at 6 weeks | Cervical Proprioception will be evaluated by laser pointer method. |
| Cranio-cervical flexion endurance | change from baseline in disability at 6 weeks | Cranio-cervical flexion endurance (activation score) will be measured by stabilizer pressure biofeedback unit. |
Countries
Turkey (Türkiye)
Contacts
Primary ContactGamze YALCINKAYA, MSc
Outcome results
None listed