Clinical trial NCT05712239: Effect of Lumber Core Stability Exercises on Chronic Non-specific Neck Pain
Official title: Effect of Adding Lumbar Core Stability Exercises to Cervical and Scapular Stabilization Exercises and Advices on Chronic Non- Specific Neck Pain
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Neck Pain
Lead sponsor: Cairo University
Sponsor class: OTHER
First posted: 2023-02-03
Enrollment: 66
Sex: ALL
Minimum age (years): 18
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Chronic non-specific neck pain patients will be enrolled in 3 groups in this study including passive, active control and experimental groups to determine the effect of adding lumbar core stability exercises to patient's advices and cervical and scapular stabilization exercises. For the last two groups, the sessions will be applied 3 times per week for 4 weeks. All the outcomes will be measured after patient's enrollment and at the end of 4 weeks to determine the difference between groups.


Eligibility criteria: Inclusion Criteria:

* Patients with persistent cervical pain for more than 12 weeks without specific diagnosis (chronic non-specific neck pain).
* BMI less than 30 kg/m2.
* Pain intensity on VAS should be more than 3.
* Patient will be able and motivated in completing the study.
* Psychologically \& mentally stable.

Exclusion Criteria:

* Red Flag's symptoms including a history of major trauma, persistent night pain, bladder or bowel dysfunction, and/or lower or upper extremity neurological deficit.
* Pregnant women.
* Recent or old fractures at spine or upper limbs.
* Congenital, or acquired postural deformity.
* No previous neck or spinal or shoulder surgery.
* No current pathologies (e.g. Disc lesion, nerve root compression, canal stenosis, spinal tumor, spinal infection, systemic inflammatory diseases, ...).

Primary outcomes:
measure: change in pain intensity
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
measure: change in functional disability
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
Secondary outcomes:
measure: change in Craniovertebral angle degree (CVA)
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
measure: change of of deep neck flexor muscles (DNF) activation
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
measure: change of deep neck flexor (DNF) endurance
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
measure: change of trunk flexor muscle endurance
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
measure: change of trunk extensor muscle endurance
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
measure: change of lateral trunk muscle endurance
timeFrame: This outcome will be assessed at the first day and after 4 weeks following end of treatment
Other outcomes:
Locations:
city: Giza
country: Egypt
facility: Faculty of Physical Therapy, Cairo University
Study officials:
References: