Effect of Proprioceptive Exercises on Pain and Function in Non-specific Chronic Neck Pain

Study Overview
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Brief Summary
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This study was conducted to see the effect of proprioceptive exercises on pain and function in Non-specific chronic neck pain. Twenty participants with chronic Non-specific neck pain were enrolled in this study. During the final week of treatment, 14 patients were assessed at the end of the sixth treatment week. Participants were randomized into two groups treatment group and control group. Both groups were treated with conventional treatment which were strengthening exercises. Treatment group was also treated by proprioception exercises. For measurement of pain and disability NPRS and NDI scales were used. Exercise regime distributed in six weeks period one session per week exercise, 10-12 repetitions with 1-minute rest interval, lasted 45 minutes in both groups. pre-treatment and post-treatment measurements were taken.

Official Title
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Effect of Proprioceptive Exercises on Pain and Function in Non-specific Chronic Neck Pain

Conditions
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Neck Pain

Intervention / Treatment
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* Other: proprioceptive exercises
* Other: Strengthening exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with non-specific neck pain>3 months Postural neck pain Exclusion Criteria: Vascular neoplasia Fibromyalgia Rheumatoid arthritis Radiculopathy Neuropathy Tumor Cervical fractures Vestibular problems Congenital disorder of cervical spine

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 45 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: Proprioceptive exercises<br>Group A treated with proprioceptive exercises. proprioception exercises included. Head relocation it involve the practice of relocating head back to natural head posture and to predetermined positions in range first with eyes open using feedback from a laser attached to their head and then with closed all active movement of cervical flexion extension lateral flexion and rotations were used. Gaze stability oculomotor exercises commencing with eyes movement with the head stationary, progressing to movement of head with visual fixation on a target. Eye head coordination exercises, commenced with rotation of eyes and head to the same side in both right and left directions. Then progressed with both eyes and head move in opposite direction | Other: proprioceptive exercises<br>* proprioception exercises included (a)Head relocation it involve the practice of relocating head back to natural head posture and to predetermined positions in range first with eyes open using feedback from a laser attached to their head and then with closed all active movement of cervical flexion extension lateral flexion and rotations were used.(b)Gaze stability oculomotor exercises commencing with eyes movement with the head stationary ,progressing to movement of head with visual fixation on a target. (c) Eye head coordination exercises, commenced with rotation of eyes and head to the same side in both right and left directions. Then progressed with both eyes and head move in opposite direction<br>|
| Experimental: Strengthening exercises<br>Group B treated with strengthening exercises which are performed with prone and supine position by placing a towel under head, press towel for 5 seconds with 10-12 repetitions ,one set in a week for six weeks for cervical muscles | Other: Strengthening exercise<br>* strengthening exercises which are performed with prone and supine position by placing a towel under head, press towel for 5 seconds with 10-12 repetitions ,one set in a week for six weeks for cervical muscles<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numerical pain rating scale | 11 point numeric scale ranges from 0 representing one pain extreme(no pain)to 10 representing the other pain extreme severity | 6 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NECK DISABILITY INDEX | NDI is ten item questionnaire based on Oswestry low back pain that assess disability associated with neck pain and whiplash. There are four items that relate to symptoms(pain intensity ,headache, concentration ,sleeping)and six items that relate daily activities of life(lifting, work, driving, recreation, personal care, reading) 5-14 score :mild disability,15-24 score moderate disability,25-34 score severe disability,>35 complete disable | 6 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Neck disability index,, Numerical pain rating scale, Proprioceptive exercise