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IRCT2017091620787N2 IRCT 2017-11-11 University of Social Welfare and Rehabilitation Sciences The effects of neck specific and general exercises on pain and functional indices in patients with neck pain The effects of deep neck muscles specific training compared to general training on pain, disability, functional indices and neck muscles thicknesses in patients with chronic non-specific neck pain 2017-11-15 anticipated 64 Complete https://irct.ir/trial/18381 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Randomization will be performed using sealed envelopes. Each participant will choose one of the sealed envelopes to be allocated to one of the exercise groups. The envelope will then be returned to the envelope box. Randomization will be carried out by someone who is not involved in evaluation or treatment, Blinding description: None of the participants will be aware of the other training group. N/A Chronic non-specific neck pain. Intervention 1: Deep neck muscles specific exercises: 1) IN the supine position, the participant moves his/her eyes upward without any movement on the head and neck as much as possible and holds it for 5 seconds. Then the participant moves his/her eyes downward as much as possible and holds it for 5 seconds. 2) In the supine position the participant performs a light isometric nodding along with moving his/her eyes from forward to downward. A gentle pressure will be applied to the participant’s chin with his/her own hand. This exercise will be held for 5 seconds. 3) In the supine position the participant presses his/her occiput area with submaximal pressure to the bed and holds it for 5 seconds. 4) In the supine position the participant performs the nodding exercise by closing his/her chin to the sternum and holds it for 5 seconds. All exercises will be performed three times a week, three trials in a day, and five repetitions in each trial. One trial will be performed under the examiner supervision and the other two trials will be performed by the participants themselves. The aim is to improve the exercises to 20 repetitions in each trial. Intervention 2: General exercises: 1) Neck active free range of motion in flexion, extension, bilateral side flexion and bilateral rotation while the participant is seated. 2) Shoulder active free range of motion in flexion, extension, abduction, adduction and internal and external rotation while the participant is seated. 3) Seated push-ups. 4) Seated shoulder shrug exercise while the participant holds a one Kg weight in his/her hands. All exercises will be performed three times a week, three trials in a day, and five repetitions in each trial. One trial will be performed under the examiner supervision and the other two trials will be performed by the participants themselves. The aim is to improve the exercises to 20 repetitions in each trial. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is there is no further information
public Pegah Kashfi
velengak, koudakyar dead end
Tehran Iran (Islamic Republic of) ۱۹۸۵۷۱۳۸۳۴ +98 22180084 pegah.kashfi@yahoo.com University of Social Welfare and Rehabilitation Sciences scientific Dr. Leila Rahnama
velenjak, koudakyar dead end
Tehran Iran (Islamic Republic of) ۱۹۸۵۷۱۳۸۳۴ +98 22180084 l.rahnama@uswr.ac.ir University of Social Welfare and Rehabilitation Scienses Iran (Islamic Republic of) Iran (Islamic Republic of) A positive history of neck pain for at least three months in the past year Pain intensity of more than 30 mm on visual analogue scale Non-specific neck pain 18 years 65 years Both Acute neck pain A positive history of spine surgery Cervical Fracture or tumor Discopathy or radicular pain distributed in to shoulder or presence of any neurogenic signs History of cervical trauma or car accident Congenital spinal abnormality Systemic inflammatory diseases Vertigo and vestibular disorders Diabetes Receiving any shoulder or neck muscles training , physiotherapy or manual therapy on the neck in the past 6 months R52.2 Other Chronic Pain Rehabilitation Rehabilitation Deep neck muscles specific exercises: 1) IN the supine position, the participant moves his/her eyes upward without any movement on the head and neck as much as possible and holds it for 5 seconds. Then the participant moves his/her eyes downward as much as possible and holds it for 5 seconds. 2) In the supine position the participant performs a light isometric nodding along with moving his/her eyes from forward to downward. A gentle pressure will be applied to the participant’s chin with his/her own hand. This exercise will be held for 5 seconds. 3) In the supine position the participant presses his/her occiput area with submaximal pressure to the bed and holds it for 5 seconds. 4) In the supine position the participant performs the nodding exercise by closing his/her chin to the sternum and holds it for 5 seconds. All exercises will be performed three times a week, three trials in a day, and five repetitions in each trial. One trial will be performed under the examiner supervision and the other two trials will be performed by the participants themselves. The aim is to improve the exercises to 20 repetitions in each trial. General exercises: 1) Neck active free range of motion in flexion, extension, bilateral side flexion and bilateral rotation while the participant is seated. 2) Shoulder active free range of motion in flexion, extension, abduction, adduction and internal and external rotation while the participant is seated. 3) Seated push-ups. 4) Seated shoulder shrug exercise while the participant holds a one Kg weight in his/her hands. All exercises will be performed three times a week, three trials in a day, and five repetitions in each trial. One trial will be performed under the examiner supervision and the other two trials will be performed by the participants themselves. The aim is to improve the exercises to 20 repetitions in each trial. Pain. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Pain will also be measured before and immediately after each exercise session. Method of measurement: visual analog scale. Disability. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Neck disability index (NDI) questionnaire, Persian version. Neck muscle thickness. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Ultrasound device with a 45-millimeter linear array probe and frequency of 12 MHz for neck flexor muscles and 6 MHz for neck extensor muscles. Cervical Joint Position Error. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Subjects had to rotate their head from a relaxed position, turn to one direction and return to the original position. A laser pointer was used to measure the cervical joint repositioning error. The angle between the target and reference point in degrees will be defined as the joint position error. This variable has been added to the trial when IRB approval was received for the additions to the main protocol. Sleep quality. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Pittsburgh Sleep Quality Index, Persian version. Neck range of motion. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Goniameter. Neck Muscles Maximum Isometric Voluntary Contraction. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Tensiometer unit for extensor muscles and Pressure Biofeedback Unit for flexor muscles. Quality of life. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Sf-36 questionnaire, Persian version. Fear avoidance. Timepoint: One day before the starting the exercise program and one day after finalizing the 8-week exercise program. Method of measurement: Tampa Scale of Kinesiophobia, Persian version. University of Social Welfare and Rehabilitation Sciences Approved 2017-09-25 Ethic Board, University of Social Welfare and Rehabilitation Sciences Velenjak, Koudakyar dead end Tehran Tehran Iran (Islamic Republic of)