Motor_Control_Neck_SSED

March 6, 2013 updated by: Peter Michaelson, Luleå Tekniska Universitet

A Motor Control Intervention of Patients With Forward Head Posture and Persistent Neck Pain - A Single System Experimental Design With 12 Month Follow-up

Neck pain is a common problem in the western world. There is a group of people suffering from neck pain with a reduced ability to maintain an upright posture showing a forward head position and an altered muscle function.

The aim of the study was to evaluate a motor control intervention for patients with persistent neck pain and a forward head posture.

This pilot study used a Single System Experimental Design (SSED) with an A-B-A-design and multiple baselines.

The tailored motor control intervention addressed the faulty postural alignment and the deep muscles of the cervical spine.

Study Overview

Study Type

Interventional

Enrollment (Actual)

3

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

      • Luleå, Sweden, 97238
        • OMT-kliniken

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

20 years to 50 years (Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • 20 - 50 years of age with pain originating from the neck for at least three months.
  • A visual forward head posture.
  • Less than105 points on the Örebro musculoskeletal pain screening questionnaire

Exclusion Criteria:

  • neurological dysfunction.
  • former cervical surgery or compression fracture of the spine
  • no mental retardation
  • no physiotherapy treatment during the last 6 months.

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: Single

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Head posture
Time Frame: Effect from baseline to 8 weeks and being maintained to 12 month
The craniovertebral (CV) -angle was used to estimate the cervical curvature and head posture in relation to the thorax being measured with the Head Posture Spinal Curvature Instrument
Effect from baseline to 8 weeks and being maintained to 12 month
Muscle function of the deep cervical flexors
Time Frame: Effect from baseline to 8 weeks and being maintained to 12 month
The Cranio-Cervical Flexion Test (C-CFT) was used to assess the tonic holding abilities of the deep cervical muscles by using a Pressure biofeedback unit.
Effect from baseline to 8 weeks and being maintained to 12 month

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Disability
Time Frame: Effect from baseline to 8 weeks and being maintained to 12 month
The Neck Disability Index (NDI) is a self-reported questionnaire with 10 categories where each question estimates the current status, from no disability (0) to full disability within that category used to assess disability.
Effect from baseline to 8 weeks and being maintained to 12 month
Pain intensity
Time Frame: Effect from baseline to 8 weeks and being maintained to 12 month
The pain intensity was evaluated using the 100 mm Visual Analogue Scale (VAS) with the anchors "no pain" and "worst pain imaginable" that assessed the average pain intensity in the neck over the last seven days.
Effect from baseline to 8 weeks and being maintained to 12 month

Other Outcome Measures

Outcome Measure
Measure Description
Time Frame
Posture
Time Frame: Effect from baseline to 8 weeks and being maintained to 12 month
The category Relation to Body Center (items Postural activity, Deviation in standing, Stability in stance and In sitting) and Relation to Ground (items Contact surface, Load, Stance on one leg) from the Body Awareness Scale (BAS) was used to measure the theoretical plumb line perpendicular to the body´s center to estimate the ability to maintain a neutral posture.
Effect from baseline to 8 weeks and being maintained to 12 month

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

September 1, 2009

Primary Completion (Actual)

January 1, 2011

Study Completion (Actual)

January 1, 2011

Study Registration Dates

First Submitted

March 4, 2013

First Submitted That Met QC Criteria

March 6, 2013

First Posted (Estimate)

March 7, 2013

Study Record Updates

Last Update Posted (Estimate)

March 7, 2013

Last Update Submitted That Met QC Criteria

March 6, 2013

Last Verified

March 1, 2013

More Information

Terms related to this study

Additional Relevant MeSH Terms

Other Study ID Numbers

  • LTU_SG_5

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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