Clinical trial NCT03856008: Effect of Cervical Spinal Stabilization Exercise Programs by Magnetic Resonance Imaging in Healthy Individuals
Official title: Investigation of Morphological Changes of Cervical Spinal Stabilization Exercise Programs Focused on Flexor and Extensor Muscles in Cervical Muscles by Magnetic Resonance Imaging in Healthy Individuals
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy
Keywords: cervical spinal stabilisation exercises
muscle cross sectional area
muscle t2 relaxation time
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2019-02-27
Enrollment: 27
Sex: MALE
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: The aim of this study was to investigate the morphological changes in the neck muscles of cervical spinal stabilization exercises focused on flexor and extensor muscles applied to healthy individuals.

Detailed description: In the prevention and treatment of cervical region pathologies, various exercise methods are applied in the clinic. The clinical exercises vary according to the time and severity of the pathology but also according to the pathology itself. These exercises include exercises focusing on flexor or extensor muscles. The aim of this study was to investigate the morphological changes in the neck muscles of cervical spinal stabilization exercises focused on flexor and extensor muscles applied to healthy individuals. At least 27 healthy male subjects between the age of 18-30 are planned to be included in the study. Individuals will be divided into 3 groups by simple randomization method. In one group cervical stabilization exercise program focused on the flexor muscles will be applied and the other group cervical stabilization exercise program focused on the extensor muscles will be applied for 8 weeks. Individuals in the control group will only be evaluated without exercise. In the study, by using magnetic resonance imaging (MRI) method as the main evaluation, muscle anatomical cross-sectional area and T2 relaxation time measurements will be made and morphological changes in muscles will be determined. These evaluation procedures will be performed on longus colli, sternocleidomastoid, semispinalis cervicis, multifidus and upper trapezius muscles. As additional evaluation methods, muscle strength and muscle endurance tests, normal joint motion measurements, posture evaluation and MRI measurement of cervical spine curvature will be performed. All evaluations will be performed at the beginning and at the end of these 8 weeks and the effects of the exercises applied on the muscles in the two groups will be examined.

Eligibility criteria: Inclusion Criteria:

* being healthy
* age between 18 to 30 years
* agree to participate in the study

Exclusion Criteria:

* to undergo any surgical procedure of the vertebral column
* inflammatory disease
* rheumatological disease
* history of malignancy
* congenital spinal cord anomaly
* congenital and/or spinal deformities
* radiculopathy
* myelopathy
* other neurological disorders
* vestibular disorders and/or trauma history

Primary outcomes:
measure: Cervical muscles cross sectional area
timeFrame: Change from baseline time at the end of 8 week
measure: Cervical muscle T2 relaxation time
timeFrame: change from baseline time at the end of 8 week
Secondary outcomes:
measure: Cervical muscle strength
timeFrame: change from baseline score at the end of 8 week
measure: New York posture rating chart
timeFrame: change from baseline score at the end of 8 week
measure: Tragus angle measurement
timeFrame: change from baseline score at the end of 8 week
measure: Cervical flexor and extensor endurance test
timeFrame: change from baseline score at the end of 8 week
measure: Cervical range of motion measurement
timeFrame: change from baseline score at the end of 8 week
measure: Evaluation of cervical spine curvature
timeFrame: change from baseline score at the end of 8 week
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe University Faculty of Physical Therapy and Rehabilitation
state: Sıhhıye
Study officials:
affiliation: Hacettepe University
name: Erdi Kayabınar, MSc
role: PRINCIPAL_INVESTIGATOR
References: