Clinical trial NCT05605132: SENSORY RE-TRAINING IN PATIENTS WITH CHRONIC NECK PAIN
Official title: Comparison of the Effects of Proprioception and Tactile Accuracy Training on Proprioception, Range of Motion, Pain and Disability in Patients With Chronic Neck Pain
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Neck Pain
Cervical Pain
Neck Muscle Issue
Neck Pain, Posterior
Cervical Pain, Posterior
Keywords: oculomotor exercises
neck pain
cervical pain
sensory re-training
Lead sponsor: Hacettepe University
Sponsor class: OTHER
First posted: 2022-11-04
Enrollment: 57
Sex: ALL
Minimum age (years): 20
Maximum age (years): 60
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: It is known that tactile acuity and proprioceptive sense decrease in patients with chronic neck pain. However, sensory re-training in patients with chronic neck pain has not been given sufficient importance. The effects of proprioceptive and tactile acuity training on pain intensity in patients with chronic neck pain will be compared in this study. Eligible participants will be divided into three groups as follows: Proprioceptive Training Group (PTG), Tactile Acuity Training Group (TAG), and Control Group (CG). The randomization will be performed using the block randomization method to obtain an equal number of participants in the groups. Each participant will be evaluated two times at a 4-week interval. Participants will be evaluated regarding subjective pain intensity by using a Numerical Rating Scale, temporal summation, and conditioned pain modulation using an algometer (JTECH Medical-Algometer Commander, USA). Neck proprioception exercises will be applied to the patients in the PTG at 3 days a week for 4 weeks. Tactile acuity training will be applied to the patients in the TAG 3 days a week for 4 weeks. Between the two assessments, the Control Group will not receive any treatment.


Eligibility criteria: Inclusion Criteria:

* to be aged between 20-60 years old
* Pain limited to the posterior of the cervical region.
* Pain that lasts longer than 3 months
* Pain severity of 3 or higher on the Visual Analog Scale

Exclusion Criteria:

* Malignant tumor in any part of the body (no screening will be performed for the presence of tumor and patients diagnosed with tumors before the study will not be included).
* Vertebral fractures
* Fibromyalgia
* chronic fatigue syndrome
* History of surgery in the neck or shoulder area
* Radicular pain
* Neurological deficit of disc pathologies
* Spinal stenosis
* Spondylolisthesis
* Pronounced cervical kyphosis
* Significant scoliosis involving the cervical region

Primary outcomes:
measure: pain intensity
timeFrame: Change form baseline at 4 weeks
Secondary outcomes:
measure: pressure pain threshold
timeFrame: Change form baseline at 4 weeks
measure: temporal summation
timeFrame: Change form baseline at 4 weeks
measure: conditioned pain modulation
timeFrame: Change form baseline at 4 weeks
measure: neck disability
timeFrame: Change form baseline at 4 weeks
Other outcomes:
Locations:
city: Ankara
country: Turkey
facility: Hacettepe Universty
state: Sıhhıye
city: Ankara
country: Turkey
facility: Kübra
state: Sıhhıye
Study officials:
affiliation: Hacettepe University
name: Kübra canlı
role: STUDY_CHAIR
affiliation: Hacettepe University
name: Filiz Can
role: STUDY_DIRECTOR
affiliation: Hacettepe University
name: Gökhan Demirkıran
role: PRINCIPAL_INVESTIGATOR
References: