Effects of Neck Stabilization Exercise With Heat Therapies

Study Overview
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Brief Summary
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In this study, we aimed to determine the effects of heat therapies and neck stabilization exercises on pain, disability, range of motion, and mood of NP patients.

Detailed Description
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Chronic non-specific neck pain (NP) has become one of the main causes of disability in the adult population around the world.Several treatment options used like; exercise, manual therapy, electrotherapy, and hot treatments etc. In this study, we aimed to determine the effects of heat therapies and neck stabilization exercises on pain, disability, range of motion, and mood of NP patients.100 patients with NP will be included.Patients will be randomyl assigned to 4 groups and will receive a total of 3 weeks of treatment. Patients' pain levels (visual analogoue scale VAS), quality of life (short form 36), mood (Beck deppression inventory BDI), range of motion, and neck disability index were evaluated prior to treatment, at 6th and at 12th weeks.

Official Title
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Effect of Heat Therapies on Pain, Functional Status, Range of Motion, and Disability in Patients With Neck Pain

Conditions
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Neck Pain

Intervention / Treatment
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* Other: neck stabilization exercise (nse)
* Other: NSE + HOT PACK THERAPY
* Other: NSE + infrared therapy
* Other: NSE + ultrasound therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with chronic neck pain Exclusion Criteria: sensory deficit on neck area, servical disc pathologies, neurological deficit, malignity, secondary causes for neck pain, active inflammation, arthritis on the neck area, serious mental health problems, pregnancy, spine surgery, and having received treatment to the cervical region in the last 6 months

Ages Eligible for Study
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Minimum Age: 20 Years
Maximum Age: 50 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: neck stabilization exercise (NSE)<br>the patients who had NSE | Other: neck stabilization exercise (nse)<br>* neck stabilization exercise (nse)- exercise<br>|
| Active Comparator: NSE + HOT PACK THERAPY<br>the patients who had NSE+ hot pack | Other: NSE + HOT PACK THERAPY<br>* NSE + HOT PACK THERAPY- exercise plus heat therapy<br>|
| Active Comparator: NSE + infrared therapy<br>the patients who had NSE+ infrared therapy | Other: NSE + infrared therapy<br>* NSE + infrared therapy- exercise plus heat therapy<br>|
| Active Comparator: NSE + ultrasound therapy<br>the patients who had NSE+ ultrasound therapy | Other: NSE + ultrasound therapy<br>* NSE + ultrasound therapy exercise plus heat therapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| change from baseline VAS (visual analog scale) at 6th and 12th week | The patients were asked to make an assesment of their pain level between 0 and 10 scale | up to 12 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from baseline quality of life (short form 36) at 6th and 12th week | The physical and mental health summary scores were the primary components used. Scoring is on a scale of 0 to 100 and a higher score reflects better health-related quality of life. | up to 12 weeks | 
| Change from baseline shoulder range of motion (ROM) at 6th and 12th week | The patients' joint range of motion will be measured with a goniometer. | up to 12 weeks | 
| Change from baseline Beck depression inventory (BDI) at 6th and 12th week | A total Beck score (0-63) is obtained by giving each question a score of 0-3 in the survey. 17 is considered the threshold value for the degree of depression. | up to 12 weeks | 
| Change from baseline neck disability index (NDI) at 6th and 12th week | Patient-completed, condition-specific functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. The NDI has sufficient support and usefulness to retain its current status as the most commonly used self-report measure for neck pain | up to 12 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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hot pack, exercise, ultrasound therapy