Effect of Deep Neck Flexors Biofeedback Training and Post Isometric Relaxation in Chronic Mechanical Neck Pain

Cairo University45 enrolled

Overview

This study will be conducted to explore the superiority of effectiveness between Muscle energy technique combined with Deep Neck Flexors training, MET alone, or DNF training alone in terms of pain intensity, neck function, forward head posture, cervical range of motion and Deep Neck Flexors Muscles endurance in patients with chronic mechanical neck pain(CMNP).

Patients will be grouped into three groups; each group composed of 15 patients suffering from CMNP. The personal history of each patient who participated in the study will be collected, the patient will receive an oral explanation of the procedures and signed a consent form . The weight and height of each patient will be obtained using the standard weight scale. The pain intensity level will be assessed via a visual analogue scale (VAS). The disability level will be assessed via neck disability index (NDI). The forward head posture will be assessed via photographic method of Craniovertebral angle (CVA) and the angle will be calculated by using kinovea software. The range of motion will be assessed via universal goniometer (UG). The endurance of the neck muscles will be assessed via pressure biofeedback unit (PBU). Assessment will be done before treatment and after 12 treatment sessions.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Deep Neck Flexors Training Post Isometric Relaxation

Interventions

pressure biofeedbackDEVICE

uninﬂated pressure sensor will be kept below the neck suboccipital

therapeutic ultra soundDEVICE

continuous US waves of 1 MHz frequency and 1-1.5 W/cm2 power

infra red radiationDEVICE

(R 125, 250watt, Philips)

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Age group 20-40 years of female and male patient. 2. Patient with neck pain duration more than 3 months and less than one year. 3. Subjects who could not maintain blood pressure at increments of 24 mmHg from the initial 20 mm Hg 4. Patients who have moderate neck pain and disability scoring 15 to 24 from 50 on neck disability index. . 5. Pain intensity more than 3 and less than 7 on visual analogue scale (VAS) 6. CVA less than 49° Exclusion Criteria: 1. People with severe neck pain. (Disability scoring more than 25 on Neck Disability Index) 2. If they are participated in a neck rehabilitation program over the last 6 months 3. Major circulatory or respiratory disorder 4. Pregnant women or 3 months postnatal 5. Patient with structural instability and degenerative conditions of cervical spine. 6. Body Mass Index more than 30. 7. Post traumatic or infective conditions. 8. Any surgeries around cervical spine 9. Vertigo patient 10. Un-cooperative patient (Gupta et al., 2022).

Outcomes

Primary Outcomes

pain severity

Visual Analogue Scale It is a 10 cm or 100 mm psychometric response scale to measure pain intensity based on numerical values, anchored by a score of 0 no pain and score 10 worst pain The patient will be asked to place a horizontal mark on the continuous 10 cm line in which they could feel. A ruler will be then used to measure the distance from zero and the recorded number will be rounded to the nearest number Visual Analogue Scale .It is a 10 cm or 100 mm anchored by a score of 0 no pain and score 10 worst pain

Time frame: 4 weeks

functional disability

Neck Disability Index . 0% means no activity limitation, and 50 points or 100% means complete activity limitation

Time frame: 4 weeks

Deep Neck Flexors muscle endurance

Pressure biofeedback unit . used for muscular assessment of longus colli and longus capitus.

Time frame: 4 weeks

Secondary Outcomes

craniovertebral angle (CVA)

Kinovea (version 0.9.5) will be used to calculate the CVA

Time frame: 4 weeks

cervical range of motion

Universal goniometer.to measure the active cervical range of motion in all directions.

Time frame: 4 weeks

Central Contacts

Eman Sherif, Doctoral

CONTACT

01016493234 doctoremo87@gmail.com

Salwa Abdel-mageed, Doctoral

CONTACT

01008565476

Data from ClinicalTrials.gov

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