Clinical trial NCT05618964: Effects Of Deep Neck Flexor And Extensor Exercises
Official title: Effects Of Deep Neck Flexor And Extensor Exercises On Pain, Range Of Motion And Muscle Strength In Mechanical Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Mechanical Neck Pain
Keywords: Neck muscles
Neck Pain
Muscle strength
Range of Motion
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-11-16
Enrollment: 36
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Deep cervical flexor and extensor muscles show decreased strength in patients with Mechanical neck pain. Exercises involving deep cervical muscles has improved coordination and motor control. This study aim to determine the effects of deep flexor muscle exercises along with deep extensor muscle exercises on pain, range of motion and muscle strength in mechanical neck pain.

Detailed description: This study will be a randomized controlled trial and will be conducted in Riphah Rehabilitation Clinic Lahore and Physiotherapy outpatient department of WAPDA Teaching Hospital Lahore. Non-probability consecutive sampling will be used to collect the data. Sample size of 36 subjects with age group between 18-40 years will be taken. Data will be collected from the patients having present complaint of Mechanical Neck pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Manual Muscle Testing (MMT) for muscle strength and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Both the Groups will receive Hot Pack, superficial neck muscles stretching and Neck isometrics, while Group A will receive deep neck flexor and extensor exercises, and Group B will receive conventional treatment. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.

Eligibility criteria: Inclusion Criteria:

* Males and Females
* 18 and 40 years of age
* Forward Head Posture
* Manual Muscle testing (MMT) grade less than 6
* Deep Flexor strength measured by pressure biofeedback unit (20 mmHg), patients who cannot hold craniocervical flexion (indicating yes) for 10 seconds

Exclusion Criteria:

* Cervical radiculopathy
* History of whiplash injury
* History of cervical and thoracic spine surgery
* Neck pain associated with vertigo
* History of spinal osteoporosis
* Vertebral Fractures
* Tumors
* Diagnosed psychological disorders

Primary outcomes:
measure: Numerical Pain Rating Scale (NPRS)
timeFrame: follow up on 4th week
measure: Manual Muscle Testing (MMT)
timeFrame: followup on 4th week
measure: Universal Goniometer (UG)
timeFrame: follow up on 4th week
measure: Pressure Biofeedback unit
timeFrame: follow up on 4th week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah Rehabilitation Clinic
state: Punjab
Study officials:
affiliation: Riphah International University,Lahore
name: Samrood Akram, Mphil
role: PRINCIPAL_INVESTIGATOR
References:
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