Cervical PainNCT06494553
Effect of Cervical Stabilization Exercises on Proprioception and Hand Grip Strength in Sedentary Office Workers
A study testing cervical stabilization exercises, Ultrasound therapy and traditional treatment program in people with Cervical Pain, run by Cairo University.
Trial summary
The purpose of the study is to evaluate the effect of cervical stabilization exercises on pain intensity level, cervical range of motion, proprioception, and handgrip strength in sedentary office workers. Read more about this study
- Who is it for?
- Ages 25 to 35 yearsHealthy volunteers can take part
- Conditions the study is for
- Cervical Pain
- What is being tested?
- cervical stabilization exercises, Ultrasound therapy and traditional treatment program
- Type of treatment
- Medical device
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 52 participants
- Where
- No sites listed yet
- Study dates
- Jul 2024to Oct 2024
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 35 years
- All sexes
- Healthy volunteers accepted
- Adult
Who may be able to join
- Age range between 25 and 35 years.
- Both male and female patients were included.
- Informed consent was obtained from all participants.
- Subjects with cervical pain lasting for more than 3 months (chronic pain).
- Cooperative patients who were able to follow instructions for assessment procedures.
- body mass index (18.5 - 29.99 Kg/m2).
Who cannot join
- Unwillingness to participate in the treatment.
- Pre-existing heart or respiratory diseases.
- Acute cervical pain.
- Cervical disc or spondylosis.
- History of any major cervical spine surgery.
- Subjects taking analgesics.
- Any fracture of cervical region.
About this study
The purpose of the study is to evaluate the effect of cervical stabilization exercises on pain intensity level, cervical range of motion, proprioception, and handgrip strength in sedentary office workers.
Read the detailed description
In recent years, the number of sedentary office workers (SOWs) who work in a seated position for prolonged periods has increased with the development of the information technology industry. SOWs are forced to sit for long periods because of the nature of their work. Changes in physical functions that occur due to rounded shoulders can cause one or more abnormal conditions in a complex structure consisting of the head, neck, and shoulders.
Neck pain is a common condition and one of the leading causes of disability worldwide. Although neck pain can be attributed to traumatic (such as whiplash-associated) disorders, metabolic, neoplastic, inflammatory, or infectious diseases, most neck pain has no discernable cause and is considered idiopathic. Current studies have indicated that one of the main problems in patients with neck pain is cervical proprioception impairment, which leads to cervical sensorimotor control disturbances.
The cervical sensorimotor control disturbances secondary to neck pain are considered a protective response to limit further stimulation of the painful tissue. Such disturbances may, in the long- run, further cause tissue damage, aggravate pain through peripheral and central nervous system sensitization, and promote dysfunctional motion patterns. Body posture can affect the proprioception function of the neck.
There is a significant positive association between prolonged sitting at work and neck pain, implying that there is an increased risk of neck pain for people who are working almost all day in a sitting position (more than 95% of the working time).
Working for at least 20 hours a week. Working for at least 1 year in their current job. To improve posture, many physical therapy methods can be used.
A back extensor strengthening exercises that included the following: at a sitting position: 1) shoulder elevation, 2) shoulder horizontal abduction, and 3) shoulder extension; at a standing position: 4) push up and 5) one arm and the opposite leg lift.
Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors.
Neck stabilization exercises included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction.
Advises: subjects will be educated to assume good posture and alignment during sitting and standing activities such as: Sitting upright in a chair and not leaning forward, Using pillows behind the lower back, Sitting on a chair with head and arm support.
These programs were selected from programs commonly used in previous studies.
- Conditions
- Cervical Pain
- Being tested
- cervical stabilization exercises, Ultrasound therapy, traditional treatment program, Infrared therapy
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
cervical stabilization exercisesOther
Neck stabilization exercises included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction
Ultrasound therapyDevice
The Chattanooga Intelect ultrasound made in America. Year of production: 2013. It was clinically proven to provide the best possible treatment outcomes by utilizing a high-quality transducer to ensure maximum ultrasound delivery to the treatment area. The output is a clean, culminated beam with the lowest available beam non-uniformity ratio
traditional treatment programOther
US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors.
Infrared therapyDevice
Infrared therapy is a non-invasive treatment modality that uses infrared light to promote healing, reduce pain, and improve circulation. It involves the application of infrared light, which penetrates deep into the tissues, providing therapeutic benefits.
| Study group | Role | What they receive |
|---|---|---|
| control group | Active comparator | Received traditional treatment program in the form of US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors . Receives: Device: Ultrasound therapy; Other: traditional treatment program; Device: Infrared therapy |
| cervical stabilization exercises group | Experimental | Received cervical stabilization exercises (included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction) was given in 3 sets with 10 repetitions for 24 sessions (3 sessions per week for 8 weeks) plus traditional treatment program in the form of US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors. Receives: Other: cervical stabilization exercises; Device: Ultrasound therapy; Other: traditional treatment program; Device: Infrared therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
handgrip strength
Handgrip strength is a crucial measure of overall muscle strength and function to assess the functionality of the hand and forearm muscles. This measure is typically obtained using a handgrip dynamometer, a device that quantifies the maximum isometric strength of the hand and forearm muscles.
