Isokinetic Assessment of Wrist Muscle Performance Among Medical Students With Neck Pain

January 26, 2024 updated by: Mohamed Mahmoud Refaey

Isokinetic Assessment of Wrist Muscle Performance Among Egyptian Physical Therapy Students With Chronic Non-Specific Neck Pain

PURPOSES:

  1. To assess the effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight among Egyptian physical therapy students.
  2. To assess the effect of chronic non-specific neck pain on extensor / flexor wrist ratio among Egyptian physical therapy students.
  3. To assess the effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance among Egyptian physical therapy students.

Study Overview

Status

Completed

Conditions

Detailed Description

BACKGROUND:

Although it is widely acknowledged that chronic non-specific neck pain is linked to hand disability as previously studied on dentists and ministry of health care stuff, there is still a gap in illustrating the effect of chronic non-specific neck pain on Egyptian physical therapy students' functional ability of wrist in the upper limb. However, the assessment of extensor / flexor wrist strength ratio has only recently gained attention. Furthermore, there is limited research investigating the strength control ratio that incorporates both concentric and eccentric muscle actions, and additional scientific evidence is needed to establish the relationship between chronic non-specific neck pain and upper limb disability. This study will be conducted to set new assessment and rehabilitation goals. This will subsequently be translated into home therapy program, contributing to decrease the burden of neck pain economically and on health care management.

Our study aims to evaluate peak torque of wrist extensor and flexor muscle/ body weight and extensor / flexor wrist ratio and wrist extensor and flexor muscle endurance among Egyptian physical therapy students with non-specific neck pain. Torque results are adjusted for body weight and compared to normative data for the gender and activity specialty to determine whether the unaffected limb is strong enough to act as a reference for the afflicted limb also compared between right- and left-handed subjects.

HYPOTHESES:

  • There will be no significant effect of chronic non-specific neck pain on peak torque of wrist extensor and flexor muscles /body weight.
  • There will be no significant effect of chronic non-specific neck pain on extensor / flexor wrist ratio.
  • There will be no significant effect of chronic non-specific neck pain on wrist extensor and flexor muscles endurance.

RESEARCH QUESTIONS:

  • Does chronic non-specific neck pain affect wrist extensor and flexor muscles performance among Egyptian physical therapy students?
  • Does chronic non-specific neck pain affect peak torque of wrist extensor and flexor muscles/ body weight among Egyptian physical therapy students?
  • Does chronic non-specific neck pain affect extensor / flexor wrist ratio among Egyptian physical therapy students?
  • Does chronic non-specific neck pain affect wrist extensor and flexor muscles endurance among Egyptian physical therapy students?

Study Type

Observational

Enrollment (Actual)

45

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

  • Egypt
    • Giza
      • Cairo, Giza, Egypt, 12552
        • Faculty of Physical Therapy, Cairo University

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

  • Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Participants were recruited from the physical therapy outpatients' clinics of Cairo University, and they were assigned into two groups (group A (control group) and group B (experimental group), with a sample size of approximately 44 participants and an anticipated 15% dropout rate (twenty-two in each group) calculated using the G Power test method.

Description

Inclusion Criteria:

  • Both sexes
  • Duration of neck pain (> 3 months)
  • Age from 18 to 23 years
  • The neck pain intensity is between 3 and 8 on the Numerical Pain Rating Scale
  • Neck pain-related disability was between 5 and 14 points on the Neck Disability Index
  • Body mass index from 18.5 to 29.5

Exclusion Criteria:

  • Neurological conditions (i.e., Parkinson's disease, multiple sclerosis, head injury, peripheral neuropathy, stroke, or nerve root entrapment)
  • Headache
  • Cancer, infection, or any other illness symptoms.
  • Trauma
  • Cardiovascular problems or cerebrovascular insufficiency symptoms.
  • Musculoskeletal disorder (i.e., joint replacement, amputation, physically limiting arthritis, contractures of fixed deformity, or muscular dystrophy)
  • Orthopedic or neurological conditions such as fractures, surgeries on the upper limb or hand, carpal tunnel syndrome, De Quervain's syndrome, or diabetic mellitus
  • Cervical spine spondylosis, disc prolapse, spinal stenosis, cervical fracture, etc.
  • Any recent treatment for neck pain.
  • Visual, auditory and speech problems
  • Forward head posture.

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

Cohorts and Interventions

Group / Cohort
Group A (Control)
A healthy matched volunteers' group (n = 23) between 18 and 23 years of age was included in this study. For students of both genders, the body mass index was not less than 18.5 and not more than 29.5, and there was no recent or previous musculoskeletal injury or pain.
Group B (Experimental)
Participants with CNSNP (n = 22) were between 18 and 23 years of age. Patients with CNSNP For students of both genders, the duration of the non-specific neck pain was more than 3 months (for the symptomatic group with no neurological manifestations and with referral from orthopedic surgeons by diagnosis of non-specific neck pain), and for matched students, they did not have any history of neck pain. The student's age ranges from 18 to 23 years. Neck pain intensity on the numerical Pain Rating Scale was between 3 and 8, and neck pain-related disability on the Neck Disability Index was between 5 and 14 points (10-28%) for mild disability and 15-24 points (30-48%) for moderate disability. The body mass index for students was not less than 18.5 and not more than 29.5.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Comparison of the findings of isokinetic dynamometer between control and study groups
Time Frame: Baseline
peak torque/body weight percentage between control and study groups
Baseline
The difference between control and study groups in the findings of isokinetic dynamometer
Time Frame: Through study completion, an average of 5 months
work fatigue index percentage between control and study groups
Through study completion, an average of 5 months
The correlation between neck pain and the findings of isokinetic dynamometer
Time Frame: Up to 5 months
agonist/antagonist ratio percentage between control and study groups
Up to 5 months

Collaborators and Investigators

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

Sponsor

Mohamed Mahmoud Refaey

Investigators

  • Study Chair: Enas F Youssef, Dr, Department of Musculoskeletal Disorders Faculty of Physical Therapy Cairo University
  • Study Director: Anees S Gheit, Dr, Department of Biomechanics, Faculty of Physical Therapy Kafr El Sheikh University
  • Principal Investigator: Aya A Khalil, Department of Biomechanics, Faculty of Physical Therapy Cairo University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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 (Actual)

May 1, 2023

Primary Completion (Actual)

November 17, 2023

Study Completion (Actual)

December 25, 2023

Study Registration Dates

First Submitted

January 16, 2024

First Submitted That Met QC Criteria

January 26, 2024

First Posted (Actual)

February 5, 2024

Study Record Updates

Last Update Posted (Actual)

February 5, 2024

Last Update Submitted That Met QC Criteria

January 26, 2024

Last Verified

January 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • neck pain on wrist muscles

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

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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