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Many people experience long-lasting neck pain, which can affect daily life, work, and overall well-being. This study aims to find out which type of exercise program is most effective in reducing neck pain, improving neck movement, and making daily activities easier.
What Is Being Studied?:
The study compares three different types of treatment:
DNS Exercises (Dynamic Neuromuscular Stabilization):
Whole-body exercises focusing on posture, breathing, and core stability.
Localized Neck Exercises:
Targeted exercises for the neck and shoulder muscles.
Standard Care:
Usual physiotherapy treatment commonly provided in clinical practice.
Study Procedures:
Participants are randomly assigned to one of the three groups. Each participant receives individual exercise instruction from a physiotherapist.
Participants are also given simple home exercises to perform on their own. The study lasts for about 12 weeks.
What Will Be Measured?:
At the beginning, during, and at the end of the study, the following will be assessed:
Neck pain intensity (pain scale) Neck range of motion How much the pain affects daily life and activities
Possible Benefits:
Participants may experience:
Less neck pain Improved neck mobility Better overall body awareness Even if not every participant notices improvement, taking part will help researchers improve future treatment options for chronic neck pain.
Risks:
No major risks are expected. All exercises are supervised by qualified physiotherapists and adjusted to each participant's abilities.
Participation can be stopped at any time if discomfort or pain occurs.
Voluntary Participation and Data Privacy:
Participation is completely voluntary. All personal data will be kept confidential and analyzed anonymously for research purposes only.
Participants may withdraw from the study at any time without any disadvantages.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| DNS_Group | Experimental |
| |
| Local_Exercise | Experimental |
| |
| Usual_Care | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dynamic Neuromuscular Stabilization (DNS) Exercises | Other | Dynamic Neuromuscular Stabilization (DNS) is a physiotherapy approach based on developmental kinesiology. It uses specific postural and breathing exercises to restore spinal stability, improve motor control, and enhance cervical function under physiotherapist supervision. |
| Measure | Description | Time Frame |
|---|---|---|
| Numeric Ratic Scale | From enrollment to the end of treatment at 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Neck Disability Index | From enrollment to the end of treatment at 12 weeks | |
| Flexio Rotation Test | From enrollment to the end of treatment at 12 weeks | |
| Fear-Avoidance Beliefs Questionnaire |
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Inclusion Criteria:
Exclusion Criteria: -
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|
| Local Exercises | Other | Localized neck exercises target deep and superficial cervical muscles through specific strengthening, motor control, and stabilization drills. The program includes chin tucks, resisted movements, and scapular stabilization, supervised by a physiotherapist to improve pain, function, and coordination. |
|
| Usual Care | Other | Usual care includes standard physiotherapy for chronic neck pain: patient education, manual therapy, heat application, and general stretching or mobility exercises. Treatment follows typical clinical practice and is adjusted to individual needs. |
|
| From enrollment to the end of treatment at 12 weeks |
| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D015444 | Exercise |
| ID | Term |
|---|---|
| D009043 | Motor Activity |
| D009068 | Movement |
| D009142 | Musculoskeletal Physiological Phenomena |
| D055687 | Musculoskeletal and Neural Physiological Phenomena |
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