Contrology Training in Patients With Non-Specific Neck Pain (CT-NSNP)
Effects of Contrology Training on Pain, Cervical Range of Motion, Disability, and Craniovertebral Angle in Patients With Non-Specific Neck Pain
Aperçu de l'étude
Statut
Les conditions
Intervention / Traitement
Description détaillée
Non-specific neck pain is a common musculoskeletal condition that may lead to pain, restricted cervical movement, functional disability, and altered head and neck posture. Forward head posture, commonly assessed through craniovertebral angle, is frequently associated with neck pain and may contribute to increased mechanical load on cervical structures. Exercise-based rehabilitation is commonly used for the management of non-specific neck pain; however, the effects of Contrology training on pain, cervical range of motion, disability, and craniovertebral angle require further investigation.
This study is designed as a single-center, two-arm, parallel-group randomized controlled trial. A total of 40 participants with non-specific neck pain will be recruited and randomly allocated into two equal groups. Group A will receive Contrology training, and Group B will receive conventional physiotherapy. The intervention period will be 12 weeks. Participants will be assessed at baseline, 4 weeks, 8 weeks, and 12 weeks.
The primary outcome will be craniovertebral angle, measured using standardized lateral-view digital photography. Secondary outcomes will include pain intensity measured by the Numeric Pain Rating Scale, neck-related disability measured by the Neck Disability Index, and cervical range of motion measured using a digital inclinometer and/or universal goniometer. The study will compare changes within each group over time and between groups to determine the effectiveness of Contrology training compared with conventional physiotherapy.
These points match your thesis protocol: randomized trial, 40 participants, Contrology versus conventional physiotherapy, and outcomes including NPRS, NDI, CVA, and cervical ROM assessed across baseline, 4, 8, and 12 weeks.
Type d'étude
Inscription (Estimé)
Phase
- N'est pas applicable
Contacts et emplacements
Coordonnées de l'étude
- Nom: Samrood Akram, PhD*
- Numéro de téléphone: 03324806143
- E-mail: samrood.akram@riphah.edu.pk
Sauvegarde des contacts de l'étude
- Nom: Amna Zia, PhD*
- Numéro de téléphone: 03244686993
- E-mail: amna.zia@kemu.edu.pk
Lieux d'étude
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Punjab Province
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Shakargarh, Punjab Province, Pakistan
- Maqbool memorial hospital, Shakargarh.
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Contact:
- Muhammad Ali
- Numéro de téléphone: 03000467607
- E-mail: muhammadali@gmail.com
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
- Adulte
Accepte les volontaires sains
La description
Inclusion Criteria:
- Inclusion Criteria:
- Adults aged 18 to 40 years.
- Participants diagnosed with non-specific neck pain.
- Neck pain duration of at least 4 weeks.
- Numeric Pain Rating Scale score of at least 3 out of 10.
- Craniovertebral angle less than 49 degrees.
- Participants willing to provide informed consent and attend the treatment sessions.
Exclusion Criteria:
- Cervical radiculopathy or myelopathy.
- Cervical spinal stenosis.
- History of cervical spine fracture, trauma, or surgery.
- Inflammatory joint disease or systemic rheumatologic disorder.
- Neurological disorders affecting neck movement or posture.
- Vestibular disorders or severe balance problems.
- Any serious medical condition preventing participation in exercise-based treatment.
- Current participation in another neck pain rehabilitation program.
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Double
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
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Expérimental: Contrology Training Group
Participants in this group will receive a 12-week Contrology training program for non-specific neck pain.
The program will include supervised Contrology/Pilates-based exercises focusing on cervical and thoracic mobility, postural alignment, breathing control, core activation, scapular stabilization, and controlled movement.
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Contrology training is a Pilates-based exercise program emphasizing concentration, control, centering, breathing, precision, and flowing movement.
Participants will perform supervised exercises targeting postural correction, cervical and thoracic mobility, deep cervical flexor activation, scapular stabilization, core control, and controlled breathing for 12 weeks.
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Comparateur actif: Conventional Physiotherapy Group
Participants in this group will receive conventional physiotherapy for non-specific neck pain for 12 weeks.
The treatment will include routine physiotherapy exercises and management commonly used for neck pain, including stretching, strengthening, posture correction, and cervical mobility exercises.
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Conventional physiotherapy will include routine exercise-based management for non-specific neck pain, including cervical range of motion exercises, stretching, strengthening exercises, postural correction, and patient education.
Treatment will be provided for 12 weeks.
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Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Craniovertebral Angle
Délai: Baseline, 4 weeks, 8 weeks, and 12 weeks
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Craniovertebral angle will be measured using standardized lateral-view digital photography.
The angle will be calculated between a horizontal line passing through the C7 spinous process and a line connecting C7 to the tragus of the ear.
A higher craniovertebral angle indicates improved head and neck posture, while a lower angle indicates greater forward head posture.
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Baseline, 4 weeks, 8 weeks, and 12 weeks
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Numeric Pain Rating Scale
Délai: Baseline, 4 weeks, 8 weeks, and 12 weeks
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Pain intensity will be measured using the Numeric Pain Rating Scale.
Participants will rate their neck pain on a scale from 0 to 10, where 0 indicates no pain and 10 indicates the worst possible pain.
A lower score indicates less pain.
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Baseline, 4 weeks, 8 weeks, and 12 weeks
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Neck Disability Index
Délai: Baseline, 4 weeks, 8 weeks, and 12 weeks
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Neck-related disability will be measured using the Neck Disability Index.
The questionnaire includes 10 sections related to pain and daily activities.
Higher scores indicate greater neck-related disability, while lower scores indicate less disability.
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Baseline, 4 weeks, 8 weeks, and 12 weeks
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Cervical Range of Motions
Délai: Baseline, 4 weeks, 8 weeks, and 12 weeks
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These will be assessed with a Universal goniometer
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Baseline, 4 weeks, 8 weeks, and 12 weeks
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Chercheur principal: Amna Zia, Mayo Hospital/ College of Physiotherapy, King Edward Medical University, Lahore
- Chercheur principal: Ailia Abbas, Riphah International University, Lahore
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Estimé)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Mots clés
Autres numéros d'identification d'étude
- F24C14G30031 (Ailia Abbas)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Informations sur les médicaments et les dispositifs, documents d'étude
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