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IRCT20160531028186N5 IRCT 2021-11-16 Zahedan University of Medical Sciences Effect of mobilization and stabilization exercises on treatment of neck pain Comparison the effects of cervical mobilization techniques and neck stabilization exercises on cross-section of neck deep flexor muscles and position sense in patients with chronic non-specific neck pain 2021-10-22 anticipated 45 Complete https://irct.ir/trial/59425 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The randomization method is based on permutation blocks. It is an individual randomization unit. A table of random numbers is used. Participants in the study are selected based on simple and available sampling. Each person will be selected based on the inclusion criteria. Placing people in groups is based on permutation blocks, Blinding description: The outcomes is assessed by another physiotherapist who is blind to the type of treatment being given to the patient. N/A Non specific neck pain. Intervention 1: Stabilization exercises group: 18 sessions of treatment for 6 consecutive weeks, 3 times a week, each session for 25 to 30 minutes.Exercises 8-12 times for 10 seconds and with a break of 2 minutes between exercises.The first two weeks of exercise include chin tuck exercises for nerve growth (lying on your back, lying on your stomach, quadrupeds, and both legs) for the cervical spine.The second two-week exercise includes isometric neck exercises performed with a bandage. The exercises for the third two weeks include exercises that are done with the ball and with bandages. Intervention 2: Mobilization group: 18 sessions of treatment are performed for 6 consecutive weeks and 3 times per week. First, we apply a traction force to warm and relax the patient.Grade 2 and 3 mobilization will then be performed oscillatory for the C5-C6 neck segment.Two techniques of central posterior anterior force and unilateral posterior anterior force are used.Each technique 3 times and each time for 30 seconds and with oscillation of 1 Hz, and 1 minute rest is done between each repetition. Intervention 3: Control group: 18 treatment sessions for 6 weeks, 3 times a week and each session includes: Tens Conventional with a frequency of 80 Hz and a diversion of 120 milliseconds for 20 minutes, Hot Pack in the neck area for 20 minutes and Ultrasound with Continuous Mode and with an intensity of 1/5 watt per square centimeter. Yes - There is a plan to make this available What will be shared: All the main outcome data can be shared. When: 6 months after printing the results To whom: Researchers working in academic and scientific institutions Conditions: Researchers and experts in this field must ensure that data is not misused. Where to obtain: afsanehsamiei72@yahoo.com How to obtain: The applicant must be fully and transparently identified and express his intention at his request. About 2 to 4 weeks after verification, the data will reach him. Comments:
public Dr. Mohammad Hosseinifar
Department of Physiotherapy, Faculty of Rehabilitation Sciences, Razmojomoghadam Laboratory, Ayatollah Kafami St.
Zahedan Iran (Islamic Republic of) 6485598136 +98 54 3342 4675 fardash_s@zaums.ac.ir Zahedan University of Medical Sciences scientific Dr. Mohammad Hosseinifar
Department of Physiotherapy, Faculty of Rehabilitation Sciences, Razmjomoghadam Laboratory, Ayatollah Kafami St.
Zahedan Iran (Islamic Republic of) 6485598136 +98 54 3342 4675 fardash_s@zaums.ac.ir Zahedan University of Medical Sciences Iran (Islamic Republic of) Ms. and Mr. Ages between 18-55 years Have neck pain for which the treating physician did not state a specific cause and in clinical examination and radiography, no specific cause has been found for it Have neck pain that lasts 12 weeks or more Body mass index between 18 and 30 Neck disability index score equal to or greater than 5/50 The score of pain at rest is at least 3/10 18 years 55 years Both The patient has a contraindication to mobilization. For example: neck instability, signs or symptoms of vertebral artery insufficiency, severe osteoporosis, tumors, spinal tuberculosis, spinal diseases, etc History of cervical spine surgery in the last 12 months Diagnosis of serious pathological disease of the spine (inflammatory spondyloarthropathy, fracture or infection) Existence of neurological symptoms indicating pressure on the nerve root Have a history of any treatment in the previous 12 weeks (physiotherapy, chiropractic, acupuncture and massage) Pregnancy Rehabilitation Rehabilitation Rehabilitation Stabilization exercises group: 18 sessions of treatment for 6 consecutive weeks, 3 times a week, each session for 25 to 30 minutes.Exercises 8-12 times for 10 seconds and with a break of 2 minutes between exercises.The first two weeks of exercise include chin tuck exercises for nerve growth (lying on your back, lying on your stomach, quadrupeds, and both legs) for the cervical spine.The second two-week exercise includes isometric neck exercises performed with a bandage. The exercises for the third two weeks include exercises that are done with the ball and with bandages. Mobilization group: 18 sessions of treatment are performed for 6 consecutive weeks and 3 times per week. First, we apply a traction force to warm and relax the patient.Grade 2 and 3 mobilization will then be performed oscillatory for the C5-C6 neck segment.Two techniques of central posterior anterior force and unilateral posterior anterior force are used.Each technique 3 times and each time for 30 seconds and with oscillation of 1 Hz, and 1 minute rest is done between each repetition. Control group: 18 treatment sessions for 6 weeks, 3 times a week and each session includes: Tens Conventional with a frequency of 80 Hz and a diversion of 120 milliseconds for 20 minutes, Hot Pack in the neck area for 20 minutes and Ultrasound with Continuous Mode and with an intensity of 1/5 watt per square centimeter The cross-sectional area of ​​the deep flexor muscles of the neck. Timepoint: Before and after the intervention period. Method of measurement: Using an ultrasonography device. The degree of control of the sense of position of the head and neck. Timepoint: Before and after the intervention period. Method of measurement: Using a laser pointer placed on a wire-like device. Pain. Timepoint: Before and after the intervention period. Method of measurement: Using Visual Analog Scale (VAS) Questionnaire. Disability. Timepoint: Before and after the intervention period. Method of measurement: Using Neck Disability Index (NDI) questionnaire. Vice Chancellor for Research, Zahedan University of Medical Sciences Approved 2021-10-15 Ethics committee of Zahedan University of Medical Sciences Deputy of Research, Zahedan University of Medical Sciences, Jannat Blvd., Dr. Hesabi Sq Zahedan Sistan-va-Balouchestan Iran (Islamic Republic of)