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Neck Exercises for Improving Pelvic Alignment and Low Back Pain (NEPAL)

30. april 2026 opdateret af: Yuanpei University of Medical Technology

Effects of a Three-Dimensional Nuchal Exercise Program on Pelvic Alignment and Low Back Pain in Adults

This study aimed to investigate whether a three-dimensional nuchal exercise program is associated with changes in pelvic alignment and low back pain in adults.

Thirty participants with low back pain performed a structured cervical exercise program for four weeks, including horizontal, sagittal, and diagonal movements. Pelvic tilt angle and pain intensity were measured before and after the intervention.

The findings of this study may provide preliminary evidence supporting a potential relationship between cervical movement and pelvic alignment, contributing to the understanding of regional interdependence in musculoskeletal rehabilitation.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Low back pain is a common musculoskeletal condition that can lead to functional limitation and reduced quality of life. Traditional rehabilitation approaches often focus on the lumbar and pelvic regions; however, emerging evidence suggests that different body regions may be functionally interconnected.

The concept of regional interdependence proposes that impairments in one anatomical region may contribute to dysfunction in another. The cervical spine plays an important role in postural control due to its rich proprioceptive input and its interaction with visual and vestibular systems. Therefore, cervical movement may influence postural alignment and neuromuscular control throughout the body.

This study was designed as a single-group, pre-post interventional study to explore the effects of a three-dimensional nuchal exercise program on pelvic alignment and pain intensity. Participants with low back pain were instructed to perform a structured exercise program consisting of horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) cervical movements.

Pelvic alignment was assessed using photographic analysis, and pain intensity was measured using a visual analog scale (VAS). Measurements were conducted before and after the intervention period.

This study is considered a preliminary (pilot) investigation. The results may provide initial evidence for cervico-pelvic interaction and inform the design of future controlled trials.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

30

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Taiwan
      • Hsinchu, Taiwan, 30015
        • Yuanpei University of Medical Technology

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Adults aged 30 to 60 years
  • Individuals who reported experiencing low back pain within the previous 6 months
  • Ability to stand independently and perform exercise tasks
  • Willingness to participate and provide written informed consent-

Exclusion Criteria:

  • - History of severe head or neck injury
  • Previous spinal surgery
  • Active infectious disease or uncontrolled malignancy
  • Cognitive impairment affecting the ability to follow instructions
  • Any condition affecting the ability to stand or walk independently

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: N/A
  • Interventionel model: Enkelt gruppeopgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Three-Dimensional Nuchal Exercise Group
Participants performed a structured three-dimensional nuchal exercise program for four weeks. The program included horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) cervical movements. All participants received the same intervention without a comparison group.
Adfærdsmæssigt: Three-Dimensional Nuchal Exercise Program
A structured cervical exercise program consisting of three components: horizontal rotation, sagittal flexion-extension, and diagonal (star-pattern) movements. Participants performed 20 repetitions for each movement while maintaining an upright posture. The program was performed over a four-week period.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pelvic Tilt Angle
Tidsramme: Baseline and after 4 weeks of intervention
Pelvic alignment was assessed by measuring the pelvic tilt angle using digital photographic analysis. The angle was defined as the deviation from horizontal alignment based on anatomical landmarks.
Baseline and after 4 weeks of intervention

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Yuanpei University of Medical Technology

Efterforskere

  • Ledende efterforsker: YU-AN CHEN, PT, PhD, Yuanpei University of Medical Technology

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. september 2018

Primær færdiggørelse (Faktiske)

31. december 2018

Studieafslutning (Faktiske)

31. december 2018

Datoer for studieregistrering

Først indsendt

30. april 2026

Først indsendt, der opfyldte QC-kriterier

30. april 2026

Først opslået (Faktiske)

7. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

7. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

30. april 2026

Sidst verificeret

1. april 2026

Mere information

Begreber relateret til denne undersøgelse

Yderligere relevante MeSH-vilkår

Andre undersøgelses-id-numre

  • YPUIRB1080223

Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter

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