Clinical trial NCT04420403: Investigation of the Effectiveness of Manual Therapy Plus Cervical Stabilization Exercise in Chronic Neck Pain
Official title: Investigation of the Effectiveness of Manual Therapy Plus Cervical Stabilization Exercise on Balance, Proprioception, and Neck Muscle Morphology in Chronic Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: neck pain
manual therapy
exercise
postural control
Lead sponsor: Ataturk Training and Research Hospital
Sponsor class: OTHER
First posted: 2020-06-09
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Participants were randomly assigned to manual therapy plus cervical stabilization exercise group (intervention group) and only the manual therapy group (control group).
Primary purpose: TREATMENT

Brief summary: This study aims to investigate the effectiveness of manual therapy plus cervical stabilization exercise compared to manual therapy alone on balance, proprioception, and neck muscle morphology in chronic neck pain.

Detailed description: Neck pain is defined as pain and/or stiffness localized to the dorsal area of the area between the condyle of the occiput and the third thoracic vertebra. Chronic neck pain (CNP), defined as persistent pain lasting three or more mounts, causes disability and a reduction in life quality. Balance disorders or postural instability, a deficit in proprioception, changes in muscle recruitment, a decrease in dimension of deep cervical muscle, and an increase in stiffness of superficial neck muscle may lead to pain in patients with CNP. Both manual therapy and exercise have favorable effects on management with CNP. According to our knowledge, no study has investigated the effects of manual therapy plus cervical stabilization exercise on balance, proprioception, and neck muscle morphology in CNP, yet.

Eligibility criteria: Inclusion Criteria:

* 20 to 55 years of age,
* Having generalized neck pain for more than 3 months,
* Being volunteer

Exclusion Criteria:

* Being pregnant,
* Malignancy,
* Having cervical stenosis,
* Severe cervical spondylosis,
* Cervical fractures and tumor,
* Osteoporosis,
* Positive vertebrobasilar test
* Positive Babinski reflex
* Neurologic deficit related to compression of the spinal root or cord,
* Having neurologic, dermatologic, infectious, inflammatory rheumatologic and endocrine diseases,
* Being an inability to fulfill the questionnaires,
* Any problems that will hinder exercise (advanced cardiopulmonary or orthopedic problems), having intervention including exercise program or physiotherapy in the three months

Primary outcomes:
measure: Balance
timeFrame: change from baseline at 6 weeks
Secondary outcomes:
measure: Proprioception
timeFrame: change from baseline at 6 weeks
measure: Muscle morphology
timeFrame: change from baseline at 6 weeks
measure: Pain intensity
timeFrame: change from baseline at 6 weeks
measure: Disability level
timeFrame: change from baseline at 6 weeks
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Ankara Yildirim Beyazit University
Study officials:
affiliation: Ankara Yildirim Beyazıt University
name: seyda toprak celenay, PhD, PT
role: PRINCIPAL_INVESTIGATOR
References: