Neck Pain Clinical Trial
Official title:
Effects of Smartphone Usage Duration on Neck Dysfunction in Young Versus Middle Aged Patients With Chronic Mechanical Neck Pain
PURPOSE: The purpose of this study is to investigate the effects of smartphone usage duration
on neck pain and sense of position as well as Deep Cervical Flexor (DCF) fatigue in young and
middle aged patients with chronic mechanical neck pain.
BACKGROUND: Neck pain is one of most common causes of musculoskeletal disorders with a
prevalence up to 86.8 %. It may interfere with the ability to perform normal activities of
daily living (ADL). Patients with neck pain may present with reduced Rang of Motion (ROM) and
diminished cervical position sense.
There are many risk factors that have been associated with neck pain including physiological
factors such as age or pathomechanical factors such as increased physical demand on the
spine. Smartphone use has been proposed as a risk factor for the development of neck pain in
young adults due to sustaining a prolonged static posture or repeating particular neck
movements for long period. The adverse effects of smartphone increases as the duration of the
use increases. Aging is associated with increased cervical reposition error and reduced DCF
muscle endurance, yet it is not clear how older adults will respond to prolonged use of
smartphone.
HYPOTHESES: Increased duration of smartphone use will
1. increase neck pain in middle aged compared to young adult patients with chronic
mechanical.
2. decrease cervical position sense in middle aged compared to young adult patients with
chronic mechanical neck pain.
3. increase DCF fatigue in middle aged compared to young adult patients with chronic
mechanical neck pain.
RESEARCH QUESTION: Would increased duration of smartphone usage accentuate neck pain,
cervical reposition error and DCF fatigue in middle aged compared to young adults with
chronic mechanical neck pain?
Patients with chronic mechanical neck pain will be instructed to use a standard smartphone
for web browsing, either for 10 or 30 minutes, while seated on a standard chair at two
separate sessions. Task duration will be tested by a random order generated by the Excel
software.
The outcome measures for this study will be neck pain, DCF fatigue and neck reposition error.
All measures will be assessed prior to and immediately after performing the required task in
each session by a single trained assessor.
Neck pain will be assessed using the visual analogue scale (VAS), proprioception acuity will
be quantified by measuring the repositioning error angle using Cervical Range of Motion
instrument (CROM) and DCF endurance will be quantified using the neck stabilizer pressure
biofeedback device.
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