McKenzie Exercises for Chronic Neck Pain: Stabilization vs. Non-Stabilization

Ahram Canadian University

Status: Completed

Conditions: Cervical Pain; Neck Pain

Treatments: Other: Stabilization exercise; Other: Mckenzie exercise for neck

Study type: Interventional

Funder types: Other

Identifiers

NCT05838794

012/004222

Details and patient eligibility

About

PURPOSE: To compare the effects of mckenzie exercises plus stabilization exercise to those of mckenzie exercises alone on disability, pain, range of motion (ROM) in patients with nonspecific chronic neck pain (NSCNP).

BACKGROUND: Little is known about the efficacy of providing mckenzie exercises in addition to cervical and scapulothoracic stabilization exercises in people with NSCNP.

HYPOTHESES We hypothesize that there will be no significant effect of adding stabilization exercises to mckenzie exercises than mckenzie exercises alone in patients with NSCNP.

RESEARCH QUESTION: Is there a statistically significant effect of adding stabilization exercises to mckenzie exercises on outcomes of patients with NSCNP?

Enrollment: 76 patients

Sex: All

Ages: 30 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Ages between 30 and 50 years
2. Localized chronic neck pain without an exact etiology
3. Absence of any arm pain or discomfort that could be replicated by neck mobility or irritant assessment
4. Pain exists in the dorsal area, between two horizontal lines: the first line passes through 5) the lower half of the occipital area, and the second line runs through the spinous process of the first dorsal vertebra

Exclusion criteria

1. Neck pain caused by any other complications, such as a neoplasm, neurological diseases, or vascular diseases
2. History of neck surgery or fracture
3. Serious medical conditions that could affect participation in the study, such as cardiovascular disease, cancer, or autoimmune disorders
4. Use of medication that could affect neck pain or exercise tolerance, such as opioids, muscle relaxants, or corticosteroids
5. Participation in other treatments or interventions for neck pain during the study period
6. Inability to understand or comply with study procedures or interventions, such as language barriers or cognitive impairment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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76 participants in 2 patient groups

Mckenzie exercise for neck

Active Comparator group

Description:

Participants in the McKenzie exercise for neck group will receive a six-week exercise program that includes the McKenzie exercise protocol for neck pain. The program will consist of three 30-45 minute sessions per week, for a total of 18 sessions over six weeks. The exercises will be performed under the supervision of a physiotherapist in the outpatient clinic. The McKenzie exercise protocol for neck pain involves a series of movements that aim to reduce pain and improve range of motion in the cervical spine. The exercises are tailored to each participant's individual needs and may include sustained postures, repeated movements, and mobilization techniques. Participants will be instructed to perform the exercises at home as well, as part of a home exercise program, to ensure that they are performing the exercises correctly and consistently. Participants in this group will not receive any additional stabilization exercises.

Treatment:

Other: Mckenzie exercise for neck

Mckenzie ex for neck + Stabilization exercise for

Experimental group

Description:

Participants in the McKenzie exercises for neck with cervical and scapulothoracic stabilization exercises group will receive a six-week exercise program that includes the McKenzie exercise protocol for neck pain and cervical and scapulothoracic stabilization exercises, performed under the supervision of a physiotherapist in the outpatient clinic. The program consists of three 30-45 minute sessions per week for a total of 18 sessions over six weeks. Participants will perform the McKenzie exercise protocol for neck pain first, followed by cervical and scapulothoracic stabilization exercises. Stabilization exercises aim to improve strength, endurance, and neuromuscular control of the cervical and scapulothoracic muscles. Participants will be instructed to perform the exercises at home as part of a home exercise program to ensure proper technique and consistency. This group receives both the McKenzie exercise protocol for neck pain and cervical and scapulothoracic stabilization exercises.

Treatment:

Other: Stabilization exercise

Other: Mckenzie exercise for neck