Icing Effects on Neck Functions of the Boxers

Study Overview
=================
Brief Summary
-----------------
Most boxing injuries occurs over head and neck which leads to potentially acute or chronic head and neck injuries. Patients with whiplash injury has been reported, reflected by increased body sway and reduced ability to overcome challenging balance tasks. The purpose of this research is to evaluate the fitness and balance outcomes between the boxers and the control group, and boxers undergoing posterior-neck icing effects.

Detailed Description
-----------------
Injuries are common in boxing, occurring most often to the head, neck, face, and hands. Traumatic minor cervical strains are common place in high-impact sports and premature degenerative changes have been documented in sports people exposed to recurrent impact trauma or repetitive forces. Whiplash injury may result in extensive trauma to muscles and ligamentous structures within the cervical spine . Many of these structures, particularly the muscles, contain mechanoreceptors that play a key role in position sense. Studies have shown that head and neck position sense may become impaired following whiplash injury. Subsequently, poor movement patterns, together with the perpetuation of pain and other symptoms may develop. Posture control is achieved by integration of sensory inputs emanating from somatosensory, vestibular, and visual systems. Patients with whiplash injury has been reported, reflected by increased body sway and reduced ability to overcome challenging balance tasks. In this study we have attempted to evaluate the influence of boxing on balance performances, isometric strength and flexibility; furthermore, evaluate the therapeutic effect of ice massage on boxers.

Official Title
-----------------
Icing Effects on Neck Functions of the Boxers

Conditions
-----------------
Balance

Intervention / Treatment
-----------------
* Other: icing massage


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: boxers Must be able to cooperate to our intervention Exclusion Criteria: Any head and neck injury in recent six months personal history of head and neck surgery, tumor, infection, and musculoskeletal disease of neck Lesions of central or peripheral nervous system, such as visual or vestibular system, any of which may also affect performance of balance

Ages Eligible for Study
-----------------
Minimum Age: 18 Years
Maximum Age: 24 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: balance, neck isometric strength and range of motion<br> | Other: icing massage<br>* The intervention, ice massage, was conducted by replacing a bag of crushed ice (100 cc) inside a moistened towel and lightly rubbed over lumbosacral region for 10 minutes. The moisture towel increased the intensity of the cooling sensation more than the dry wrappings<br>* Other names: code name:9700018;|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| balance performance on the sensory organization test (SOT) |  |  | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| neck isometric strength in six directions |  |  | 
| neck range of motion in six directions |  |  | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
icing, boxer, balance, neck range of motion, neck isometric strength, balance performance