Effects of Local Treatment With and Without Sensorimotor and Balance Exercises in Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      The sensorimotor disturbance and postural instability have been demonstrated to be associated
      with neck pain. Specific therapeutic exercise and manual therapy for the cervical spine are
      effective interventions for improving dizziness symptoms, neck impairments, functional
      ability and quality of life. However, the effects of these interventions on the actual
      impairment of joint position sense and balance remain uncertain. Adaptive changes in the
      sensorimotor and postural control systems may need to be specifically addressed.
    

Detailed description: 
      The sensorimotor (joint position sense and oculomotor control) and postural stability
      (balance) disturbances have been demonstrated to be associated with neck pain. Specific
      therapeutic exercise directed to neuromuscular impairments and manual therapy for the
      cervical spine are effective interventions for improving dizziness symptoms, neck
      impairments, functional ability and quality of life. However, the effects of these
      interventions on the actual impairment of joint position sense and balance remain uncertain.
      Adaptive changes in the sensorimotor and postural control systems may need to be specifically
      addressed. Currently, it is not known whether the clinician has to train every impairment or
      can choose between sensorimotor training and balance training in the rehabilitation of neck
      pain. Different training approaches may have specific influences on the different outcomes
      and their outcomes will be important to inform the optimal and efficient management of
      persons with chronic neck pain.
    

Intervention name(s): Local neck treatment (LNT); LNT plus sensorimotor exercises; LNT plus balance exercises; LNT plus sensorimotor/balance exercises
Intervention type(s): Other; Other; Other; Other
Intervention description(s): The local neck treatment consists of cervical mobilization and specific therapeutic exercises (30 minutes). The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks).; The local neck treatment (30 minutes) plus the sensorimotor exercise program (15 minutes). The sensorimotor exercises include cervical joint position sense and oculomotor training. The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks).; The local neck treatment (30 minutes) plus the balance exercise program (15 minutes).The balance program includes with static balance and progress to dynamic balance and gait. The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks).; The local neck treatment (30 minutes) plus the sensorimotor exercise program (15 minutes) and the balance exercises (15 minutes). The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks).
Allocation: Randomized
Intervention model: Factorial Assignment
Intervention model description: a 2 x 2 factorial blinded design
Masking: Double (Investigator, Outcomes Assessor)
Primary purpose: Treatment
Keywords: Manual therapy; Sensorimotor exercises; Balance exercises; Cervical mobilization; Specific neck muscle exercises