Clinical trial NCT03782584: Efficiency of Modified Pilates Exercises in Patients With Chronic Neck Pain
Official title: Efficiency of Modified Pilates Exercises in Patients With Chronic Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: exercise
pilates
modified pilates
chronic neck pain
Lead sponsor: Dokuz Eylul University
Sponsor class: OTHER
First posted: 2018-12-20
Enrollment: 49
Sex: ALL
Minimum age (years): 18
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study is to investigate the effects of modified pilates exercises on neck pain, deep neck flexor muscles edurance, joint position sense and functionality in patients with chronic neck pain.

Detailed description: 50 individuals with Chronic Neck Pain not working will be included to our study. We will evaluate pain (with visual analog scale), deep neck flexors' endurance (with cranio-cervical flexure test using the pressure stabilizing feedback device), cervical range of motion and cervical proprioception (wit cervical range of motion device). Besides we will conduct a questionnaire (neck disability index) to get further knowledge about their functionality. Participants will be randomly allocated 2 groups consisting of 25 participants and these 2 groups will receive different interventions. Modified Pilates Exercise Group (MPEG) will be involved in a modified pilates exercise training for a total of 6 weeks a day, 2 days a week in the presence of a physiotherapist. The Control Group (KG) will receive daily routine advises to prevent neck pain and they will be asked about to apply these advises and not to make other changes in their life. The evaluations will be repeated and analyzed 2 times, pre-treatment and 6 weeks after treatment , and the effectiveness of the modified pilates exercises will be examined in the chronic neck pain. Our hypothesis is ''Modified pilates exercises have a positive effect on neck pain, range of motion, deep neck flexor muscles, joint position sense and function in patients with chronic neck pain.''

Eligibility criteria: Inclusion Criteria:

* Having neck pain more than 3 months
* No physical therapy in last year
* No background with pilates exercises
* Being able to understand Turkish, treatment and evaluations.
* Being able to complete all the evaluations and treatment

Exclusion Criteria:

* Fracture or surgery background with shoulder, cervical area or other extremities.
* Any systemic musculoskeletal diseases
* Existing chest deformities or scoliosis
* Cervical hernia, neuropathy or whiplash.
* Pregnancy
* Having pain above 7 in VAS
* Any other pain that could prevent people from doing exercises

Primary outcomes:
measure: Pain Evaluation
timeFrame: 6 weeks
measure: Neck Disability Index
timeFrame: 6 weeks
measure: Posture Evaluation
timeFrame: 6 weeks
measure: Neck Range Of Motion
timeFrame: 6 weeks
measure: Deep Neck Flexor Endurance
timeFrame: 6 weeks
measure: Neck Position Sense
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: İzmir
country: Turkey
facility: Izmir University of Economics
Study officials:
affiliation: 9 eylül university
name: sevgi sevi yeşilyaprak, PHD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Sahiner Picak G, Yesilyaprak SS. Effects of clinical pilates exercises in patients with chronic nonspecific neck pain: a randomized clinical trial. Ir J Med Sci. 2023 Jun;192(3):1205-1214. doi: 10.1007/s11845-022-03101-y. Epub 2022 Jul 20.