Measured: 2 months
cervical range of motion
Cervical Range of Motion (CROM) refers to the degree of movement in the neck and cervical spine across different planes of motion. It is an important measure of neck flexibility and function, encompassing movements such as flexion, extension, lateral flexion, and rotation. Assessing CROM is crucial in diagnosing and managing various musculoskeletal and neurological conditions affecting the neck.
This measure is typically obtained using CROM devices that play a pivotal role in accurately quantifying the range of motion in various planes, including flexion, extension, lateral flexion, and rotation.
Measured: 2 months
cervical pain
Cervical pain, commonly known as neck pain, is a prevalent condition characterized by discomfort, stiffness, or aching in the cervical spine-the region of the spine that comprises the neck. This condition can arise from various causes, ranging from muscle strain to more complex structural issues, and it can significantly impact a person's quality of life, daily activities, and functional capabilities.
This measure is typically obtained using Alternate Visual Analog Scale in Hausa (VAS-H).
The VAS-H was used to measure the level of pain experienced by the patients. Patients were asked to rate their pain on a scale of 0-10, with 0 indicating no pain/no interference and 10 indicating the worst possible pain/extreme interference. The alternate VAS-H has been shown to have high validity, increased patient compliance, greater sensitivity, and reduced bias.
Measured: 2 months
cervical proprioception
Cervical proprioception refers to the sensory ability of the neck muscles and joints to perceive their position and movement in space. This sensory feedback is critical for maintaining balance, coordinating head and eye movements, and performing complex motor tasks. Impaired proprioception in the cervical region can contribute to dizziness, balance disorders, and increased risk of injury.
This measure is typically obtained using CROM devices that play a pivotal role in accurately quantifying the range of motion and proprioception in various planes, including flexion, extension, lateral flexion, and rotation.
Measured: 2 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted10 Jul 2024
- Study startJul 2024 (estimated)
- Primary completionSep 2024 (estimated)
- Study completionOct 2024 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Cervical PainStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- Pre and post randomized control trial design will be used in this study
- Masking
- None (open label)
- Enrolment
- 52 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Shimaa sayed attia, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06494553
- Sponsor's protocol ID
- CSE in SOW
- Status last verified
- Jul 2024
- First submitted
- 25 Jun 2024
- Last updated
- 10 Jul 2024
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Publications
Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.
PubMed 32723399Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019 Oct 15;20(1):447. doi: 10.1186/s12891-019-2846-z.
PubMed 31615495
Study at a glance
From the registry record, last updated by the sponsor on 10 Jul 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Cervical Stabilization Exercises on Proprioception and Hand Grip Strength in Sedentary Office Workers
- ClinicalTrials.gov ID
- NCT06494553
- Acronym / sponsor ID
- CSE in SOW
- Conditions
- Cervical Pain
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 52 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- Jul 2024 (estimated)
- Primary completion
- Sep 2024 (estimated)
- Study completion
- Oct 2024 (estimated)
- First posted
- 10 Jul 2024 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The purpose of the study is to evaluate the effect of cervical stabilization exercises on pain intensity level, cervical range of motion, proprioception, and handgrip strength in sedentary office workers.
Detailed description
In recent years, the number of sedentary office workers (SOWs) who work in a seated position for prolonged periods has increased with the development of the information technology industry. SOWs are forced to sit for long periods because of the nature of their work. Changes in physical functions that occur due to rounded shoulders can cause one or more abnormal conditions in a complex structure consisting of the head, neck, and shoulders.
Neck pain is a common condition and one of the leading causes of disability worldwide. Although neck pain can be attributed to traumatic (such as whiplash-associated) disorders, metabolic, neoplastic, inflammatory, or infectious diseases, most neck pain has no discernable cause and is considered idiopathic. Current studies have indicated that one of the main problems in patients with neck pain is cervical proprioception impairment, which leads to cervical sensorimotor control disturbances.
The cervical sensorimotor control disturbances secondary to neck pain are considered a protective response to limit further stimulation of the painful tissue. Such disturbances may, in the long- run, further cause tissue damage, aggravate pain through peripheral and central nervous system sensitization, and promote dysfunctional motion patterns. Body posture can affect the proprioception function of the neck.
There is a significant positive association between prolonged sitting at work and neck pain, implying that there is an increased risk of neck pain for people who are working almost all day in a sitting position (more than 95% of the working time).
Working for at least 20 hours a week. Working for at least 1 year in their current job. To improve posture, many physical therapy methods can be used.
A back extensor strengthening exercises that included the following: at a sitting position: 1) shoulder elevation, 2) shoulder horizontal abduction, and 3) shoulder extension; at a standing position: 4) push up and 5) one arm and the opposite leg lift.
Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors.
Neck stabilization exercises included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction.
Advises: subjects will be educated to assume good posture and alignment during sitting and standing activities such as: Sitting upright in a chair and not leaning forward, Using pillows behind the lower back, Sitting on a chair with head and arm support.
