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Effects of Specific Training for Deep Neck Muscle

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ClinicalTrials.gov Identifier: NCT02656030
Recruitment Status : Unknown
Verified February 2016 by Thavatchai Suvarnnato, Khon Kaen University.
Recruitment status was:  Recruiting
First Posted : January 14, 2016
Last Update Posted : February 15, 2016
Sponsor:
Information provided by (Responsible Party):
Thavatchai Suvarnnato, Khon Kaen University

Brief Summary:

Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.

Exercise is known to be an important component of treatment programs for patients with neck pain. Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles.Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects.

The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.


Condition or disease Intervention/treatment Phase
Neck Pain Other: semispinalis cervicis resisted exercise Other: cranio-cervical flexion exercise Other: usual care Not Applicable

Detailed Description:
Neck pain is a second the most common problems in musculoskeletal problems the low back pain in general population.The prevalence of neck pain at the some point in their lifetime in general population had been reported to be between 43 to 66.7 percent.the neck problems could be involved physical function, psychological function and social function. The economic burden for neck pain is very high.Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles. The specific training on deep cervical muscles aims to improve control strategy, improve activation of deep cervical flexor muscles to optimize movement control of segmental motion of the cervical spine. Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep and superficial cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. So, the activation of the deep cervical extensors should be emphasized for the management in people with neck pain. Schomacher et al (2012) suggested that isometric resisted exercise at the second cervical vertebra can improve semispinalis cervicis muscle activity in neck pain patients. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects. The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 60 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Treatment
Official Title: Effects of Specific Training of Deep Cervical Muscles in Chronic Mechanical Neck Pain
Study Start Date : November 2015
Estimated Primary Completion Date : June 2017
Estimated Study Completion Date : December 2017

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: semispinalis cervicis resisted exercise
semispinalis cervicis resisted exercise 2 times/week, 6 weeks duration
Other: semispinalis cervicis resisted exercise
semispinalis cervicis resisted exercise, 2 time per week, 6 weeks duration

Experimental: cranio-cervical flexion exercise
cranio-cervical flexion exercise 2 times/week, 6 weeks duration
Other: cranio-cervical flexion exercise
cranio-cervical flexion exercise, 2 time per week, 6 weeks duration

Active Comparator: usual care
Usual care 2 times/week, 6 weeks duration
Other: usual care
usual care, 2 time per week, 6 weeks duration




Primary Outcome Measures :
  1. Neck Disability Index [ Time Frame: Up to 3-months after the last intervention session ]


Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 59 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Chronic mechanical neck pain
  • Aged between 18 to 59 years
  • The symptom more than three months in duration
  • A baseline the Thai version of Neck Disability Index (NDI-TH) score of 10 percent or greater

Exclusion Criteria:

  • a previous history of whiplash injury
  • a previous history injury to the cervical and thoracic spine
  • diagnosed with osteoporosis, malignancy or other spinal inflection
  • a positive vertebro-basilar artery insufficient test
  • diagnosed with cervical radiculopathy and/or myelopathy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02656030


Contacts
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Contact: Thavatchai Suvarnnato, M.Sc. PT +66890092175 suvarnnato@hotmail.com
Contact: Thavatchai Suvarnnato, M.Sc. PT

Locations
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Thailand
Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University Recruiting
Muang, Khon Kaen, Thailand, 40002
Contact: Thavatchai Suvarnnato, M.Sc. PT    +66890092175    suvarnnato@hotmail.com   
Sponsors and Collaborators
Khon Kaen University
Investigators
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Principal Investigator: Thavatchai Suvarnnato, M.Sc. PT Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University

Publications of Results:
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Thavatchai Suvarnnato, Member of Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University
ClinicalTrials.gov Identifier: NCT02656030     History of Changes
Other Study ID Numbers: TSuvarnnato
First Posted: January 14, 2016    Key Record Dates
Last Update Posted: February 15, 2016
Last Verified: February 2016
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

Additional relevant MeSH terms:
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Neck Pain
Pain
Neurologic Manifestations
Signs and Symptoms