Efficacy of Deep Cervical Flexor Muscles Training on Neck Pain, Functional Disability and Muscle Endurance in School Teachers

Neck Pain Clinical Trial

Official title:

Efficacy of Deep Cervical Flexor Muscles Training on Neck Pain, Functional Disability and Muscle Endurance in School Teachers

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03537300
• Other study ID #: RRC-2016-009
• Status: Completed
• Phase: N/A
• Start date: May 21, 2016
• Est. completion date: May 1, 2017

Study information

• Verified date: May 2018
• Source: King Saud University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Neck pain (NP) is a common work related disorder. Teaching is one profession in which its prevalence is high. The Daily job of a school teacher involves head down posture while reading, writing, etc., exposing them to risk of developing NP. Deep cervical flexor (DCF) muscles have been shown to have lower endurance in patients with cervical impairment which has been associated with disability. There is limited evidence that reports efficacy of DCF muscles training in occupational NP. This study was done to see the effect of DCF muscles training using pressure biofeedback on pain, muscle endurance and functional disability in school teachers with NP.

Description:

Neck pain (NP) is a common work related disorder. Teaching is one profession in which its prevalence is high. The Daily job of a school teacher involves head down posture while reading, writing, etc., exposing them to risk of developing NP. Deep cervical flexor (DCF) muscles have been shown to have lower endurance in patients with cervical impairment which has been associated with disability. There is limited evidence that reports efficacy of DCF muscles training in occupational NP. This study was done to see the effect of DCF muscles training using pressure biofeedback on pain, muscle endurance and functional disability in school teachers with NP. 65 teachers, aged between 25 to 45 years with experience of more than 5 years were agreed to participate in this study. Subjects were randomly divided into two groups, experimental (EG) and control group (CG). In EG, subjects received DCF muscles training using pressure biofeedback in addition to conventional exercises for neck pain while in CG subjects received only conventional exercises. Pain, muscle endurance and disability measured at day 0 (before treatment), day 14 and day 42 after treatment. Endurance of DCF muscles was measured by CCF test using pressure biofeedback instrument, Pain intensity was measured using NPRS and Functional disability was assessed using NDI questionnaire.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 65
• Est. completion date: May 1, 2017
• Est. primary completion date: January 1, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 45 Years

Eligibility

Inclusion Criteria:

• experience of more than 5 years

• neck pain score of more than 5 on numeric pain rating scale (NPRS), mild to moderate disability score on neck disability index (NDI) and poor cranio-cervical flexion (CCF) test

Exclusion Criteria:

• any neurological sign or symptom, history of spinal surgery or if they were taking any treatment for their pain.

Related Conditions & MeSH terms

• Neck Pain

Intervention

Behavioral:
• DCF muscles training using pressure biofeedback in addition to conventional exercises
DCF muscles training using pressure biofeedback in addition to conventional exercises
• conventional exercises
conventional exercises

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
King Saud University

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Change in Pain at day 42, day 14 after intervention from baseline	Numeric pain rating scale (NPRS): NPRS. Subjects had to rate their pain on the 0-10 rating scale, where 0 means no pain while 10 is the worst possible pain.	at day 0 (before treatment), day 14 and day 42 after treatment
Primary	Change in muscle endurance at day 42, day 14 after intervention from baseline	Craniocervical flexion test (CCF) test using pressure biofeedback instrument	at day 0 (before treatment), day 14 and day 42 after treatment
Secondary	disability	Functional disability was assessed using Neck disability index (NDI) questionnaire. Subjects had to answer the multiple choice questions and their score was interpreted on range from 0 to 50, 0 being no disability and 50 indicating complete disability.	at day 0 (before treatment), day 14 and day 42 after treatment