Non-specific chronic neck pain Chronic neck pain, neck pain
Conditions
Interventions
Specific neck exercise (SNE), refers as a low load strength training of the cranio-cervical flexor muscles followed a protocol previously described (Jull, Falla et al. 2009). This cranio-cervical flex
Active Comparator Other,Experimental Other
Specific neck exercise (SNE),Cervical correction exercise (CCE)
Sponsors
Mahidol University
Eligibility
Sex/Gender
All
Age
18 Years to 55 Years
Inclusion criteria
Inclusion criteria: 1. Presence of neck pain defined as uncomfortable feeling in the area between the superior nuchal line and the spine of the scapula, 2.The symptom lasted at least 3 months, 3. Having neck pain at least moderate level measured by the visual analog scale (VAS greater 40 of 100 mm scale), 4. Presence with forward head posture in sitting position (CVA < 48 degrees)
Exclusion criteria
Exclusion criteria: 1. History of neck surgery/neck fracture, 2. History of whiplash injury or upper quadrant trauma within 3 months, 3. Receiving any psychological medications for psychological problem(s), 4. Central nervous system disorders such as stroke, traumatic brain injury, Parkinsonism, spinal cord injury, 5. Signs of nerve root compression, cervical disc herniation or radiculopathy, presenting as shooting pain referred to upper back or arm, numbness, altered sensation, and weakness of related muscles, 6. Other systemic diseases causing bodily pain. (e.g., cancer, tumors, infection), 7. Other systemic diseases and soft tissue disorders (e.g., gout, rheumatoid, ankylosing spondylitis)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disability level Baseline, 2-, 4-, and 6-week along therapeutic program Neck disability index (NDI): 10-question questionnaire,Pain intensity Baseline, 2-, 4-, and 6-week along therapeutic program Visual Analogue Scale (VAS): pain rating instrument with self-rate maximal level of pain experienced during activity or movement with-in 24 hours before assessment. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cranio-cervical flexion performance Baseline, 2-, 4-, and 6-week along therapeutic program Cranio-cervical Flexion Test Cumulative Performance Index (CCFT-CPI): computed by adding the preceding scores to the CCFT Performance Index (CCFT-PI), with a maximum score of 300.,Forward head posture Baseline, 2-, 4-, and 6-week along therapeutic program Craniovertebral angle (CVA): measured through photographic method in sagittal view to assess FHP.,Electromyography (EMG) of superficial cervical muscles Baseline, 2-, 4-, and 6-week along therapeutic program The cervical muscles activities: measured by using surface electromyography (sEMG) using the Wireless System (Trigno Avanti, Delsys Inc, MA, USA) on sternocleidomastoids and upper trapezius muscles | — |
Countries
Thailand
Contacts
Public ContactMantana Vongsirinavarat
Mahidol University, Thailand
Outcome results
None listed