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NCT Number: NCT05298631

Comparing the Effects of Neck Stabilization Exercises Verses Dynamic Exercises Among Patients Having Nonspecific Neck Pain With Forward Head Posture

the objective of this randomized clinical trial is to compare the effectiveness of neck stabilization exercises versus neck dynamic exercises in patients having non specific neck pain with forward head posture for pain intensity, correction of forward head posture, increasing Range of movement and decrease functional disability. the study is being conducted at physiotherapy department of institute of physical medicine and rehabilitation (Dow university of health sciences) total 60 patients with non specific neck pain with forward head posture recruited by non-probability sampling technique initially screening done by consultant physicians who is blinded to the treatment given to patients. patient are included in study who fulfill inclusion criteria and sign the consent form. patients then randomly allocated to both treatment groups using computer generated randomization sheet. baseline assessment is taken at first session after providing 9 treatment of stabilizing exercises to group1 and dynamic exercises to group 2 session post assessment will be done on goniometry, NDI, VAS and plumb line at last session at third week.

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Key information

Conditions

Non-specific Neck Pain Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Sindh Institute of Physical Medicine and Rehabilitation

Karachi, Sindh, 75600, Pakistan

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Patients with nonspecific neck pain more than 3 weeks less than 6 months.
  • Patients with forward head posture on plumb line assessment.
  • Pain on VAS moderate 4-7
  • NDI score with moderate; 50-64%.
  • Age ranges from 18-40.

Exclusion criteria

  • Previous history of any accident (whiplash), fracture, tumor etc.
  • Patients not willing to participate.

Treatment and study plan

Stabilization Exercises

Other

The activation of deep cervical muscle to reduce the activity of surface muscles is known as stabilization exercises

Dynamic exercises

Other

The exercises in which muscle tension remains constant but muscle length changes is known as dynamic exercises

Primary outcomes

  1. Change in pain intensity with Visual analog scale (VAS) in cm

    Time frame: Baseline and 3 weeks

    VAS will be used for assessment of pain intensity on 10 cm straight line with marking from 0 to 10 (0 means no pain and 10 means worst pain possible) patients pain is recorded at baseline at the start of 1st session than change in pain intensity (decrease) will be assessed at the end of 9th session at week 3.

  2. Change in disability with Neck disability index questionnaire (NDI) scores

    Time frame: Baseline and 3 weeks

    NDI will be used for the assessment of disability due to neck pain. NDI is a ten item questionnaire each question has 6 responses from 0 no disability to 5 complete disability (score of less than 4 indicates no disability, 5-14 mild disability, 15-24 moderate disability, 25-34 severe disability, and scores greater than 35 complete disability) used to assess disability associated with neck pain and whiplash injury. patients disability is recorded at baseline at the start of 1st session than change in disability (decrease) will be assessed at the end of 9th session at week 3.

  3. Change in neck range of motions with goniometer in degrees

    Time frame: Baseline and 3 weeks

    Goniometry will be used for the assessment of change in available range of motion of around neck joint in degrees. the therapist assess the range of motion using goniometer in flexion, extension, lateral flexion(right), lateral flexion(left), rotation(right), rotation(left). patients ROM is recorded at baseline at the start of 1st session than change in ROM (increase) will be assessed at the end of 9th session at week 3.

  4. Change in ear position with reference to shoulder Plumb line measurement in inches

    Time frame: Baseline and 3 weeks

    Plumb line measurement will be used for the assessment of forward head posture using body landmarks such as ear lobe or mastoid process and shoulder alignment in inches. patients forward head is recorded at baseline at the start of 1st session than change in forward head (postural correction) will be assessed at the end of 9th session at week 3.

Sponsors and collaborators

Lead sponsor

Dow University of Health Sciences

Other

Registry information

Official study title

Comparing the Effects of Neck Stabilization Exercises Verses Dynamic Exercises Among Patients Having Nonspecific Neck Pain With Forward Head Posture- A Randomized Clinical Trial

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Mar 28, 2022
Registry last updated
May 8, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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