Chronic Neck Pain, Neck Pain Musculoskeletal
Conditions
Keywords
Chronic neck pain, Deep neck stabilizers, Pressure biofeedback, Temporomandibular dysfunction
Brief summary
The present study aims to evaluate the effects of deep neck stabilizers retraining with pressure biofeedback on cervical range of motion, pain, and temporomandibular dysfunction in patients with chronic neck pain. Participants will receive biofeedback-assisted deep neck flexor retraining in one group, while the other group will perform conventional exercises. The neurological connection between the TMJ and neck means that therapies such as neck flexion exercises and biofeedback can alleviate neck pain and jaw issues.
Detailed description
Chronic neck pain is increasingly affecting young adults in Pakistan. This rise is linked to poor posture, being overweight, aging, and various other factors. Weakness in deep neck muscles can affect neck stability. The craniocervical flexion test (CCFT) is useful for evaluating and engaging these muscles. The jaw joint (Temporomandibular joint) and the neck are closely connected through shared nerves. Therefore, problems in the neck can lead to jaw issues (pain and difficulty moving the jaw). Using biofeedback to train deep neck muscles helps improve muscle control, posture, and reduces stress on surface and jaw muscles, easing TMJ symptoms. However, many studies on deep neck stabilizer (DNS) exercises don't focus on jaw problems. This study utilizes pressure biofeedback to relieve pain, improve mobility, and reduce jaw tension by promoting better neck posture.
Interventions
OTHERBiofeedback-assisted deep neck flexor retraining
The experimental group will receive deep neck stabilizer training with pressure biofeedback and traditional exercises for six weeks, three times weekly.
OTHERConventional exercises
The control group will engage in a traditional exercise program for 6 weeks, meeting three times weekly
Sponsors
Lahore University of Biological and Applied Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
2 groups Experimental group (Group 1): deep neck stabilizers training through pressure biofeedback, along with a traditional exercise program Control group (Group 2): traditional exercise program
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosis: Chronic neck pain (duration more than 3 months and less than 1 year and 6 months) * TMJ Dysfunction (RCD TMJ Axis I Confirmation on Helkino Index) Fonseca Anamnestic Index (FAI) 20-65 score mild to moderate
Exclusion criteria
* Traumatic neck injury * Neurological disorders * Cervical spine infection or surgery * Cancer
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Temporomandibular dysfunction | 6 weeks | Mandibular Functional Impairment Questionnaire |
| Pain Intensity | 6 weeks | Numeric Pain Rating Scale will be used |
| Cervical Range of Motion | 6 weeks | Inclinometer |
Countries
Pakistan
Outcome results
None listed