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| ID | Type | Description | Link |
|---|---|---|---|
| U1111-1331-6077 | Registry Identifier | WHO Universal Trial Number |
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The present study aims to evaluate the effects of deep neck stabilizers retraining with pressure biofeedback on cervical range of motion, pain, and temporomandibular dysfunction in patients with chronic neck pain.
Participants will receive biofeedback-assisted deep neck flexor retraining in one group, while the other group will perform conventional exercises. The neurological connection between the TMJ and neck means that therapies such as neck flexion exercises and biofeedback can alleviate neck pain and jaw issues.
Chronic neck pain is increasingly affecting young adults in Pakistan. This rise is linked to poor posture, being overweight, aging, and various other factors. Weakness in deep neck muscles can affect neck stability. The craniocervical flexion test (CCFT) is useful for evaluating and engaging these muscles. The jaw joint (Temporomandibular joint) and the neck are closely connected through shared nerves. Therefore, problems in the neck can lead to jaw issues (pain and difficulty moving the jaw). Using biofeedback to train deep neck muscles helps improve muscle control, posture, and reduces stress on surface and jaw muscles, easing TMJ symptoms. However, many studies on deep neck stabilizer (DNS) exercises don't focus on jaw problems. This study utilizes pressure biofeedback to relieve pain, improve mobility, and reduce jaw tension by promoting better neck posture.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 (Biofeedback-assisted deep neck flexor retraining ) | Experimental | Each session includes TENS and hot pack therapy, crook lying exercises with a 20 mmHg pressure biofeedback sensor, the Cranio-Cervical Flexion Test, and neck and shoulder stretches. Data will be collected at the initial point, after 3 weeks, and once more at the 6-week point. |
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| Group 2 (Conventional exercises) | Active Comparator | Each session begins with TENS and hot pack therapy, followed by stretching and strengthening exercises for neck and shoulder muscles. Data will be collected at the initial point, after 3 weeks, and once more at the 6-week point. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Biofeedback-assisted deep neck flexor retraining | Other | The experimental group will receive deep neck stabilizer training with pressure biofeedback and traditional exercises for six weeks, three times weekly. |
| Measure | Description | Time Frame |
|---|---|---|
| Temporomandibular dysfunction | Mandibular Functional Impairment Questionnaire | 6 weeks |
| Pain Intensity | Numeric Pain Rating Scale will be used | 6 weeks |
| Cervical Range of Motion | Inclinometer | 6 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Pakistan Society for the Rehabilitation of the Disabled (PSRD) | Lahore | Punjab Province | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33083487 | Background | Sikka I, Chawla C, Seth S, Alghadir AH, Khan M. Effects of Deep Cervical Flexor Training on Forward Head Posture, Neck Pain, and Functional Status in Adolescents Using Computer Regularly. Biomed Res Int. 2020 Oct 5;2020:8327565. doi: 10.1155/2020/8327565. eCollection 2020. | |
| 36180150 | Result | Alagingi NK. Chronic neck pain and postural rehabilitation: A literature review. J Bodyw Mov Ther. 2022 Oct;32:201-206. doi: 10.1016/j.jbmt.2022.04.017. Epub 2022 Apr 20. |
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| ID | Term |
|---|---|
| D013705 | Temporomandibular Joint Disorders |
| ID | Term |
|---|---|
| D017271 | Craniomandibular Disorders |
| D008336 | Mandibular Diseases |
| D007571 | Jaw Diseases |
| D009140 | Musculoskeletal Diseases |
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2 groups Experimental group (Group 1): deep neck stabilizers training through pressure biofeedback, along with a traditional exercise program
Control group (Group 2): traditional exercise program
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| Conventional exercises | Other | The control group will engage in a traditional exercise program for 6 weeks, meeting three times weekly |
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| 34501273 | Result | Aguiar ADS, Nogueira Carrer HC, de Lira MR, Martins Silva GZ, Chaves TC. Patient-Reported Outcome Measurements in Temporomandibular Disorders and Headaches: Summary of Measurement Properties and Applicability. J Clin Med. 2021 Aug 26;10(17):3823. doi: 10.3390/jcm10173823. |
| 36428529 | Result | Craciun MD, Geman O, Leuciuc FV, Holubiac IS, Gheorghita D, Filip F. Effectiveness of Physiotherapy in the Treatment of Temporomandibular Joint Dysfunction and the Relationship with Cervical Spine. Biomedicines. 2022 Nov 17;10(11):2962. doi: 10.3390/biomedicines10112962. |
| D007592 |
| Joint Diseases |
| D009135 | Muscular Diseases |
| D009057 | Stomatognathic Diseases |