Eccentric Exercise in Patients With Non-Specific Neck Pain

Investigation of The Effect of Eccentric Muscle Training on Pain and Functionality in People With Non-Specific Neck Pain

Neck pain is one of the most frequently investigated and common musculoskeletal disorders that cause disability in the community.If neck pain is due to multifactorial etiology, it is defined as non-specific neck pain.Eccentric exercises are used to increase muscle strength and muscle mass.

Non-specific neck pain affects negatively and often leads to severe disability. Various rehabilitation techniques are available to reduce pain and disability and increase functional level.

This study aimed to compare the pain and functional status of eccentric exercise training and home program exercise groups of people with non-specific neck pain.

Study Overview

• Status: Completed
• Conditions: Neck Pain
• Intervention / Treatment: Other: Eccentric Exercises

Detailed Description

It is known that exercise treatments are useful in strengthening neck muscles and controlling postural disorders in patients with neck pain, which is currently accepted. Eccentric exercises are used to increase muscle strength and muscle mass.

Home exercise and eccentric exercise training groups were included in a total of 24 sessions (8 weeks*3 days); home exercise program was applied to the individuals in the control group. Visual Analog Scale, Mc Gill Melzack Pain Assessment, Neck Disability Index, hand grip strength, and skin resistance assessments.

• Study Type: Interventional
• Enrollment (Actual): 38
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey, 34010
    • Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Istinye University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

• diagnosed with Non-Specific neck pain by a physician
• Having a complaint of non-specific neck pain for at least 3 months
• Neck pain severity >40mm according to VAS
• Voluntary participation of the individual in the study

Exclusion Criteria:

• Radiculopathy and structural defect in the cervical region,
• Surgical history on the cervical region,
• Inflammatory disease,
• Severe psychological illness,
• Presence of infection in bone and soft tissue in the cervical spine,
• Malignancy,
• Advanced osteoporosis,
• Having upper extremity pathologies,
• Having a neurological disease that will prevent treatment
• Having previously undergone cervical region and spine surgery
• To be included in the physiotherapy program from the neck and back region in the last 6 months,
• In case of administration of drugs such as NSAIDs, opioids in the last 24 hours

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Active Comparator: Exercise; Eccentric muscle training for neck muscles	Other: Eccentric Exercises; Eccentric Exercises for neck muscles.
No Intervention: Control; Home exercise program for neck muscles

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Characteristics	Pain frequency, duration	before 8 weeks and end of the 8 weeks.
Pain severity	Visual analog scale-VAS	before 8 weeks and end of the 8 weeks.
Mcgill- Melzack Pain Questionnaire	Mcgill- Melzack Pain Questionnaire	before 8 weeks and end of the 8 weeks.the 24 session.

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Disability	Neck Disability index	before 8 weeks and end of the 8 weeks.
Hand grip strength	Digital Hand Dynamometer	before 8 weeks and end of the 8 weeks.
Skin resistance	Digital Multimeter	before 8 weeks and end of the 8 weeks.

Collaborators and Investigators

• Sponsor: Istinye University

Study record dates

Study Major Dates

• Study Start (Actual): September 15, 2021
• Primary Completion (Actual): September 30, 2022
• Study Completion (Actual): February 15, 2023

Study Registration Dates

• First Submitted: February 15, 2023
• First Submitted That Met QC Criteria: April 12, 2023
• First Posted (Actual): April 24, 2023

Study Record Updates

• Last Update Posted (Actual): April 24, 2023
• Last Update Submitted That Met QC Criteria: April 12, 2023
• Last Verified: April 1, 2023

More Information

Terms related to this study

• Keywords: Exercise; Pain; Disability; Neck pain; Eccentric strengthening
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: 2021 / 16

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO
• IPD Plan Description: no sharing of any participant's data

Drug and device information, study documents

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