Impact Of Cervical High-Intensity Resistive Exercises In Patients With Chronic Non-Specific Neck Pain

N/ANot Yet RecruitingNCT07132229

Cairo University34 enrolled

Overview

Purposes of the study To investigate the effect of adding Cervical High-Intensity Resistive Exercises to conventional physical therapy in patients with Chronic Non-Specific Neck Pain

Patients will be randomized into either Cervical High-Intensity Resistive Exercises group or Conventional physical therapy group. Patients will receive the intervention for six weeks. Outcomes will be assessed at baseline and post-intervention.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Chronic Non-specific Neck Pain

Interventions

Cervical High-Intensity Resistive ExercisesOTHER

The patient will wear a neck harness, and a weight equivalent to 90% of the patient's measured maximum voluntary isometric contraction (MVIC) will be attached to it.

Conventional physical therapyOTHER

Conventional physical therapy consisting of TENS for pain control, soft tissue release for the cervical and associated muscles, activation and strengthening exercises for the deep neck flexors, extensors, and scapular muscles, as well as diaphragmatic breathing exercises.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Thirty-four patients diagnosed CNSNP. 2. Age of the patients between 20-40 years. 3. Non-specific neck pain started more than 3 months. 4. Reduce ventilatory function; FVC \>= 70% from predicted. 5. Waist to height ratio (WtHR)\> 60 %. 6. Positive craniocervical flexion test. 7. Positive neck flexor endurance test. 8. Pain at neck after prolonged static weight bearing positions. 9. Pain with palpation of the neck paraspinal or suboccipital or trapezius muscles. Exclusion Criteria: 1. History of whiplash injury. 2. Clinical sign of cervical radiculopathy. 3. Clinical signs of cervical myelopathy. 4. Rheumatoid Arthritis or any other autoimmune diseases. 5. Any respiratory disorders. 6. Tumors. 7. vertebrobasilar insufficiency VBI.

Locations (1)

outpatient clinic, Faculty of Physical Therapy, Cairo University

Giza, Egypt, Egypt

Outcomes

Primary Outcomes

Disability

Neck disability index (NDI)

Time frame: Change from Baseline Disability at 6 weeks

Diaphragm thickness

Ultrasound

Time frame: Change from Baseline Diaphragm thickness at 6 weeks

Forced vital capacity (FVC)

Spirometry

Time frame: Change from Baseline Forced vital capacity (FVC) at 6 weeks

maximum voluntary ventilation (MVV)

Spirometry

Time frame: Change from maximum voluntary ventilation (MVV) at 6 weeks

Secondary Outcomes

Neck pain

Visual analogue scale

Time frame: Change from Baseline Neck pain at 6 weeks

Strength of neck flexors, extensors, and side bending

Hand-held dynamometer (HHD)

Time frame: Change from Baseline Strength of neck flexors, extensors, and side bending at 6 weeks

Data from ClinicalTrials.gov

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