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Efficacy of Deep Cervical Flexor Muscles Training on Neck Pain, Functional Disability and Muscle Endurance in School Teachers

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ClinicalTrials.gov Identifier: NCT03537300
Recruitment Status : Completed
First Posted : May 25, 2018
Last Update Posted : May 25, 2018
Sponsor:
Information provided by (Responsible Party):
Zaheen A. Iqbal, King Saud University

Brief Summary:
Neck pain (NP) is a common work related disorder. Teaching is one profession in which its prevalence is high. The Daily job of a school teacher involves head down posture while reading, writing, etc., exposing them to risk of developing NP. Deep cervical flexor (DCF) muscles have been shown to have lower endurance in patients with cervical impairment which has been associated with disability. There is limited evidence that reports efficacy of DCF muscles training in occupational NP. This study was done to see the effect of DCF muscles training using pressure biofeedback on pain, muscle endurance and functional disability in school teachers with NP.

Condition or disease Intervention/treatment Phase
Neck Pain Behavioral: DCF muscles training using pressure biofeedback in addition to conventional exercises Behavioral: conventional exercises Not Applicable

Detailed Description:
Neck pain (NP) is a common work related disorder. Teaching is one profession in which its prevalence is high. The Daily job of a school teacher involves head down posture while reading, writing, etc., exposing them to risk of developing NP. Deep cervical flexor (DCF) muscles have been shown to have lower endurance in patients with cervical impairment which has been associated with disability. There is limited evidence that reports efficacy of DCF muscles training in occupational NP. This study was done to see the effect of DCF muscles training using pressure biofeedback on pain, muscle endurance and functional disability in school teachers with NP. 65 teachers, aged between 25 to 45 years with experience of more than 5 years were agreed to participate in this study. Subjects were randomly divided into two groups, experimental (EG) and control group (CG). In EG, subjects received DCF muscles training using pressure biofeedback in addition to conventional exercises for neck pain while in CG subjects received only conventional exercises. Pain, muscle endurance and disability measured at day 0 (before treatment), day 14 and day 42 after treatment. Endurance of DCF muscles was measured by CCF test using pressure biofeedback instrument, Pain intensity was measured using NPRS and Functional disability was assessed using NDI questionnaire.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 65 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Efficacy of Deep Cervical Flexor Muscles Training on Neck Pain, Functional Disability and Muscle Endurance in School Teachers
Actual Study Start Date : May 21, 2016
Actual Primary Completion Date : January 1, 2017
Actual Study Completion Date : May 1, 2017

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: experimental group Behavioral: DCF muscles training using pressure biofeedback in addition to conventional exercises
DCF muscles training using pressure biofeedback in addition to conventional exercises

Active Comparator: control group Behavioral: conventional exercises
conventional exercises




Primary Outcome Measures :
  1. Change in Pain at day 42, day 14 after intervention from baseline [ Time Frame: at day 0 (before treatment), day 14 and day 42 after treatment ]
    Numeric pain rating scale (NPRS): NPRS. Subjects had to rate their pain on the 0-10 rating scale, where 0 means no pain while 10 is the worst possible pain.

  2. Change in muscle endurance at day 42, day 14 after intervention from baseline [ Time Frame: at day 0 (before treatment), day 14 and day 42 after treatment ]
    Craniocervical flexion test (CCF) test using pressure biofeedback instrument


Secondary Outcome Measures :
  1. disability [ Time Frame: at day 0 (before treatment), day 14 and day 42 after treatment ]
    Functional disability was assessed using Neck disability index (NDI) questionnaire. Subjects had to answer the multiple choice questions and their score was interpreted on range from 0 to 50, 0 being no disability and 50 indicating complete disability.



Information from the National Library of Medicine

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Ages Eligible for Study:   25 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • experience of more than 5 years
  • neck pain score of more than 5 on numeric pain rating scale (NPRS), mild to moderate disability score on neck disability index (NDI) and poor cranio-cervical flexion (CCF) test

Exclusion Criteria:

  • any neurological sign or symptom, history of spinal surgery or if they were taking any treatment for their pain.
Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Zaheen A. Iqbal, Principal investigator, King Saud University
ClinicalTrials.gov Identifier: NCT03537300    
Other Study ID Numbers: RRC-2016-009
First Posted: May 25, 2018    Key Record Dates
Last Update Posted: May 25, 2018
Last Verified: May 2018
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Additional relevant MeSH terms:
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Neck Pain
Pain
Neurologic Manifestations