Isokinetic Assessment of Wrist Muscle Performance Among Medical Students With Neck Pain

Neck Pain Clinical Trial

Official title:

Isokinetic Assessment of Wrist Muscle Performance Among Egyptian Physical Therapy Students With Chronic Non-Specific Neck Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT06240611
• Other study ID #: neck pain on wrist muscles
• Status: Completed
• Start date: May 1, 2023
• Est. completion date: December 25, 2023

Study information

• Verified date: January 2024
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

PURPOSES: 1. To assess the effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight among Egyptian physical therapy students. 2. To assess the effect of chronic non-specific neck pain on extensor / flexor wrist ratio among Egyptian physical therapy students. 3. To assess the effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance among Egyptian physical therapy students.

Description:

BACKGROUND: Although it is widely acknowledged that chronic non-specific neck pain is linked to hand disability as previously studied on dentists and ministry of health care stuff, there is still a gap in illustrating the effect of chronic non-specific neck pain on Egyptian physical therapy students' functional ability of wrist in the upper limb. However, the assessment of extensor / flexor wrist strength ratio has only recently gained attention. Furthermore, there is limited research investigating the strength control ratio that incorporates both concentric and eccentric muscle actions, and additional scientific evidence is needed to establish the relationship between chronic non-specific neck pain and upper limb disability. This study will be conducted to set new assessment and rehabilitation goals. This will subsequently be translated into home therapy program, contributing to decrease the burden of neck pain economically and on health care management. Our study aims to evaluate peak torque of wrist extensor and flexor muscle/ body weight and extensor / flexor wrist ratio and wrist extensor and flexor muscle endurance among Egyptian physical therapy students with non-specific neck pain. Torque results are adjusted for body weight and compared to normative data for the gender and activity specialty to determine whether the unaffected limb is strong enough to act as a reference for the afflicted limb also compared between right- and left-handed subjects. HYPOTHESES: - There will be no significant effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight. - There will be no significant effect of chronic non-specific neck pain on extensor / flexor wrist ratio. - There will be no significant effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance. RESEARCH QUESTIONS: - Does chronic non-specific neck pain affect wrist extensor and flexor muscles performance among Egyptian physical therapy students? - Does chronic non-specific neck pain affect peak torque of wrist extensor and flexor muscles/ body weight among Egyptian physical therapy students? - Does chronic non-specific neck pain affect extensor / flexor wrist ratio among Egyptian physical therapy students? - Does chronic non-specific neck pain affect wrist extensor and flexor muscles endurance among Egyptian physical therapy students?

Recruitment information / eligibility

• Status: Completed
• Enrollment: 45
• Est. completion date: December 25, 2023
• Est. primary completion date: November 17, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 23 Years

Eligibility

Inclusion Criteria:

• Both sexes
• Duration of neck pain (> 3 months)
• Age from 18 to 23 years
• The neck pain intensity is between 3 and 8 on the Numerical Pain Rating Scale
• Neck pain-related disability was between 5 and 14 points on the Neck Disability Index
• Body mass index from 18.5 to 29.5

Exclusion Criteria:

• Neurological conditions (i.e., Parkinson's disease, multiple sclerosis, head injury, peripheral neuropathy, stroke, or nerve root entrapment)
• Headache
• Cancer, infection, or any other illness symptoms.
• Trauma
• Cardiovascular problems or cerebrovascular insufficiency symptoms.
• Musculoskeletal disorder (i.e., joint replacement, amputation, physically limiting arthritis, contractures of fixed deformity, or muscular dystrophy)
• Orthopedic or neurological conditions such as fractures, surgeries on the upper limb or hand, carpal tunnel syndrome, De Quervain's syndrome, or diabetic mellitus
• Cervical spine spondylosis, disc prolapse, spinal stenosis, cervical fracture, etc.
• Any recent treatment for neck pain.
• Visual, auditory and speech problems
• Forward head posture.

Related Conditions & MeSH terms

• Neck Pain

Locations

Country	Name	City	State
Egypt	Faculty of Physical Therapy, Cairo University	Cairo	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Mohamed Mahmoud Refaey

Country where clinical trial is conducted

Egypt, 

References & Publications (8)

Ajimsha MS, Shenoy PD, Gampawar N. Role of fascial connectivity in musculoskeletal dysfunctions: A narrative review. J Bodyw Mov Ther. 2020 Oct;24(4):423-431. doi: 10.1016/j.jbmt.2020.07.020. Epub 2020 Jul 30. — View Citation

Alreni AS, Harrop D, Gumber A, McLean S. Measures of upper limb function for people with neck pain: a systematic review of measurement and practical properties (protocol). Syst Rev. 2015 Apr 7;4:43. doi: 10.1186/s13643-015-0034-2. — View Citation

Alsalameh AM, Harisi MJ, Alduayji MA, Almutham AA, Mahmood FM. Evaluating the relationship between smartphone addiction/overuse and musculoskeletal pain among medical students at Qassim University. J Family Med Prim Care. 2019 Sep 30;8(9):2953-2959. doi: — View Citation

Andrew D, Yielder P, Haavik H, Murphy B. The effects of subclinical neck pain on sensorimotor integration following a complex motor pursuit task. Exp Brain Res. 2018 Jan;236(1):1-11. doi: 10.1007/s00221-017-5103-4. Epub 2017 Oct 12. — View Citation

de la Motte SJ, Gribbin TC, Lisman P, Murphy K, Deuster PA. Systematic Review of the Association Between Physical Fitness and Musculoskeletal Injury Risk: Part 2-Muscular Endurance and Muscular Strength. J Strength Cond Res. 2017 Nov;31(11):3218-3234. doi — View Citation

Gane EM, McPhail SM, Hatton AL, Panizza BJ, O'Leary SP. The relationship between physical impairments, quality of life and disability of the neck and upper limb in patients following neck dissection. J Cancer Surviv. 2018 Oct;12(5):619-631. doi: 10.1007/s — View Citation

Ortego G, Lluch E, Herrero P, Boudreau SA, Domenech-Garcia V. Profiling and Association over Time between Disability and Pain Features in Patients with Chronic Nonspecific Neck Pain: A Longitudinal Study. J Clin Med. 2022 Feb 28;11(5):1346. doi: 10.3390/j — View Citation

Stenner HT, Eigendorf J, Kerling A, Kueck M, Hanke AA, Boyen J, Nelius AK, Melk A, Boethig D, Bara C, Hilfiker A, Berliner D, Bauersachs J, Hilfiker-Kleiner D, Eberhard J, Stiesch M, Schippert C, Haverich A, Tegtbur U, Haufe S. Effects of six month person — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Comparison of the findings of isokinetic dynamometer between control and study groups	peak torque/body weight percentage between control and study groups	Baseline
Primary	The difference between control and study groups in the findings of isokinetic dynamometer	work fatigue index percentage between control and study groups	Through study completion, an average of 5 months
Primary	The correlation between neck pain and the findings of isokinetic dynamometer	agonist/antagonist ratio percentage between control and study groups	Up to 5 months