Cranio- Cervical Flexion Training With and Without Pressure Biofeedback in Mechanical Neck Pain
Condition: Mechanical Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      The superficial neck flexor musculature has been given considerate amount of attention to
      explore its effects on the cervical pain in several researches.. This study intends to put
      through the benefits of deep cervical flexor training for treatment of cervical neck pain
      patients.This study will also compare the effects of Cranio cervical flexion training with
      and without pressure biofeedback on neck pain, muscular endurance,forward head posture and
      cervical mobility in mechanical neck pain.
    

Detailed description: 
      The study is Randomized Control Trail, which is being conducted in physical therapy
      Outpatient department of Pakistan Railway hospital. Sample size of 24 individual was
      calculated using Epitool with 95% confidence interval (CI) and power 80%. Individual will be
      screened out according to inclusion criteria. Individuals will be allocated randomly into two
      groups, 12 in Craniocervical flexion training with pressure biofeedbackgroup and 12 in
      Craniocervical flexion training without pressure biofeedbackgroup by sealed envelope method.

      Deep neck flexor endurance techniquewas used totrain theCraniocervical flexor muscles in
      control group.Craniocervical flexion technique with Pressure biofeedback unit's was
      positioned behind the neck just below the occiput was used to train the endurance of the
      Craniocervical flexor muscle in experimental group.

      Assessment will be done on baseline and 4th week. Data will be analyzed on SPSS version 21.
    

Intervention name(s): Craniocervical flexion training with pressure biofeedback; Craniocervical flexion training without pressure biofeedback
Intervention type(s): Device; Other
Intervention description(s): Total 15 patients participated in this training group. Session was performed thrice in a week. Each session was givenfor approximately 20minutesPatients were asked to lie in supine hook lying position. After that Pressure biofeedback unit's air bag was clipped together and folded in three and positioned behind the neck just below the occiput. Patients were advised to perform Craniocervical flexion and practiced head nodding action to progressively target (reach the incremental targets) and hold the 5 pressure levels for 10 second between 22 mm Hg and 30 mmHg. A 2 minute second rest period was provided between each level. Minimum performance requirement was 26 mm Hg while ideal performance targets are 28 and 30 mm Hg... Patient will be re-assessed for all baseline variables after 4 weeks of training; Total 15 patients participated in this control group.Session was given 3 times in a week. Each session continue forapproximately 20 minutes. The patient lies in supine crook lying position. The patientwas maximally retracted the chin and asked to maintained it while the patient lifts the head and neck until the head is relatively 2 to 5 cm (1 inch) abovethe couch. The examiner places a hand under the head of patient on the table. Patients were instructed to perform10 repetitions for a hold of 20 seconds initially, increasing it by 10 seconds progressively.The entire session had a maximum of 4 sets. Patient will be re-assessed for all baseline variables after 4 weeks of training
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Both experimental and control groups will be treated simultaneously with different modes of endurance training
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: endurance training,