Kinesthetic and Visual Motor Imagery on Cervical Position Sense and Balance in Mechanical Neck Pain

Effect of Kinesthetic and Visual Motor Imagery Training on Cervical Position Sense and Balance in Patients With Mechanical Neck Pain

To investigate the Effect of Kinesthetic and Visual Motor Imagery Training on Cervical Position Sense and Balance in Mechanical Neck Pain

Study Overview

• Status: Completed
• Conditions: Mechanical Neck Pain
• Intervention / Treatment: Other: selected exercise program; Other: Kinesthetic and Visual Motor Imagery Training

Detailed Description

Thirty patients with Mechanical Neck Pain will participate in this study. The patients will randomly be divided into two equal groups; the control group which received the selected exercise program and the study group received the same exercise training program in addition to Kinesthetic and Visual Motor Imagery Training, three times per week for four weeks. The evaluation methods are cervical joint position error test, neck disability index, multidirectional reach test and visual analogue scale

• Study Type: Interventional
• Enrollment (Actual): 44
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Egypt
  • Select State
    • Al Jīzah, Select State, Egypt, 0020
      • Lama Saad El-Din Mahmoud

Participation Criteria

Eligibility Criteria

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

Description

Inclusion Criteria:

• thirty patients with mechanical neck pain,
• Age will range as (35:50) years old
• body mass index (18:29)

Exclusion Criteria:

• difficulty to communicate or to understand program instructions
• any other neurological deficits or orthopaedic abnormalities,
• secondary musculoskeletal complication
• Cervical disc prolapses
• Any other cervical problem
• Spinal stenosis
• Previous spinal surgery

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: control group; the control group which received the selected exercise program	Other: selected exercise program; therapeutic ultrasound, Static neck exercise, balance exercises
Experimental: study group; the study group received the selected exercise program in addition to Kinesthetic and Visual Motor Imagery Training	Other: selected exercise program; therapeutic ultrasound, Static neck exercise, balance exercises; Other: Kinesthetic and Visual Motor Imagery Training; Kinesthetic and Visual Motor Imagery Training During kinesthetic imagery, the participants were asked to feel their body parts without any body motion. During visual imagery, the participants were asked to perform a visual presentation of the motion without any body motion.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
cervical joint position error test	The subject will be instructed to perform an active head rotation to one side, after which returns back to the neutral or starting head position. The test will be performed in a 3 trials in each direction	four weeks
Neck disability index	includes 10 items as follows: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation, with a score (0:5) for every point. The maximum score is 50, with the interpretation scoring (no disability = 0: 4, mild disability 5:14, moderate disability 15:24, severe disability 25: 34 and complete disability above 34	four weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Visual analogue scale for pain (VAS-P)	is a method for measuring the intensity of pain on a horizontal straight line of fixed length (10 cm), as the left end of the line showed the greatest pain score & the right end showed the least pain scores, then the patient was asked to put a mark, on the line according to his/her pain sensation, with a higher score representing the higher level of pain	four weeks
multidirectional reach test	The Multi-Directional Reach Test (MDRT) measures balance and the limits of stability in the anterior-posterior and medial-lateral directions by testing how far an individual can voluntarily reach forward, to the right, to the left, and lean backward, while standing with their feet flat on the ground, shoulder-width apart	four weeks

Collaborators and Investigators

• Sponsor: October 6 University

Study record dates

Study Major Dates

• Study Start (Actual): September 15, 2024
• Primary Completion (Actual): November 30, 2024
• Study Completion (Actual): December 15, 2024

Study Registration Dates

• First Submitted: November 16, 2024
• First Submitted That Met QC Criteria: November 16, 2024
• First Posted (Actual): November 19, 2024

Study Record Updates

• Last Update Posted (Actual): March 25, 2025
• Last Update Submitted That Met QC Criteria: January 30, 2025
• Last Verified: January 1, 2025

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: P.T.REC/012/005399

Drug and device information, study documents

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