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Fifty patients of both genders with age ranged from 30 - 50 years, suffering from neck dysfunction post neck dissection surgeries participated in this study. The participants were randomly selected from the National Cancer Institute, Cairo, Egypt. They were randomly assigned into two equal groups, 25 patients each (study group and control group).
Group A :( Study Group) In this group of the study, received cranio-cervical flexion training utilizing stabilizer pressure biofeedback in addition to traditional physical therapy program (ROM exercises, stretching and strengthening exercises), 3 times a week for 6 weeks.
Group B :( Control Group) In this group of the study, received traditional physical therapy program (ROM exercises, stretching and strengthening exercises), 3 times a week for 6 weeks.
1-Subjects: Fifty patients of both genders with age ranged from 30 - 50 years, suffering from neck dysfunction post neck dissection surgeries participated in this study. The participants were randomly selected from the National Cancer Institute, Cairo, Egypt. They were randomly assigned into two equal groups, 25 patients each (study group and control group).
Group A :( Study Group) In this group of the study, received cranio-cervical flexion training utilizing stabilizer pressure biofeedback in addition to traditional physical therapy program (ROM exercises, stretching and strengthening exercises), 3 times a week for 6 weeks.
Group B :( Control Group) In this group of the study, received traditional physical therapy program (ROM exercises, stretching and strengthening exercises), 3 times a week for 6 weeks.
2) Equipment:
Therapeutic equipment:
Stabilizer pressure biofeedback
Strength Training Protocol for Deep Cervical Flexors Using Pressure Biofeedback Unit (PBU):
The training program consisted of:
Traditional physical therapy program The traditional physical therapy program included range of motion exercises, stretching exercises, and strengthening exercises, three times a week for six weeks
Measurement equipment:
Arabic version of neck disability index (NDI):
The Neck Disability Index (NDI) is a self-reported questionnaire designed to assess the functional impact of neck pain on daily activities. It consists of 10 items covering aspects such as personal care, work, driving, and recreation, with each item scored on a 0-5 scale (0 = no disability, 5 = maximum disability). The total NDI score (ranging from 0 to 50) is calculated by summing the item scores, where higher scores indicate greater disability.
Goniometer:
A goniometer is a medical device used to measure the joint angles of the body, providing an objective assessment of a joint's range of motion (ROM). In this study, a standard, handheld goniometer will be used to measure cervical range of motion (CROM), which includes four primary movements: flexion (bending the neck forward), extension (bending the neck backward), lateral flexion (bending the neck to the side), and rotation (turning the head left or right).
Stabilizer pressure biofeedback:
The pressure biofeedback device consists of a meter and a flat pocket pneumatic pump, which transfers the force created by deep cervical muscle contractions to the pressure biofeedback device, which measures the pressure in millimeters of mercury (mmHg). A stabilizer pressure biofeedback device will be used to monitor the constant contractile force of the deep neck muscles.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Stabilizer pressure biofeedback plus traditional physical therapy | Experimental | Stabilizer pressure biofeedback plus traditional physical therapy Strength Training Protocol for Deep Cervical Flexors Using Pressure Biofeedback Unit (PBU):
The training program consisted of:
The traditional physical therapy program included range of motion exercises, stretching exercises, and strengthening exercises, three times a week for six weeks |
|
| Traditional physical therapy | Experimental | Traditional Physical Therapy Program The traditional physical therapy program included range of motion exercises, stretching exercises, and strengthening exercises, three times a week for six weeks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Stabilizer pressure biofeedback plus traditional physical therapy | Device | Stabilizer pressure biofeedback Strength Training Protocol for Deep Cervical Flexors Using Pressure Biofeedback Unit (PBU):
The training program will consist of:
Traditional physical therapy program The traditional physical therapy program included range of motion exercises, stretching exercises, and strengthening exercises, three times a week for six weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Deep cervical flexors strength | Strength of DCFs was measured using PBU during the Cranio-Cervical Flexion Test (CCFT).
| Measurements were taken at baseline (pre-treatment) and 6 weeks (post-treatment). |
| Measure | Description | Time Frame |
|---|---|---|
| Cervical range of motion | All the cervical spinal ROM measurements were taken with the subject seated upright on a stable chair by goniometer | • Measurements were taken at baseline (pre-treatment) and 6 weeks (post-treatment). |
| Neck pain and disability |
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Inclusion Criteria:
The subject selection was according to the following criteria:
Exclusion Criteria:
1- Neck pain due to other underlying conditions such as:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy | Giza | 12613 | Egypt |
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| ID | Term |
|---|---|
| D006258 | Head and Neck Neoplasms |
| ID | Term |
|---|---|
| D009371 | Neoplasms by Site |
| D009369 | Neoplasms |
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| Traditional physical therapy | Other | Traditional physical therapy program The traditional physical therapy program included range of motion exercises, stretching exercises, and strengthening exercises, three times a week for six weeks . |
|
• The Arabic version of neck disability index (NDI) was used for assessment of neck pain and disability The Neck Disability Index (NDI) is a self-reported questionnaire designed to assess the functional impact of neck pain on daily activities. It consists of 10 items covering aspects such as personal care, work, driving, and recreation, with each item scored on a 0-5 scale (0 = no disability, 5 = maximum disability). The total NDI score (ranging from 0 to 50) is calculated by summing the item scores, where higher scores indicate greater disability |
| • The neck disability index was administered at baseline (pre-treatment) and 6 weeks post-intervention to monitor changes in functional impairment |