Mobility of the Cervical Spine in Patients With Unspecific Neck Pain

Wroclaw University of Health and Sport Sciences

Status

Active, not recruiting

Conditions

Manual Therapy

Neck Pain

Cervical Spine

Treatments

Diagnostic Test: Sagittal plane UCS AROM (Upper cervical spine active range of motion)

Diagnostic Test: The Neck Disability Index questionnaire

Device: Body composition analysis using TANITA device

Diagnostic Test: Craniovertebral angle

Diagnostic Test: The World Health Organization Quality-of-Life Scale-BREF questionnaire

Diagnostic Test: Tilting test C0-C1 and C2-C3

Diagnostic Test: Visual Analogue Scale

Diagnostic Test: Axial rotation test C0-C2

Diagnostic Test: Cervical spine AROM (Active range of motion)

Diagnostic Test: The International Physical Activity Questionnaire

Diagnostic Test: Craniocervical flexion test

Diagnostic Test: Sidebending-Rotation Test

Diagnostic Test: Flexion-Rotation Test

Diagnostic Test: Socio-demographic survey

Study type

Observational

Funder types

Other

Identifiers

NCT06642233

KWojniczWUHSS

Details and patient eligibility

About

The goal of this clinical trials is to describe and correlate the posture, function and disability of the cervical spine in patients with unspecific neck pain. The research hypothesis is: In patients with unspecific neck pain, there is a significant correlation between posture, function and disability of the cervical spine. Participants will take part in functional tests and complete surveys and questionnaires.

Full description

The increasing number of people working for a long time in one body position or performing physical work causes an increasing incidence of unspecific neck pain. This translates into an increased need for examination and rehabilitation of these patients. The gold standard for evaluating and treating these patients has yet to be established and current methods are not complete.

The complementary objectives of the researches will be to describe the craniovertebral angle, the range of motion of the cervical and upper cervical spine, deep flexor activation, disability, functional variables in the unspecific neck pain and the correlation of posture, function and cervical spine disability variables in the unspecific neck pain.

The study participants will be women and men aged 18 to 75 suffering from unspecific neck pain.

People who agree to participate in the study will receive information about the research project and its goals. Any interested person will have the opportunity to discuss any aspect of the research with the project leader. All participants are also reminded that their anonymity is guaranteed, that they can withdraw from the project at any time without giving any explanation and that the data obtained are for only research purposes. There will be no prior information about the division of participants into groups. Individuals who ultimately agree to participate in the study must sign an informed written consent.

All measurements will be performed in one room, where constant environmental conditions will be maintained during the procedure, which will increase the reliability, accuracy and validity of the research. The doctoral student - researcher will be responsible for contacting and setting the dates and times of the meeting with patients, as well as for the entire administrative procedure, such as: information documents, explanations, obtaining informed written consent to participate in the project. The assessment procedure and measurements will be carried out by the doctoral student. Participants will be informed that they may not share information about the measurement results and the intervention received with any of the other project participants in order to maintain their blinding.

The first condition for joining the study will be meeting the inclusion and exclusion criteria. Once the sample is selected, an initial assessment will be performed by collecting data on the patients history.

Project participants will take part in one study. During the study, the participant will complete the given questionnaires, the body composition analysis and then manual tests will be performed. Cervical spine safety tests will be performed prior to manual testing. The approximate duration of the assessment session will be 90 minutes.

The patient will be informed that the procedure must be painless at all times and only a feeling of tightness or stretching is acceptable (below 3 out of 10 on the VAS scale). The outline of the design study protocol is as follows:

Socio-demographic survey
VAS scale
The WHOQOL-BREF questionnaire
The IPAQ questionnaire
The Neck Disability Index questionnaire (NDI)
Body composition analysis using TANITA device
Cervical spine AROM
Sagittal plane UCS AROM
Flexion-Rotation Test
Sidebending-Rotation Test
Axial rotation test C0-C2
Tilting test C0-C1 and C2-C3
Craniocervical flexion test
Craniovertebral angle

Enrollment

100 estimated patients

Sex

All

Ages

18 to 75 years old

Volunteers

Accepts Healthy Volunteers

Inclusion criteria

age 18-75 years
medical diagnosis of non-specific pain in the cervical spine (M54.2 - neck pain) - acute and chronic pain, regardless of when it began
negative result of cervical spine safety tests
obtaining written consent to conduct research

Exclusion criteria

pregnancy
pacemaker
active cancer
no consent to conduct research
difficulty communicating
the presence of a metal plate in the head and metal screws in the body
positive cervical spine safety test
condition after operations in the area of the cervical spine
condition after fractures in the cervical spine
vascular abnormalities and pathologies resulting in symptoms of vertebrobasilar insufficiency (carotid artery occlusion or dissection, vertebral artery insufficiency, emboli)
contraindications to manual therapy or exercise
has participated in a cervical spine exercise or manual therapy program in the last three months
present clear signs of having suffered a significant whiplash injury
inability to maintain a supine position
no possibility to perform a flexion-rotation test