Efficiency of Modified Pilates Exercises in Patients With Chronic Neck Pain

Study Overview
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Brief Summary
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The aim of this study is to investigate the effects of modified pilates exercises on neck pain, deep neck flexor muscles edurance, joint position sense and functionality in patients with chronic neck pain.

Detailed Description
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50 individuals with Chronic Neck Pain not working will be included to our study. We will evaluate pain (with visual analog scale), deep neck flexors' endurance (with cranio-cervical flexure test using the pressure stabilizing feedback device), cervical range of motion and cervical proprioception (wit cervical range of motion device). Besides we will conduct a questionnaire (neck disability index) to get further knowledge about their functionality. Participants will be randomly allocated 2 groups consisting of 25 participants and these 2 groups will receive different interventions. Modified Pilates Exercise Group (MPEG) will be involved in a modified pilates exercise training for a total of 6 weeks a day, 2 days a week in the presence of a physiotherapist. The Control Group (KG) will receive daily routine advises to prevent neck pain and they will be asked about to apply these advises and not to make other changes in their life. The evaluations will be repeated and analyzed 2 times, pre-treatment and 6 weeks after treatment , and the effectiveness of the modified pilates exercises will be examined in the chronic neck pain. Our hypothesis is ''Modified pilates exercises have a positive effect on neck pain, range of motion, deep neck flexor muscles, joint position sense and function in patients with chronic neck pain.''

Official Title
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Efficiency of Modified Pilates Exercises in Patients With Chronic Neck Pain

Conditions
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Neck Pain

Intervention / Treatment
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* Other: modified pilates exercise
* Other: daily life advises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Having neck pain more than 3 months No physical therapy in last year No background with pilates exercises Being able to understand Turkish, treatment and evaluations. Being able to complete all the evaluations and treatment Exclusion Criteria: Fracture or surgery background with shoulder, cervical area or other extremities. Any systemic musculoskeletal diseases Existing chest deformities or scoliosis Cervical hernia, neuropathy or whiplash. Pregnancy Having pain above 7 in VAS Any other pain that could prevent people from doing exercises

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Modified Pilates Exercise Group<br>they will be involved in a modified pilates exercise training for a total of 6 weeks a day, 2 days a week. | Other: modified pilates exercise<br>* modified exercises from original pilates exercises.<br>* Other names: daily routine advises;|
| Other: Control Group<br>they will be given daily life advises to prevent neck pain | Other: daily life advises<br>* they will be given daily life advises to prevent neck pain<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Evaluation | This test will be measured by Visual Analog Scale (VAS) score. VAS has 10-centimeter line corresponding to the amount of pain they experienced. 0 means no pain and 10 means pain as bad as possible. | 6 weeks | 
| Neck Disability Index | Neck disability index is a survey that has 10 different sections including Pain intensity, personal care, weight lifting, reading, headache, concentration, work, driving, sleeping and resting activitie. | 6 weeks | 
| Posture Evaluation | Sagital plan photographs of the people will be taken and head and shoulder posture will be evaluated. | 6 weeks | 
| Neck Range Of Motion | Range of motion will be measured by cervical range of motion device (CROM device) | 6 weeks | 
| Deep Neck Flexor Endurance | Score of cranio-cervical flexion test will be measured by Stabilizer Pressure Biofeedback Unit. | 6 weeks | 
| Neck Position Sense | Joint position error of 6-direction (flexion, extension, right-left lateral flexion and right-left rotation) will be measured by cervical range of motion device (CROM device). | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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exercise, pilates, modified pilates, chronic neck pain