Clinical trial NCT05999565: Investigation of the Effect of Motor Imagery Training in Individuals with Cervical Discogenic Pain
Official title: Investigation of the Effect of Motor Imagery Training on Pain, Pain Beliefs, Functional Status and Neck Awareness in Individuals with Cervical Discogenic Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Image, Body
Neck Pain
Disc Herniation
Keywords: imagery
neck pain
disc herniation
exercise training
awareness
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2023-08-21
Enrollment: 40
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: In this study, motor control exercises including cervical region, upper extremity and scapular region muscles will be applied routinely in individuals with chronic neck pain. The application will been investigating, called motor imagery training, will been carried out together with motor control exercises.

Detailed description: This training is a mental exercise method based on imagining exercises that are performed actively without any interventional application inside or outside the body, in a comfortable environment and without fatigue. It is thought that motor imagery training applied together with motor control exercises will contribute to the management of chronic neck pain due to cervical disc herniation and symptoms related to pain.

All individuals with cervical discogenic pain who met the inclusion criteria were assigned to '1. Group' and '2. It will be divided into two groups. It is planned to include approximately 20 individuals with cervical discogenic pain in each group. The sample size of the study will be determined by the power analysis to be made as a result of the pilot study to be carried out on 10 patients with the support of Biostatistics USA.

Group 1: (estimated) 20 Individuals with Cervical Discogenic Pain Group 2: (estimated) 20 Individuals with Cervical Discogenic Pain

Eligibility criteria: Inclusion Criteria:

* Being between the ages of 18 and 65,
* Having a diagnosis of cervical disc herniation based on MRI findings, clinical, and physical examination,
* Experiencing neck pain for 3 months or longer,
* Having a resting pain intensity rated 3-7 (moderate severity) on the "Visual Analog Scale" for pain assessment (36),
* Classifying neck pain according to the 'Neck Pain Task Force' clinical classification system as Grade 3 (neck pain with accompanying neurological symptoms) or above,
* Having a Mini-Mental Test score of 24 or higher for the evaluation of cognitive functions.

Exclusion Criteria:

* Having a history of spinal tumor, spinal deformities, congenital malformation, or head trauma,
* Undergoing cervical spine surgery in the last 6 months,
* Having a presence of systemic, cardiorespiratory, central nervous system, or rheumatic diseases, any musculoskeletal or craniocervical disorders, or a history of headache.

Primary outcomes:
measure: Evaluation of Normal Joint Range of Motion
timeFrame: September 2023-July 2024 (11 months)
measure: Evaluation of Pain
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Pain
timeFrame: september 2023-july 2024(11 months)
measure: Assessment of Pain-Related Beliefs
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Functional Status 1
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Functional Status 2
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Functional Status 3
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Functional Status 4
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Functional Status 5
timeFrame: september 2023-july 2024(11 months)
measure: Examination of Pathological Changes in the Disc
timeFrame: september 2023-july 2024(11 months)
measure: Motor Imagery Ability Assessment 1
timeFrame: september 2023-july 2024(11 months)
measure: Motor Imagery Ability Assessment 2
timeFrame: september 2023-july 2024(11 months)
measure: Motor Imagery Ability Assessment 3
timeFrame: september 2023-july 2024(11 months)
measure: Neck Awareness Assessment
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Movement Fear
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Avoidance Behavior
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Participant Satisfaction
timeFrame: september 2023-july 2024(11 months)
measure: Evaluation of Participants' Views on the Treatment
timeFrame: september 2023-july 2024(11 months)
Secondary outcomes:
Other outcomes:
Locations:
city: Yozgat
country: Turkey
facility: School of Sarıkaya Physical Therapy and Rehabilitation
city: Yozgat
country: Turkey
facility: Tugba DERE
Study officials:
affiliation: Hacettepe University
name: İpek GÜRBÜZ, PT, Prof
role: STUDY_DIRECTOR
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