These programs were selected from programs commonly used in previous studies.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Pre and post randomized control trial design will be used in this study
| Arm | Type | Receives |
|---|---|---|
| control group | Active comparator | Device: Ultrasound therapy, Other: traditional treatment program, Device: Infrared therapyReceived traditional treatment program in the form of US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors . |
| cervical stabilization exercises group | Experimental | Other: cervical stabilization exercises, Device: Ultrasound therapy, Other: traditional treatment program, Device: Infrared therapyReceived cervical stabilization exercises (included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction) was given in 3 sets with 10 repetitions for 24 sessions (3 sessions per week for 8 weeks) plus traditional treatment program in the form of US, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors. |
Who may qualify
- Ages
- 25 to 35 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- Age range between 25 and 35 years.
- Both male and female patients were included.
- Informed consent was obtained from all participants.
- Subjects with cervical pain lasting for more than 3 months (chronic pain).
- Cooperative patients who were able to follow instructions for assessment procedures.
Key exclusion criteria (7 listed)
- Unwillingness to participate in the treatment.
- Pre-existing heart or respiratory diseases.
- Acute cervical pain.
- Cervical disc or spondylosis.
- History of any major cervical spine surgery.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| cervical stabilization exercisesNeck stabilization exercises included the following: Chin tuck, cervical extension, Shoulder shrugs, Shoulder rolls, Scapular retraction | Other | cervical stabilization exercises group |
| Ultrasound therapyThe Chattanooga Intelect ultrasound made in America. Year of production: 2013. It was clinically proven to provide the best possible treatment outcomes by utilizing a high-quality transducer to ensure maximum ultrasound delivery to the treatment area. The output is a clean, culminated beam with the lowest available beam non-uniformity ratio | Device | cervical stabilization exercises group, control group |
| traditional treatment programUS, IR and therapeutic exercise program that consisted of Stretching exercises included the following: 1) stretching pectoralis muscle, placing both hands on the occipital area and pulling the elbows back up, and performing arm abduction and external rotation. 2) Stretching the cervical extensors, placing both hands on the occipital area in a sitting position followed by a flexed neck posture with the head down to stretch the cervical extensors. | Other | cervical stabilization exercises group, control group |
| Infrared therapyInfrared therapy is a non-invasive treatment modality that uses infrared light to promote healing, reduce pain, and improve circulation. It involves the application of infrared light, which penetrates deep into the tissues, providing therapeutic benefits. | Device | cervical stabilization exercises group, control group |
Primary outcome
handgrip strength
Time frame: 2 months
Handgrip strength is a crucial measure of overall muscle strength and function to assess the functionality of the hand and forearm muscles. This measure is typically obtained using a handgrip dynamometer, a device that quantifies the maximum isometric strength of the hand and forearm muscles.
cervical range of motion
Time frame: 2 months
Cervical Range of Motion (CROM) refers to the degree of movement in the neck and cervical spine across different planes of motion. It is an important measure of neck flexibility and function, encompassing movements such as flexion, extension, lateral flexion, and rotation. Assessing CROM is crucial in diagnosing and managing various musculoskeletal and neurological conditions affecting the neck. This measure is typically obtained using CROM devices that play a pivotal role in accurately quantifying the range of motion in various planes, including flexion, extension, lateral flexion, and rotation.
cervical pain
Time frame: 2 months
Cervical pain, commonly known as neck pain, is a prevalent condition characterized by discomfort, stiffness, or aching in the cervical spine-the region of the spine that comprises the neck. This condition can arise from various causes, ranging from muscle strain to more complex structural issues, and it can significantly impact a person's quality of life, daily activities, and functional capabilities. This measure is typically obtained using Alternate Visual Analog Scale in Hausa (VAS-H). The VAS-H was used to measure the level of pain experienced by the patients. Patients were asked to rate their pain on a scale of 0-10, with 0 indicating no pain/no interference and 10 indicating the worst possible pain/extreme interference. The alternate VAS-H has been shown to have high validity, increased patient compliance, greater sensitivity, and reduced bias.
cervical proprioception
Time frame: 2 months
Cervical proprioception refers to the sensory ability of the neck muscles and joints to perceive their position and movement in space. This sensory feedback is critical for maintaining balance, coordinating head and eye movements, and performing complex motor tasks. Impaired proprioception in the cervical region can contribute to dizziness, balance disorders, and increased risk of injury. This measure is typically obtained using CROM devices that play a pivotal role in accurately quantifying the range of motion and proprioception in various planes, including flexion, extension, lateral flexion, and rotation.
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 10 Jul 2024.
- Background: PubMed 32723399Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.
- Background: PubMed 31615495Reddy RS, Tedla JS, Dixit S, Abohashrh M. Cervical proprioception and its relationship with neck pain intensity in subjects with cervical spondylosis. BMC Musculoskelet Disord. 2019 Oct 15;20(1):447. doi: 10.1186/s12891-019-2846-z.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
Questions about this trial
What is this clinical trial studying?
A study testing cervical stabilization exercises, Ultrasound therapy and traditional treatment program in people with Cervical Pain, run by Cairo University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 10 Jul 2024. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
handgrip strength (time frame: 2 months). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06494553, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jul 2024.