Neck Pain Clinical Trial
Official title:
The Effect of Integrated Neuromuscular Inhibition Technique in Combination With Therapeutic Exercise on Patients With Chronic Mechanical Neck Pain
Verified date | June 2017 |
Source | Aristotle University Of Thessaloniki |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
The purpose of this study is to examine the combine effect of the integrated neuromuscular inhibition technique (soft tissue mobilization techniques protocol), in combination with the therapeutic exercise in patients with chronic mechanical neck pain in the sub-acute stage of symptoms, and to determine whether this combination substantially helps the faster and more efficient installation of adaptations of exercising.
Status | Completed |
Enrollment | 40 |
Est. completion date | April 2017 |
Est. primary completion date | April 2017 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 30 Years to 60 Years |
Eligibility |
Inclusion Criteria: - Patients with chronic neck pain with a duration of symptoms for at least three months - Existence of at least one active or latent trigger point in any of the muscles: levator scapulae, upper trapezoid, and splenius capitis - Patients whose neck pain has emerged as a result of a specific pathology, confirmed by radio-diagnostic tests (X-ray or MRI) - Patients with a medical referral for physical therapy with the etiology of neck pain Exclusion Criteria: - Patients who are in the acute stage of symptoms - Patients who have participated in any kind of treatment during the last three months (physiotherapy, massage, local injections of anesthetic blocks, etc.) - Patients who have participated in an exercise program concerning their neck during the last six months - Background of neck trauma and / or surgery in the neck region - Inflammatory muscle diseases and joint infections, malignancy |
Country | Name | City | State |
---|---|---|---|
Greece | Aristotle University of Thessaloniki | Thessaloniki | New facilities, Thermi, THESSALONIKI |
Lead Sponsor | Collaborator |
---|---|
Aristotle University Of Thessaloniki |
Greece,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Changes in subjective perception of neck pain with the visual analogue scale (VAS) | Pain intensity was assessed by the Visual Analog Pain Scale, which is a card with an uncalibrated scale ranging from zero to ten on the one side (with zero representing no pain and ten representing the worst pain in life) with each centimeter representing one pain level. The patient subjectively estimated his or her pain level by marking a vertical line on the uncalibrated scale between zero and ten. Then the exact value of pain intensity could be obtained with a single ruler. VAS is widely used as it is easy to implement and is characterized by good psychometric properties. | pre-treatment, Week: 2, 4, 6,10,14, 22, 34 | |
Primary | Changes in Pressure Pain threshold with pressure algometry | Pressure pain threshold (PPT) is defined as the minimal amount of pressure that produces pain. PPT was assessed by a Wagner algometer. For the procedure of PPT measurement, the protocol recommended by Fischer was applied (Fisher, 1998). Pressure pain threshold was assessed over the upper border of the trapezius muscle halfway between the midline and the lateral border of the acromion, the levator scapulae muscle 2 cm above the lower insertion located in the upper medial border of the scapulae, Sternocleidomastoid muscle and to splenius capitis 2 cm lateral to the spinous processus of the axis. | pre-treatment, Week: 2, 4, 6, 10, 14, 22, 34 | |
Primary | Changes in functional capacity with Neck disability index questionnaire | It is a self-reported ten-item scale. Each item assesses different neck pain complaints. Most of the items are related to restrictions in activities of daily living, and each item is expressed by 6 different assertions in the range 0-5, with 0 indicating no disability and 5 indicating the highest disability. The total score ranges from 0 to 50. Disability Index (NDI) has sufficient support in the literature, being the most commonly used to report neck pain. The Greek version of the questionnaire was used for this study. | pre-treatment, Week 6, 10, 14, 22, 34 | |
Primary | Changes in maximum isometric strength of neck muscles with Manual Muscular Testing | Cervical flexion, extension, and side bending isometric strength were assessed using a calibrated Manual Muscular Testing device with the participants in supine and prone position. | pre-treatment, Week: 2, 4, 6,10,14, 22, 34 | |
