Cervical Spine Health of Surgeons

This study is not yet open for participant recruitment. (see Contacts and Locations)
Verified August 2013 by University of British Columbia
Sponsor:
Information provided by (Responsible Party):
University of British Columbia
ClinicalTrials.gov Identifier:
NCT01932307
First received: August 27, 2013
Last updated: NA
Last verified: August 2013
History: No changes posted
  Purpose

There are currently no standardized programs addressing the well-documented neck pain in surgeons as a result of non-ergonomic positioning and the use of microsurgical equipment. The primary goal of this study is to introduce a brief neck strengthening exercise program to optimize surgeons' neck health. Instructional videos outlining the program along with surveys designed to assess attitude towards neck health will be distributed to first year general surgery residents at the University of British Columbia (UBC) through their required online curriculum webpage. A followup survey will be administered 10 weeks later to determine efficacy of the program through self-reported adherence and changes in attitude towards neck health.


Condition Intervention
Occupational Health Physicians
Neck Pain
Procedure: Neck strengthening exercise program

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Prevention
Official Title: Cervical Spine Health of Surgeons

Resource links provided by NLM:


Further study details as provided by University of British Columbia:

Primary Outcome Measures:
  • Neck pain and quality of life questionnaires [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
    The subjects will be asked to complete the Bournemouth Neck Disability index online once at the start of the study and again following a 10 week period where the subjects will be encouraged to follow our exercise routine in between surgical cases.


Secondary Outcome Measures:
  • Adherence and attitudes towards the exercise program [ Time Frame: 10 weeks ] [ Designated as safety issue: No ]
    A followup survey will be distributed 10 weeks following the exposure to the exercise program to determine self-reported adherence and attitudes to the program.


Estimated Enrollment: 15
Study Start Date: September 2013
Estimated Study Completion Date: September 2014
Estimated Primary Completion Date: June 2014 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: PGY1 General Surgery Residents
All first year general surgery residents at the University of British Columbia
Procedure: Neck strengthening exercise program
Study subjects will be introduced to a 2-minute neck strengthening exercise program and advised to follow for 10 weeks. The exercise program will include five different exercises that will strengthen the neck and stabilize the scapula. The exercises are: Chin retraction, cracking the egg, scapular clock, wall pushup and scapula retraction. Each will be completed as 3 isometric holds, 3 repetitions per set and 2 sets per exercise.

Detailed Description:
  1. Purpose:

    To evaluate the efficacy of a pre-operative 2-minute exercise program in reducing surgical residents self-reported neck pain.

  2. Hypothesis:

    A 10 week 2-minute neck strengthening exercise program completed between cases will reduce self-reported chronic neck pain caused by the use of surgical instruments and increase musculoskeletal health awareness in a group of residents.

  3. Justification:

    Surgical residents will be asked to complete a baseline survey regarding their self-rated neck pain. Then they will be introduced to a 2-minute neck strengthening exercise to be performed in between surgical cases. They will be asked to evaluate their neck pain again 10 weeks later.

    Neck pain experience before and after the introduction of neck exercises will be compared.

  4. Objectives:

    1. Define the problem through prevalence data in a sample of surgeons.
    2. Understand qualitatively and quantitatively measures of pain and quality on residents.
    3. Evaluate the efficacy of a pre-operative 2-minute exercise program.
    4. Disseminate our results and change the cultural norms of practice.
  5. Research Method:

    All first year general surgery residents at the University of British Columbia will be invited to participate. They will be asked to complete a survey regarding neck pain experience and introduced to a 2-minute neck muscle exercise video which they will be advised to follow for the next 10 weeks. Another follow-up survey will be sent at the end of 10 weeks.

  6. Statistical analysis:

Percentage of residents showing >50% improvement using an alpha of 0.05 statistical significance will be the primary outcome measure using the appropriate validated pain questionnaire. The attitude of the residents towards their neck health before the intervention will be compared to their attitudes at the completion of the study using a Pearson's chi squared test as a measure of significant difference. The self-reported effectiveness and adherence of the program at the completion of the study will be used as a measure of efficacy. All statistical analysis will be conducted in SAS 9.3.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • All first year general surgery residents at the University of British Columbia

Exclusion Criteria:

  • Previous serious neck injury (e.g. herniated disc)
  • Chest pain during physical exercise
  • Heart failure
  • Spinal Stenosis
  • Radicular nerve pain
  • Neurological condition causing chronic pain
  • Currently involved directly with the study group
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01932307

Contacts
Contact: Joline T Choi 604-875-411 ext 68489 joline.choi@ubc.ca

Locations
Canada, British Columbia
Vancouver General Hospital Not yet recruiting
Vancouver, British Columbia, Canada, V5Z 1M9
Sub-Investigator: Andrew Machuk, MD         
Sub-Investigator: Tournesol Gregory, MD         
Sub-Investigator: Ali Moghaddamjou         
Sponsors and Collaborators
University of British Columbia
Investigators
Principal Investigator: York NH Hsiang, M.B. MHSc., FRCSC. Professor of Surgery, Division of Vascular Surgery, Department of Surgery
  More Information

No publications provided

Responsible Party: University of British Columbia
ClinicalTrials.gov Identifier: NCT01932307     History of Changes
Other Study ID Numbers: H13-01151
Study First Received: August 27, 2013
Last Updated: August 27, 2013
Health Authority: Canada: Health Canada

Keywords provided by University of British Columbia:
Surgeon neck health

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

ClinicalTrials.gov processed this record on July 26, 2014