Clinical trial NCT03933267: Cervical Sensorimotor Control Training in Chronic Neck Pain
Official title: Effects of Cervical Sensorimotor Control Training in Nonspecific Chronic Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Nonspecific Chronic Neck Pain
Keywords: Cervical Pain
Kinesthesis
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2019-05-01
Enrollment: 28
Sex: ALL
Minimum age (years): 30
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Both experimental and control groups will be treated simultaneously with one treatment option common to both groups
Primary purpose: TREATMENT

Brief summary: Impaired cervical joint position sense is associated with neck pain. This study will determine the effects of sensorimotor control training exercises on cervical joint position, pain, ROM and function in nonspecific chronic neck pain. There will be two groups ; experimental and control. Half of study group will receive cervical sensorimotor control training exercises and half of study group will receive conventional physiotherapy protocol.

Detailed description: The study is Randomized Control Trail , which is being conducted in physical therapy Out patient department of Pakistan Railway hospital (April 2019-July 2019) . Sample size of 18 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 , 9 in cervical Sensori-motor training group and 9 in conventional physiotherapy protocol group by sealed envelope method.

Both groups will receive conventional physiotherapy protocol (hot pack, stretching exercises and strengthening exercises) for neck pain in common and the experimental group will receive cervical sensorimotor control training in addition to conventional protocol.

Assessment will be done on baseline and 6th week.

Data will be analysed on SPSS version 21.

Eligibility criteria: Inclusion Criteria:

* Age between 20 to 50 years
* Non specific neck pain
* Insidious neck pain for at least 3 month
* Average pain intensity over the past week \>4 on Numeric Pain Rating Scale(NPRS)

Exclusion Criteria:

* Previous history of neck and head trauma or surgery
* Inflammatory joint disease
* Systemic conditions
* Cognitive impairment
* Taking four or more medications

Primary outcomes:
measure: Cervical Joint position error
timeFrame: Baseline
measure: Cervical Joint position error
timeFrame: post 6th week
measure: Clinical test of sensory interaction and balance (CTSIB)
timeFrame: Baseline
measure: Clinical test of sensory interaction and balance (CTSIB)
timeFrame: post 6th week
Secondary outcomes:
measure: Numeric pain rating scale (NPRS)
timeFrame: Baseline
measure: Numeric pain rating scale (NPRS)
timeFrame: post 6th week
measure: Neck Disability Index (NDI):
timeFrame: Baseline
measure: Neck pain and disability index (NDI):
timeFrame: post 6th week
measure: CROM (inclinometer)
timeFrame: Baseline
measure: CROM (inclinometer)
timeFrame: post 6th week
measure: Patient-Specific Functional Scale (PSFS)
timeFrame: baseline
measure: Patient-Specific Functional Scale (PSFS)
timeFrame: post 6th week
Other outcomes:
Locations:
city: Rawalpindi
country: Pakistan
facility: Pakistan Railway hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Huma Riaz, PHD*
role: PRINCIPAL_INVESTIGATOR
References:
citation: Javanshir K, Ortega-Santiago R, Mohseni-Bandpei MA, Miangolarra-Page JC, Fernandez-de-Las-Penas C. Exploration of somatosensory impairments in subjects with mechanical idiopathic neck pain: a preliminary study. J Manipulative Physiol Ther. 2010 Sep;33(7):493-9. doi: 10.1016/j.jmpt.2010.08.022.
citation: Saadat M, Salehi R, Negahban H, Shaterzadeh MJ, Mehravar M, Hessam M. Postural stability in patients with non-specific chronic neck pain: A comparative study with healthy people. Med J Islam Repub Iran. 2018 Apr 23;32:33. doi: 10.14196/mjiri.32.33. eCollection 2018.
citation: de Vries J, Ischebeck BK, Voogt LP, van der Geest JN, Janssen M, Frens MA, Kleinrensink GJ. Joint position sense error in people with neck pain: A systematic review. Man Ther. 2015 Dec;20(6):736-44. doi: 10.1016/j.math.2015.04.015. Epub 2015 May 2.
citation: Beinert K, Taube W. The effect of balance training on cervical sensorimotor function and neck pain. J Mot Behav. 2013;45(3):271-8. doi: 10.1080/00222895.2013.785928.
citation: Swait G, Rushton AB, Miall RC, Newell D. Evaluation of cervical proprioceptive function: optimizing protocols and comparison between tests in normal subjects. Spine (Phila Pa 1976). 2007 Nov 15;32(24):E692-701. doi: 10.1097/BRS.0b013e31815a5a1b.