Motor_Control_Neck_SSED

Neck Pain Clinical Trial

Official title:

A Motor Control Intervention of Patients With Forward Head Posture and Persistent Neck Pain - A Single System Experimental Design With 12 Month Follow-up

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT01806519
• Other study ID #: LTU_SG_5
• Status: Completed
• Phase: N/A
• First received: March 4, 2013
• Last updated: March 6, 2013
• Start date: September 2009
• Est. completion date: January 2011

Study information

• Verified date: March 2013
• Source: Luleå Tekniska Universitet
• Contact: n/a
• Is FDA regulated: No
• Health authority: Sweden: Institutional Review Board
• Study type: Interventional

Clinical Trial Summary

Neck pain is a common problem in the western world. There is a group of people suffering from neck pain with a reduced ability to maintain an upright posture showing a forward head position and an altered muscle function.

The aim of the study was to evaluate a motor control intervention for patients with persistent neck pain and a forward head posture.

This pilot study used a Single System Experimental Design (SSED) with an A-B-A-design and multiple baselines.

The tailored motor control intervention addressed the faulty postural alignment and the deep muscles of the cervical spine.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 3
• Est. completion date: January 2011
• Est. primary completion date: January 2011
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 20 Years to 50 Years

Eligibility

Inclusion Criteria:

• 20 - 50 years of age with pain originating from the neck for at least three months.

• A visual forward head posture.

• Less than105 points on the Örebro musculoskeletal pain screening questionnaire

Exclusion Criteria:

• neurological dysfunction.

• former cervical surgery or compression fracture of the spine

• no mental retardation

• no physiotherapy treatment during the last 6 months.

Study Design

Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Single Blind (Subject), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Forward Head Posture
• Neck Pain

Intervention

Behavioral:
• Motor control intervention of head posture
The tailored motor control intervention used for motor learning-procedure described by Fitts and Posner, further developed and adapted to rehabilitation of the spine by O´Sullivan. The stages involved in the process was the Cognitive stage, Associative stage and the Autonomous stage

Locations

Country	Name	City	State
Sweden	OMT-kliniken	Luleå

Sponsors (1)

Lead Sponsor	Collaborator
Luleå Tekniska Universitet

Country where clinical trial is conducted

Sweden, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Posture	The category Relation to Body Center (items Postural activity, Deviation in standing, Stability in stance and In sitting) and Relation to Ground (items Contact surface, Load, Stance on one leg) from the Body Awareness Scale (BAS) was used to measure the theoretical plumb line perpendicular to the body´s center to estimate the ability to maintain a neutral posture.	Effect from baseline to 8 weeks and being maintained to 12 month	No
Primary	Head posture	The craniovertebral (CV) -angle was used to estimate the cervical curvature and head posture in relation to the thorax being measured with the Head Posture Spinal Curvature Instrument	Effect from baseline to 8 weeks and being maintained to 12 month	No
Primary	Muscle function of the deep cervical flexors	The Cranio-Cervical Flexion Test (C-CFT) was used to assess the tonic holding abilities of the deep cervical muscles by using a Pressure biofeedback unit.	Effect from baseline to 8 weeks and being maintained to 12 month	No
Secondary	Disability	The Neck Disability Index (NDI) is a self-reported questionnaire with 10 categories where each question estimates the current status, from no disability (0) to full disability within that category used to assess disability.	Effect from baseline to 8 weeks and being maintained to 12 month	No
Secondary	Pain intensity	The pain intensity was evaluated using the 100 mm Visual Analogue Scale (VAS) with the anchors "no pain" and "worst pain imaginable" that assessed the average pain intensity in the neck over the last seven days.	Effect from baseline to 8 weeks and being maintained to 12 month	No