Chronic Neck Pain
Conditions
Keywords
Chronic Neck Pain, Neck Ache, Eye-cervical Re-education, Motor Control Training Program, Functional Disability
Brief summary
The study was conducted to determine the comparative effects of an eye-cervical re-education and motor control training program on pain, range of motion and functional disability in chronic neck pain
Interventions
Eye-cervical Re-education program was carried out consisting of 10 proprioceptive reprogramming intervention steps : Activation of eye muscles, Passive cervical mobilization with fixed gaze, Active cervical mobility with directed gaze , Global cervical motion exercise , Neck mobility with the trunk , Head reposition exercise (Active), Head reposition exercise (Passive), Free coordination exercise, Manual resistance coordination exercise and Oculo-cervical coordination with soft stimuli. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.
OTHERMotor Control Training Program
Motor Control Training Program was performed in supine position. It consisted of four parts, which include the cranio-cervical flexor exercise; co-contraction of neck flexors and extensors; the cranio-cervical extensor exercise; and the scapular re-education exercises. An air-filled cuff was put behind the neck and the patient tried to make five progressive positions with an increase in ROM i.e. to make improvements in pressure of 22, 24, 26, 28 and eventually 30 mmHg on pressure gauge. All exercises were done ten times each. 24 sessions were conducted for 8 weeks, with 3 sessions scheduled every week.
Electric Hot pack and TENS having (200 µs pulse-width, 1Hz frequency) were applied for 10 minutes.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Neck pain for minimum 3 months * Pain intensity on NPRS between 4 to 7 * Limited neck range of motion * Medical diagnosis (Grade-II Neck pain) as per classification by "Bone and Joint Decade 2000-2010" * Cervical discomfort resulting from repetitive motion or prolonged postures.
Exclusion criteria
* History of neck trauma/Fracture/Surgery/ Whiplash Injury * Systemic illness, rheumatic conditions, inflammatory joint disease * Other spine pathologies Cervical myelopathy / Fibromyalgia / Multiple Sclerosis/ Cervical radiculopathy * Tumor symptoms like high temperature, shivering, night pain
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric Pain Rating Scale | From enrollment to the end of treatment at 8 weeks | Numeric Pain Rating Scale is a subjective measure using which patient's rate their pain. It consists of 11 points, having an overall score ranging from 0 to 10, where: 0, 1 - 3, 4 - 6, 7 - 10 represents no pain, mild, moderate and the most severe pain respectively |
| Neck Disability Index in Urdu language | From enrollment to the end of treatment at 8 weeks | Neck pain disability index is used for the disability of the neck or the impact of neck pain on a person. It consists of 10 questions on pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Performance in each item is described in 6 stages, from 0 to 5 points. The total of 0-4 points indicate no disability, 5-14 points indicate mild disability, 15-24 points indicate moderate disability, 25-34 points indicate severe disability and 35-50 points indicate complete disability |
| ROM Cervical spine (Flexion) | From enrollment to the end of treatment at 8 weeks | Changes in cervical spine flexion ROM at baseline and 8th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Extension) | From enrollment to the end of treatment at 8 weeks | Changes in cervical spine extension ROM at baseline and 8th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Lateral Flexion) Left Side | From enrollment to the end of treatment at 8 weeks | Changes in cervical spine lateral flexion on left side ROM at baseline and 8th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Lateral Flexion) Right Side | From enrollment to the end of treatment at 8 weeks | Changes in cervical spine lateral flexion on right side ROM at baseline and 8th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Rotation) Left Side | From enrollment to the end of treatment at 8 weeks | Changes in cervical spine rotation on left side ROM at baseline and 8th week of intervention was measured using goniometer. |
| ROM Cervical Spine (Rotation) Right Side | From enrollment to the end of treatment at 8 weeks | Changes in cervical spine rotation on right side ROM at baseline and 8th week of intervention was measured using goniometer. |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORAli Raza, MS
Riphah International University
Outcome results
None listed