Primary | Changes in Cervical Range of Motion with a bubble inclinometer | Cervical active range of motion was measured with a bubble inclinometer. Active cervical flexion, extension, and side bending range of motion were assessed gravity with Participants sitting in upright position. | pre-treatment, Week: 2, 4, 6,10,14, 22, 34 | |
Primary | Changes in deep flexors muscle endurance with craniocervical flexion test | The craniocervical flexion test (CCFT) is a clinical test of the anatomical action of the deep cervical flexor muscles, (longus capitis, and longus colli). It could be described as a test of neuromotor control. It includes the performance of five progressive stages of increasing craniocervical flexion range of motion. It is a low-load test performed in the supine position with the patient guided to each stage by feedback from a pressure sensor placed behind the neck (Chattanooga Stabilizer Pressure Biofeedback). While the test in the clinical setting provides only an indirect measure of performance, the construct validity of the CCFT has been verified in a laboratory setting by direct measurement of deep and superficial flexor muscle activity. | pre-treatment, Week: 2, 4, 6,10,14, 22, 34 | |
Primary | Changes in isometric endurance capacity of sternocleidomastoid and anterior scalene, with a handheld stopwatch | The isometric endurance of the sternocleidomastoid and anterior scalene was assessed through 2 isometric contractions, one with no additional resistance and the other one with a kind of resistance corresponding to 30% of the maximum isometric strength. Participants were in supine position. A biofeedback device, provided the subject with motivation (auditory stimulus) encourage them to keep the contraction as long as possible. A 2-inch velcro band was secured around the forehead. The appropriate weight was suspended from the headband, and participants were asked to support the weight while maintaining a neutral head position for as long as possible. The endurance test was terminated when the position of the head changed (contact with table). Endurance time was measured using a handheld stopwatch. | pre-treatment, Week: 2, 4, 6,10,14, 22, 34 | |
Secondary | Changes in quality of life with the sort form of SF-36 Health Survey | For the evaluation of the intervention in the quality of life of the participants the short form of SF-36 Health Survey questionnaire was used. SF-36 consists of 36 questions, selected from the Medical Outcomes Study (MOS), which relate to eight different parameters of mental and physical health. | pre-treatment, Week: 10, 14, 22, 34 |
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT05293847 -
Postural Based Telerehabilitation in Mechanic Neck Pain
|
N/A | |
Completed |
NCT04060004 -
The Effects of Dry Needling on the Superficial Neck Musculature
|
N/A | |
Recruiting |
NCT06204627 -
TDCS* and Laterality Trainnning in Patients With Chronic Neck Pain
|
N/A | |
Active, not recruiting |
NCT05870371 -
The Effect of the Feldenkrais Method on Pain and Function in Patients With Chronic Neck Pain
|
N/A | |
Completed |
NCT06049316 -
Scapular Stabilization vs Functional Exercises on Chronic Neck Pain
|
N/A | |
Recruiting |
NCT05944354 -
Wearable Spine Health System for Military Readiness
|
||
Completed |
NCT02882061 -
Examination of Cervical Thoracic Differentiation Testing in Individuals With Neck Pain
|
N/A | |
Completed |
NCT02904668 -
Self-management Program in Chronic Neck Pain
|
N/A | |
Completed |
NCT02731014 -
Dry Needling for Patients With Neck Pain
|
N/A | |
Completed |
NCT03147508 -
Investigating Clinical Indicators of Spine Related Dysfunction Patterns. A Clinical Study on Neck Pain Patients.
|
||
Completed |
NCT02638987 -
EMG Activity Before, During and After Dry Needling
|
N/A | |
Active, not recruiting |
NCT02843269 -
Multiple-component Workplace FRamed Intervention to Decrease Occupational Muscle Pain - FRIDOM
|
N/A | |
Enrolling by invitation |
NCT02485795 -
Observational Study of the Impact of Genetic Testing on Healthcare Decisions and Care in Interventional Pain Management
|
N/A | |
Completed |
NCT02235207 -
Effectiveness of Fustra—Exercise Program in Neck and Low Back Pain
|
N/A | |
Completed |
NCT02245425 -
Comparison of Two Thoracic Manipulation Techniques to Improve Neck Pain
|
N/A | |
Completed |
NCT02225873 -
The Effectiveness of Exercises Protocol in Management of Neck Pain
|
N/A | |
Completed |
NCT02190890 -
Dry Needling Dosage in the Treatment of Myofascial Neck Pain
|
N/A | |
Completed |
NCT02051478 -
Thoracic Manipulation and Mobilization for Neck Pain
|
N/A | |
Completed |
NCT01938209 -
A Comparison of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Flexion Motion and Pain
|
N/A | |
Completed |
NCT01205542 -
Work Place Adjusted Intelligent Physical Exercise Reducing Musculoskeletal Pain in Shoulder and Neck (VIMS) - Shoulder Function
|
N/A |