Effects of Specific Training for Deep Neck Muscle

Neck Pain Clinical Trial

Official title:

Effects of Specific Training of Deep Cervical Muscles in Chronic Mechanical Neck Pain

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT02656030
• Other study ID #: TSuvarnnato
• Status: Recruiting
• Phase: N/A
• First received: January 11, 2016
• Last updated: February 12, 2016
• Start date: November 2015
• Est. completion date: December 2017

Study information

• Verified date: February 2016
• Source: Khon Kaen University
• Contact: Thavatchai Suvarnnato, M.Sc. PT
• Phone: +66890092175
• Email: suvarnnato[@]hotmail.com
• Is FDA regulated: No
• Health authority: Thailand: Khon Kaen University Ethics Committee for Human Research
• Study type: Interventional

Clinical Trial Summary

Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.

Exercise is known to be an important component of treatment programs for patients with neck pain. Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles.Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects.

The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.

Description:

Neck pain is a second the most common problems in musculoskeletal problems the low back pain in general population.The prevalence of neck pain at the some point in their lifetime in general population had been reported to be between 43 to 66.7 percent.the neck problems could be involved physical function, psychological function and social function. The economic burden for neck pain is very high.Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles. The specific training on deep cervical muscles aims to improve control strategy, improve activation of deep cervical flexor muscles to optimize movement control of segmental motion of the cervical spine. Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep and superficial cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. So, the activation of the deep cervical extensors should be emphasized for the management in people with neck pain. Schomacher et al (2012) suggested that isometric resisted exercise at the second cervical vertebra can improve semispinalis cervicis muscle activity in neck pain patients. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects. The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 60
• Est. completion date: December 2017
• Est. primary completion date: June 2017
• Accepts healthy volunteers: No
• Gender: Both
• Age group: 18 Years to 59 Years

Eligibility

Inclusion Criteria:

• Chronic mechanical neck pain

• Aged between 18 to 59 years

• The symptom more than three months in duration

• A baseline the Thai version of Neck Disability Index (NDI-TH) score of 10 percent or greater

Exclusion Criteria:

• a previous history of whiplash injury

• a previous history injury to the cervical and thoracic spine

• diagnosed with osteoporosis, malignancy or other spinal inflection

• a positive vertebro-basilar artery insufficient test

• diagnosed with cervical radiculopathy and/or myelopathy

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Single Blind (Investigator), Primary Purpose: Treatment

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• semispinalis cervicis resisted exercise
semispinalis cervicis resisted exercise, 2 time per week, 6 weeks duration
• cranio-cervical flexion exercise
cranio-cervical flexion exercise, 2 time per week, 6 weeks duration
• usual care
usual care, 2 time per week, 6 weeks duration

Locations

Country	Name	City	State
Thailand	Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University	Muang	Khon Kaen

Sponsors (1)

Lead Sponsor	Collaborator
Khon Kaen University

Country where clinical trial is conducted

Thailand, 

References & Publications (2)

Falla D, O'Leary S, Farina D, Jull G. The change in deep cervical flexor activity after training is associated with the degree of pain reduction in patients with chronic neck pain. Clin J Pain. 2012 Sep;28(7):628-34. doi: 10.1097/AJP.0b013e31823e9378. — View Citation

Schomacher J, Petzke F, Falla D. Localised resistance selectively activates the semispinalis cervicis muscle in patients with neck pain. Man Ther. 2012 Dec;17(6):544-8. doi: 10.1016/j.math.2012.05.012. Epub 2012 Jun 22. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Neck Disability Index		Up to 3-months after the last intervention session	Yes