智能手机使用时间对慢性机械性颈痛患者的影响。
2019年2月3日 更新者：Aliaa Rehan Youssef
智能手机使用时间对青年和中年慢性机械性颈痛患者颈部功能障碍的影响
目的：本研究的目的是调查智能手机使用时间对中青年慢性机械性颈部疼痛患者的颈部疼痛和位置感以及颈深屈肌 (DCF) 疲劳的影响。
背景：颈部疼痛是肌肉骨骼疾病最常见的原因之一，患病率高达 86.8%。 它可能会干扰进行正常日常生活活动 (ADL) 的能力。 颈部疼痛患者可能表现为运动范围 (ROM) 减小和颈椎位置觉减弱。
有许多与颈部疼痛相关的风险因素，包括年龄等生理因素或脊柱体力需求增加等病理力学因素。 由于长时间保持静态姿势或长时间重复特定的颈部运动，智能手机的使用被认为是导致年轻人颈部疼痛的一个危险因素。 智能手机的不利影响随着使用时间的增加而增加。 衰老与颈椎复位误差增加和 DCF 肌肉耐力降低有关，但尚不清楚老年人对长时间使用智能手机会有何反应。
假设：智能手机使用时间的增加将
- 与慢性机械性年轻成年患者相比，增加了中年人的颈部疼痛。
- 与患有慢性机械性颈痛的年轻成年患者相比，中年人的颈椎位置觉降低。
- 与患有慢性机械性颈部疼痛的年轻成年患者相比，增加了中年人的 DCF 疲劳。
研究问题：与患有慢性机械性颈部疼痛的年轻人相比，增加智能手机使用时间会加重中年人的颈部疼痛、颈椎复位错误和 DCF 疲劳吗？
研究概览
详细说明
患有慢性机械性颈部疼痛的患者将被指导使用标准智能手机浏览网页，时间为 10 或 30 分钟，同时在两个单独的会议上坐在标准椅子上。 任务持续时间将通过 Excel 软件生成的随机顺序进行测试。
这项研究的结果测量将是颈部疼痛、DCF 疲劳和颈部重新定位错误。 所有措施将由一名经过培训的评估员在每次会议中执行所需任务之前和之后立即进行评估。
颈部疼痛将使用视觉模拟量表 (VAS) 进行评估，本体感觉敏锐度将通过使用颈椎运动范围仪器 (CROM) 测量重新定位误差角度进行量化，DCF 耐力将使用颈部稳定器压力生物反馈装置进行量化。
研究类型
观察性的
注册 (实际的)
80
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习地点
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Cairo、埃及
- The outpatient clinic of the Faculty of Physical Therapy, Cairo University
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Cairo、埃及
- The outpatient Clinic, kasr Al-Aini Hospital
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参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
18年 至 60年 (成人)
接受健康志愿者
不
有资格学习的性别
女性
取样方法
非概率样本
研究人群
患者将被确诊为慢性机械性颈部疼痛超过 3 个月。
描述
纳入标准：
- 年龄18-60岁的成年女性患者。
- 被诊断为慢性机械性颈部疼痛超过 3 个月。
- 患者应至少有一年使用触摸屏智能手机的经验。
- 颈部残疾指数 (NDI) 的颈部损伤超过 8%。
排除标准：
- 过去一年内有上肢受伤或手术史
- 视觉问题、头晕和眩晕
- 上肢或脊柱的任何畸形
- 既往脊柱手术史。
- 干扰平衡和感觉的神经系统或全身性疾病
- 腰痛或畸形。
- 患有恶性肿瘤、感染、炎症、脊髓病等任何危险信号的患者。
- 如果患者在坐着和站着时有任何身体困难会干扰智能手机的使用。
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
队列和干预
团体/队列 |
干预/治疗 |
|---|---|
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青年组
年龄在 18 至 30 岁之间，确诊为慢性机械性颈部疼痛的患者
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标准智能手机将用于浏览互联网两个不同的持续时间（10 分钟和 30 分钟）
其他名称：
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中年组
年龄在 30 至 60 岁之间，确诊为慢性机械性颈部疼痛的患者。
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标准智能手机将用于浏览互联网两个不同的持续时间（10 分钟和 30 分钟）
其他名称：
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研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
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目前颈部疼痛严重程度
大体时间：1周
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疼痛将使用视觉模拟量表 (VAS) 进行测量，这是一种有效且可靠的疼痛测量工具。 每个参与者将被要求在一条 10 厘米的水平线上做一个标记，在一端标记为“0”表示没有疼痛，在另一端标记为“10”表示最大疼痛。这将在以下时间完成两个单独的会话，在指定时间段内使用智能手机之前和之后。 |
1周
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
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DCF耐力
大体时间：1周
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DCF 肌肉的耐力将使用颈部稳定器压力生物反馈进行评估。
这将在两个单独的会话中完成，分别是在指定时间段内使用智能手机之前和之后。
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1周
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颈部本体感觉
大体时间：1周
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将使用 CROM 测量颈部屈曲、伸展和旋转的重新定位误差。
误差将被计算为误差的绝对角度。
这将在两个单独的会话中完成，分别是在指定时间段内使用智能手机之前和之后。
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1周
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合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
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研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (实际的)
2018年11月20日
初级完成 (实际的)
2019年1月31日
研究完成 (实际的)
2019年1月31日
研究注册日期
首次提交
2018年11月15日
首先提交符合 QC 标准的
2018年11月15日
首次发布 (实际的)
2018年11月19日
研究记录更新
最后更新发布 (实际的)
2019年2月5日
上次提交的符合 QC 标准的更新
2019年2月3日
最后验证
2019年2月1日
更多信息
此信息直接从 clinicaltrials.gov 网站检索，没有任何更改。如果您有任何更改、删除或更新研究详细信息的请求，请联系 register@clinicaltrials.gov. clinicaltrials.gov 上实施更改，我们的网站上也会自动更新.