Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Class |
|---|---|
| The University of Queensland | OTHER |
| University of Applied Sciences and Arts of Southern Switzerland | OTHER |
Not provided
Not provided
Not provided
Not provided
The sensorimotor disturbance and postural instability have been demonstrated to be associated with neck pain. Specific therapeutic exercise and manual therapy for the cervical spine are effective interventions for improving dizziness symptoms, neck impairments, functional ability and quality of life. However, the effects of these interventions on the actual impairment of joint position sense and balance remain uncertain. Adaptive changes in the sensorimotor and postural control systems may need to be specifically addressed.
The sensorimotor (joint position sense and oculomotor control) and postural stability (balance) disturbances have been demonstrated to be associated with neck pain. Specific therapeutic exercise directed to neuromuscular impairments and manual therapy for the cervical spine are effective interventions for improving dizziness symptoms, neck impairments, functional ability and quality of life. However, the effects of these interventions on the actual impairment of joint position sense and balance remain uncertain. Adaptive changes in the sensorimotor and postural control systems may need to be specifically addressed. Currently, it is not known whether the clinician has to train every impairment or can choose between sensorimotor training and balance training in the rehabilitation of neck pain. Different training approaches may have specific influences on the different outcomes and their outcomes will be important to inform the optimal and efficient management of persons with chronic neck pain.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Local neck treatment (LNT) | Experimental | Cervical mobilization and specific therapeutic exercises |
|
| LNT plus sensorimotor exercises | Experimental | Local neck treatment plus a tailored sensorimotor exercise program. |
|
| LNT plus balance exercises | Experimental | Local neck treatment plus balance training program. |
|
| LNT plus sensorimotor/balance exercises | Experimental | A combination of local neck treatment, sensorimotor control exercise, and balance exercise. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Local neck treatment (LNT) | Other | The local neck treatment consists of cervical mobilization and specific therapeutic exercises (30 minutes). The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks). |
| Measure | Description | Time Frame |
|---|---|---|
| Postural sway area | The sway area during narrow stance on firm and soft surfaces with eyes open and eyes closed and during neck torsion maneuver (head turned 45 degrees to the left and right) on firm and soft surfaces, using a swaymeter device. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Postural sway displacement | The sway displacement during narrow stance on firm and soft surfaces with eyes open and eyes closed and during neck torsion maneuver (head turned 45 degrees to the left and right) on firm and soft surfaces, using a swaymeter device. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Cervical joint position error | The ability to perform an active movement (extension and rotation to the left and right) and return to the starting head position as accurately as possible, using a target on the wall and a laser-pointer attached to a lightweight headband. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Measure | Description | Time Frame |
|---|---|---|
| Gait speed | Walk barefoot over 10 meters at a comfortable speed and then with head turns from side to side. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Dizziness intensity |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Sureeporn Uthaikhup, Ph.D. | Department of physical therapy, Chiang Mai university | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Physical Therapy, Faculty of Associated Medical Sciences | Chiang Mai | 50202 | Thailand |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24792139 | Background | Reid SA, Callister R, Katekar MG, Rivett DA. Effects of cervical spine manual therapy on range of motion, head repositioning, and balance in participants with cervicogenic dizziness: a randomized controlled trial. Arch Phys Med Rehabil. 2014 Sep;95(9):1603-12. doi: 10.1016/j.apmr.2014.04.009. Epub 2014 May 2. | |
| 26678652 | Background |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
Not provided
Not provided
a 2 x 2 factorial blinded design
Not provided
Not provided
Not provided
| LNT plus sensorimotor exercises | Other | The local neck treatment (30 minutes) plus the sensorimotor exercise program (15 minutes). The sensorimotor exercises include cervical joint position sense and oculomotor training. The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks). |
|
| LNT plus balance exercises | Other | The local neck treatment (30 minutes) plus the balance exercise program (15 minutes).The balance program includes with static balance and progress to dynamic balance and gait. The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks). |
|
| LNT plus sensorimotor/balance exercises | Other | The local neck treatment (30 minutes) plus the sensorimotor exercise program (15 minutes) and the balance exercises (15 minutes). The participants will attend 12 individual treatment sessions (2 visits per week for 6 weeks). |
|
an average dizziness intensity over the past week on VAS 0-10
| Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Neck pain intensity | an average intensity of neck pain experienced in the past week on VAS 0-10. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Neck pain disability | How neck pain affects a patient's daily life and to assess the self-rated disability, using NDI. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Pain extent | Pain extent using a digital device (iPad Air 2) and sketching software (SketchBook Pro). | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Pain location | Pain location using a digital device (iPad Air 2) and sketching software (SketchBook Pro). | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Cervical range of motion | Cervical range of motion in flexion, extension, left-right lateral flexion and left-right rotation, using CROM. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Functional ability status | Participants' functional status using the patient-specific functional scale (PSFS). | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Health-related quality | Participants' health-related quality of life, using Short Form-36. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Global perceived benefit of treatment | Participant rated perceived benefit of treatment, using a six-point ordinal Likert scale. | Change from baseline at immediate, and 3, 6, 12 months follow-ups |
| Treleaven J, Peterson G, Ludvigsson ML, Kammerlind AS, Peolsson A. Balance, dizziness and proprioception in patients with chronic whiplash associated disorders complaining of dizziness: A prospective randomized study comparing three exercise programs. Man Ther. 2016 Apr;22:122-30. doi: 10.1016/j.math.2015.10.017. Epub 2015 Nov 26. |
| 29433500 | Derived | Sremakaew M, Jull G, Treleaven J, Barbero M, Falla D, Uthaikhup S. Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial. BMC Musculoskelet Disord. 2018 Feb 13;19(1):48. doi: 10.1186/s12891-018-1964-3. |