Neck Pain
Conditions
Keywords
Muscle Strength, Muscle Fatigue, Dynamometer, Wrist
Brief summary
PURPOSES: 1. To assess the effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight among Egyptian physical therapy students. 2. To assess the effect of chronic non-specific neck pain on extensor / flexor wrist ratio among Egyptian physical therapy students. 3. To assess the effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance among Egyptian physical therapy students.
Detailed description
BACKGROUND: Although it is widely acknowledged that chronic non-specific neck pain is linked to hand disability as previously studied on dentists and ministry of health care stuff, there is still a gap in illustrating the effect of chronic non-specific neck pain on Egyptian physical therapy students' functional ability of wrist in the upper limb. However, the assessment of extensor / flexor wrist strength ratio has only recently gained attention. Furthermore, there is limited research investigating the strength control ratio that incorporates both concentric and eccentric muscle actions, and additional scientific evidence is needed to establish the relationship between chronic non-specific neck pain and upper limb disability. This study will be conducted to set new assessment and rehabilitation goals. This will subsequently be translated into home therapy program, contributing to decrease the burden of neck pain economically and on health care management. Our study aims to evaluate peak torque of wrist extensor and flexor muscle/ body weight and extensor / flexor wrist ratio and wrist extensor and flexor muscle endurance among Egyptian physical therapy students with non-specific neck pain. Torque results are adjusted for body weight and compared to normative data for the gender and activity specialty to determine whether the unaffected limb is strong enough to act as a reference for the afflicted limb also compared between right- and left-handed subjects. HYPOTHESES: * There will be no significant effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight. * There will be no significant effect of chronic non-specific neck pain on extensor / flexor wrist ratio. * There will be no significant effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance. RESEARCH QUESTIONS: * Does chronic non-specific neck pain affect wrist extensor and flexor muscles performance among Egyptian physical therapy students? * Does chronic non-specific neck pain affect peak torque of wrist extensor and flexor muscles/ body weight among Egyptian physical therapy students? * Does chronic non-specific neck pain affect extensor / flexor wrist ratio among Egyptian physical therapy students? * Does chronic non-specific neck pain affect wrist extensor and flexor muscles endurance among Egyptian physical therapy students?
Interventions
None listed
Sponsors
Mohamed Mahmoud Refaey
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
18 Years to 23 Years
Healthy volunteers
Yes
Inclusion criteria
* Both sexes * Duration of neck pain (\> 3 months) * Age from 18 to 23 years * The neck pain intensity is between 3 and 8 on the Numerical Pain Rating Scale * Neck pain-related disability was between 5 and 14 points on the Neck Disability Index * Body mass index from 18.5 to 29.5
Exclusion criteria
* Neurological conditions (i.e., Parkinson's disease, multiple sclerosis, head injury, peripheral neuropathy, stroke, or nerve root entrapment) * Headache * Cancer, infection, or any other illness symptoms. * Trauma * Cardiovascular problems or cerebrovascular insufficiency symptoms. * Musculoskeletal disorder (i.e., joint replacement, amputation, physically limiting arthritis, contractures of fixed deformity, or muscular dystrophy) * Orthopedic or neurological conditions such as fractures, surgeries on the upper limb or hand, carpal tunnel syndrome, De Quervain's syndrome, or diabetic mellitus * Cervical spine spondylosis, disc prolapse, spinal stenosis, cervical fracture, etc. * Any recent treatment for neck pain. * Visual, auditory and speech problems * Forward head posture.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Comparison of the findings of isokinetic dynamometer between control and study groups | Baseline | peak torque/body weight percentage between control and study groups |
| The difference between control and study groups in the findings of isokinetic dynamometer | Through study completion, an average of 5 months | work fatigue index percentage between control and study groups |
| The correlation between neck pain and the findings of isokinetic dynamometer | Up to 5 months | agonist/antagonist ratio percentage between control and study groups |
Countries
Egypt
Outcome results
None listed