Kinesthetic Exercises and Sine Sound Waves in Cervical Spondylosis

Riphah International University

Status: Completed

Conditions: Cervical Spondylosis

Treatments: Procedure: Kinesthetic exercises; Procedure: Sine sound waves plus kinesthetic exercises; Procedure: Sine sound waves

Study type: Interventional

Funder types: Other

Identifiers

NCT06351254

REC/RCR & AHS/23/01101nayab

Details and patient eligibility

About

The goal of this Randomized control trial is to determine the Effect of kinesthetic exercises and sound waves on pain, ROM, shoulder alignment and disability in cervical spondylosis. The main question it aims to answer is:

Weather sine sound and kinesthetic exercise are effective in management of pain, rom, alignment, and disability in patients that are suffering from cervical spondylosis

Full description

Cervical spondylosis is a progressive disease defined by degenerative changes affecting the vertebrae, intervertebral disks, facets, and associated ligaments. Symptoms of cervical spondylosis manifest as neck pain and neck stiffness and can be accompanied by radicular symptoms when there is compression of neural structures. The degenerative changes are intervertebral disc degeneration, osteophyte formation, and ligamentum flavum and facet hypertrophy. The sine sound waves approach aims to provide orthopaedic spinal treatment through focused vibroacoustic treatment (fVAT) and manage the biomechanical aspect of back pain. Vibroacoustic therapy has been indicated for patients with a range of musculoskeletal, neurological, and haemodynamic problems demonstrating positive changes in pain, spasticity, movement control, and specifically fatigue and anxiety in those with spinalcord or brain injuries. For neck pain syndromes, the kinesthetic rehabilitation exercises (i. e.,eye-follow exercises, head relocation exercises, eye-head coordination, and gaze stability exercises) are developed to improve or restore somatosensory and sensorimotor function by enhancing tactile afferents cues. Kinaesthetic exercises have an added advantage over the conventional exercise programs as it uses an unconscious component of proprioceptive signals for the automatic control of cervical muscle tone and posture.

The research include 3 intervention groups Group A will be give sine sound waves treatment 6 sessions 3 times a week followed by 6 sessions 2 times a week. Group B will be given kinesthetic exercise for 6 weeks. And group C will be given combination of both group A and group B treatments. Outcomes, encompassing pain levels, range of motion (ROM), and Neck Disability Index (NDI) scores, will be evaluated using the Numeric Pain Rating Scale, Goniometer, and Crom device. Data analysis will employ SPSS version 26. Data will be collected at baseline, immediately post-intervention, and at follow-up intervals. Statistical analyses will be conducted to assess and compare the effects of the interventions on the primary and secondary outcomes, thereby addressing the research question regarding their relative efficacy.

Enrollment: 24 patients

Sex: All

Ages: 45 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• neck pain
• age 45-60 years
• radiography showed degenerative changes

Exclusion criteria

• cervical myelopathy
• whiplash injury
• infection involving the c-spine

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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24 participants in 3 patient groups

Sine sound waves treatment

Experimental group

Description:

sine sound waves

Treatment:

Procedure: Sine sound waves

Kinesthetic exercises

Experimental group

Description:

Head to neutral head position test and head to target repositioning test

Treatment:

Procedure: Kinesthetic exercises

Sine sound waves plus kinesthetic exercises

Experimental group

Description:

Combination of sine sound waves and kinesthetic exercises

Treatment:

Procedure: Sine sound waves plus kinesthetic exercises