Effect of Proprioceptive Exercises on Pain and Function in Non-specific Chronic Neck Pain

This study was conducted to see the effect of proprioceptive exercises on pain and function in Non-specific chronic neck pain.

Twenty participants with chronic Non-specific neck pain were enrolled in this study. During the final week of treatment, 14 patients were assessed at the end of the sixth treatment week. Participants were randomized into two groups treatment group and control group. Both groups were treated with conventional treatment which were strengthening exercises. Treatment group was also treated by proprioception exercises. For measurement of pain and disability NPRS and NDI scales were used. Exercise regime distributed in six weeks period one session per week exercise, 10-12 repetitions with 1-minute rest interval, lasted 45 minutes in both groups. pre-treatment and post-treatment measurements were taken.

Study Overview

• Status: Completed
• Conditions: Neck Pain
• Intervention / Treatment: Other: proprioceptive exercises; Other: Strengthening exercise

• Study Type: Interventional
• Enrollment (Actual): 14
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Pakistan
  • Punjab
    • Lahore, Punjab, Pakistan, 54000
      • Qurat ul Ain

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 20 years to 45 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Patients with non-specific neck pain>3 months
• Postural neck pain

Exclusion Criteria:

• Vascular neoplasia
• Fibromyalgia
• Rheumatoid arthritis
• Radiculopathy
• Neuropathy
• Tumor
• Cervical fractures
• Vestibular problems
• Congenital disorder of cervical spine

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Proprioceptive exercises; Group A treated with proprioceptive exercises. proprioception exercises included.; Head relocation it involve the practice of relocating head back to natural head posture and to predetermined positions in range first with eyes open using feedback from a laser attached to their head and then with closed all active movement of cervical flexion extension lateral flexion and rotations were used.; Gaze stability oculomotor exercises commencing with eyes movement with the head stationary, progressing to movement of head with visual fixation on a target.; Eye head coordination exercises, commenced with rotation of eyes and head to the same side in both right and left directions. Then progressed with both eyes and head move in opposite direction	Other: proprioceptive exercises; proprioception exercises included (a)Head relocation it involve the practice of relocating head back to natural head posture and to predetermined positions in range first with eyes open using feedback from a laser attached to their head and then with closed all active movement of cervical flexion extension lateral flexion and rotations were used.(b)Gaze stability oculomotor exercises commencing with eyes movement with the head stationary ,progressing to movement of head with visual fixation on a target. (c) Eye head coordination exercises, commenced with rotation of eyes and head to the same side in both right and left directions. Then progressed with both eyes and head move in opposite direction
Experimental: Strengthening exercises; Group B treated with strengthening exercises which are performed with prone and supine position by placing a towel under head, press towel for 5 seconds with 10-12 repetitions ,one set in a week for six weeks for cervical muscles	Other: Strengthening exercise; strengthening exercises which are performed with prone and supine position by placing a towel under head, press towel for 5 seconds with 10-12 repetitions ,one set in a week for six weeks for cervical muscles

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numerical pain rating scale	11 point numeric scale ranges from 0 representing one pain extreme(no pain)to 10 representing the other pain extreme severity	6 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
NECK DISABILITY INDEX	NDI is ten item questionnaire based on Oswestry low back pain that assess disability associated with neck pain and whiplash. There are four items that relate to symptoms(pain intensity ,headache, concentration ,sleeping)and six items that relate daily activities of life(lifting, work, driving, recreation, personal care, reading) 5-14 score :mild disability,15-24 score moderate disability,25-34 score severe disability,>35 complete disable	6 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Qurat ul Ain, Mphil, Riphah International University

Publications and helpful links

General Publications

• Coulter ID, Crawford C, Vernon H, Hurwitz EL, Khorsan R, Booth MS, Herman PM. Manipulation and Mobilization for Treating Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis for an Appropriateness Panel. Pain Physician. 2019 Mar;22(2):E55-E70.

Study record dates

Study Major Dates

• Study Start (Actual): January 5, 2020
• Primary Completion (Actual): August 6, 2020
• Study Completion (Actual): August 7, 2020

Study Registration Dates

• First Submitted: September 13, 2021
• First Submitted That Met QC Criteria: October 12, 2021
• First Posted (Actual): October 25, 2021

Study Record Updates

• Last Update Posted (Actual): October 25, 2021
• Last Update Submitted That Met QC Criteria: October 12, 2021
• Last Verified: October 1, 2021

More Information

Terms related to this study

• Keywords: Neck disability index,; Numerical pain rating scale; Proprioceptive exercise
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: REC/Lhr//2043 Noshaba kanwal

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: No

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No