Chronic Mechanical Neck Pain Clinical Trial
Official title:
Effectiveness of Magnetic Therapy With Exercise Versus Exercise Therapy in Old Patients With Chronic Mechanical Neck Pain
Verified date | October 2022 |
Source | Imam Abdulrahman Bin Faisal University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Mechanical neck pain (MNP) is a common condition that affects all aging groups. MNP has a huge physical, psychological and economic impact. The aim of this study is to evaluate the effects of magnetic therapy (MT) with exercise versus exercise therapy on neck pain, proprioception, balance, and function in older patients with chronic MNP. Materials & Method: 50 male and female patients with chronic MNP, their ages will range from 56 years and above. They will be allocated from different physiotherapy departments. Eligible participants will be equally randomized into two groups. Group-I: 25 patients will practice the exercise training program in addition to receiving pulsed electromagnetic field therapy (PEMF) (experimental arm). Group-II: 25 patients will practice the exercise program. All participants will receive three sessions every week for four weeks. The primary outcomes are pain (Visual Analogue Scale VAS) and balance (Single leg stance time test SLST, Tinetti balance assessment, and Timed Up and Go TUG). The secondary outcomes are the Neck Disability Index (NDI), cervical range of motion (CROM), cervical joint position sense error (JPSE), and quality of life QOL SF-36 questionnaire. Measurements will be taken before the first session, after two weeks, and after the last session.
Status | Completed |
Enrollment | 51 |
Est. completion date | May 28, 2022 |
Est. primary completion date | February 28, 2021 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 56 Years and older |
Eligibility | Inclusion Criteria: - chronic mechanical neck pain for > 3 months. - pain at rest or with movement that is felt in the neck, shoulders, and between scapulas on VAS scale at least 3/10. - did not have any physical therapy interventions in the last five weeks. Exclusion Criteria: - cognitive impairment, rheumatic disease, infected joints, uncontrolled cardiovascular or pulmonary diseases, neurological conditions or nerve pathology, radicular symptoms, or malignancy. - previous cervical spine surgeries. - implemented cardiac pacemakers or any other electrical devices. - vestibular system dysfunction or internal ear problems. - corticosteroid injection in the last 12 weeks before participation. - lower limb pain or condition that prevents the participant from performing the standing balance assessment. |
Country | Name | City | State |
---|---|---|---|
Saudi Arabia | Imam abdulrahman bin faisal university | Dammam |
Lead Sponsor | Collaborator |
---|---|
Imam Abdulrahman Bin Faisal University |
Saudi Arabia,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Visual analogue scale (VAS) | Every patient was asked to but a mark on the VAS line which represents his/her level of neck pain intensity from 0 to 10.It is a 10 cm drawn line. Where 0 represents no pain and 10 is the maximum pain level. The patient will be asked to but a mark on the line which represents his/her level of pain. | 4 weeks | |
Primary | Tinetti balance assessment | consists of 2 parts: balance (9 items) and gait (8 items) with a total score of 28. The test started with the patient sitting on armless chair then asked to stand up. The next step, then the assessor nudged the patient sternum to check the balance with the patient eyes opened and then closed then the patient turned around 360 degrees and lastly sat down. The next part was to test the gait to assess the dynamic balance. The patient had to walk about five meters on an even walkway in his usual walking pattern while the assessor assess the steps length, height, symmetry, and continuity and straightness of the trunk. 24 is a low risk of falls, 19 to 23 is a moderate risk and 18 and less is a high risk of falls. |
4 weeks | |
Primary | Single-leg stance time (SLST) | Every patient was asked to stand on the preferred leg for a maximum of 90 seconds with the arms on the sides. The elevated leg should not touch the other one. The test was performed with eyes opened first then repeated with eyes closed. The time was recorded with a stopwatch.with eyes open and closed will be used for static postural balance.The participant will stand on the preferred leg for a maximum of 90 seconds with the arms on the sides. The test will be performed with eyes opened first then with eyes closed. Time is recorded by a stopwatch. | 4 weeks | |
Primary | Timed Up and Go | Every patient was asked to stand up from an armchair, walk for three meters (marked on the floor), and turn around the mark, go back and sit down again. Time was measured in seconds with a stopwatch.the patient will be asked to stand up from an armchair, walks for 3 meters (marked on the floor), and turns back and sits again. Time is measured in seconds with a stopwatch. | 4 weeks | |
Secondary | Neck Disability Index | The scale consists of 10 items with six answers for each. These items are about reading, driving, lifting, personal care, hobbies and work activities, pain, concentration, sleep and headache. Scoring is from 0 to 100%, the higher the number the worse the disability. | 4 weeks | |
Secondary | Cervical range of motion (CROM) | It was measured using a goniometer device consisting of three inclinometers that are attached to a frame similar to eyeglasses. The rotation inclinometer needle is adjusted by a magnetic field which is produced by a black magnetic necklace. Measurements will be taken from a sitting position with eyes opened and without moving the upper trunk. The participant will be asked to move the neck actively into flexion, extension, lateral flexion, and rotation. | 4 weeks | |
Secondary | cervical joint position sense error test (JPSE) | It is used to measure cervical proprioception. It will be measured using the same ROM goniometer device but with the eyes closed. Every patient will be asked to try to relocate the head to a specific range, 50% of the active ROM, which is the target of the relocation of the neck. each direction will be repeated three times. | 4 weeks | |
Secondary | Quality of life questionnaire SF-36 | It was evaluated with Quality-of-life QOL SF-36. The higher the score the higher the satisfaction. it consists of 11 questions about the quality of life, function, social life, health, and psychological subscale. the higher the percentage the better the quality of life | 4 weeks |
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