CTRI Number |
CTRI/2019/03/017892 [Registered on: 01/03/2019] Trial Registered Prospectively |
Last Modified On: |
28/02/2019 |
Post Graduate Thesis |
Yes |
Type of Trial |
Interventional |
Type of Study
|
Physiotherapy (Not Including YOGA) |
Study Design |
Randomized, Parallel Group, Active Controlled Trial |
Public Title of Study
|
Exercises for strengthening neck muscles for treatment of neck pain |
Scientific Title of Study
|
Effect of Proprioceptive Neuromuscular Facilitation and Cranio Cervical Flexor Training on pain and function in Chronic Mechanical Neck Pain: A Randomised Clinical Trial |
Trial Acronym |
|
Secondary IDs if Any
|
Secondary ID |
Identifier |
NIL |
NIL |
|
Details of Principal Investigator or overall Trial Coordinator (multi-center study)
|
Name |
Vaishnavi Kuddur Suresh |
Designation |
Postgraduate Student, Masters in Physiotherapy |
Affiliation |
Manipal Academy Of Higher Education |
Address |
Upper basement, Department of Physiotherapy, School of Allied health sciences Manipal Hospital #98 HAL Old Airport
Road Bangalore Bangalore KARNATAKA 560017 India
Bangalore KARNATAKA 560017 India |
Phone |
9620307834 |
Fax |
|
Email |
vaish14.doctor@gmail.com |
|
Details of Contact Person Scientific Query
|
Name |
Dr V Prem |
Designation |
HOD of department of physiotherapy at Manipal Bangalore |
Affiliation |
Manipal Academy Of Higher Education |
Address |
Upper basement, Department of Physiotherapy, School of Allied health sciences Manipal Hospital #98 HAL Old Airport
Road Bangalore Bangalore KARNATAKA 560017 India
Bangalore KARNATAKA 560017 India |
Phone |
8667373166 |
Fax |
|
Email |
prem.v@manipal.edu |
|
Details of Contact Person Public Query
|
Name |
Dr Karthik Babu S PT PhD |
Designation |
Associate Professor |
Affiliation |
Manipal Academy Of Higher Education |
Address |
Upper basement, Department of Physiotherapy, School of Allied health sciences Manipal Hospital #98 HAL Old Airport
Road Bangalore Bangalore KARNATAKA 560017 India
Bangalore KARNATAKA 560017 India |
Phone |
9902338198 |
Fax |
|
Email |
karthikbabu78@gmail.com |
|
Source of Monetary or Material Support
|
Manipal Hospitals Bangalore |
|
Primary Sponsor
|
Name |
Manipal Academy Of Higher Education |
Address |
Department of Physiotherapy Manipal Hospital #98 HAL Old Airport
Road Bangalore Bangalore KARNATAKA 560017 India |
Type of Sponsor |
Research institution and hospital |
|
Details of Secondary Sponsor
|
|
Countries of Recruitment
|
India |
Sites of Study
|
No of Sites = 1 |
Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
Dr V Prem |
Manipal Hospital Bangalore |
Department of Physiotherapy School of Allied health sciences Manipal Hospital #98 HAL Old Airport
Road Bangalore Bangalore KARNATAKA 560017 India Bangalore KARNATAKA |
8667373166
prem.v@manipal.edu |
|
Details of Ethics Committee
|
No of Ethics Committees= 1 |
Name of Committee |
Approval Status |
INSTITUTIONAL RESEARCH COMMITTEE |
Approved |
|
Regulatory Clearance Status from DCGI
|
|
Health Condition / Problems Studied
|
Health Type |
Condition |
Patients |
(1) ICD-10 Condition: M628||Other specified disorders of muscle, |
|
Intervention / Comparator Agent
|
Type |
Name |
Details |
Comparator Agent |
Cranio cervical Flexor Training exercises |
Feedback from a pressure biofeedback unit placed suboccipitally
Patient was instructed to perform the neck nodding movement, like saying ‘YES’
The baseline pressure was set according to the activation score and performance index.
Once the performance index reaches 2×10
Performed at 5 different pressure levels (22, 24, 26, 28, and 30 mmHg) and to hold each level for 10 seconds.
A 10-second rest period was provided between each level.
Exercise was repeated for 10 times at each level.
Exercise was implemented 3 times per week for 4 weeks.
|
Intervention |
Proprioceptive Neuromuscular Facilitation |
Techniques of PNF used
Rhythmic initiation
Combination of isotonics
Dynamic reversals
Contract relax
Each pattern was performed 10 times in a day
Each exercise was implemented 3 times per week for 4 weeks |
|
Inclusion Criteria
|
Age From |
18.00 Year(s) |
Age To |
60.00 Year(s) |
Gender |
Both |
Details |
Patients with chronic mechanical neck pain with a duration of more than 3 months
Neck disability index scoring of ≥5%.
Numeric pain rating scale ≥ 3
|
|
ExclusionCriteria |
Details |
Injury, tumor, infection, or other non mechanical cause of neck pain
Clinically significant herniated disk with positive radicular arm pain, spinal fractures, and recent cervical surgery (cervical radiculopathy, myelopathy)
A history of trauma for neck pain
A headache associated with migrane
Psychiatric illness |
|
Method of Generating Random Sequence
|
Stratified block randomization |
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
Blinding/Masking
|
Outcome Assessor Blinded |
Primary Outcome
|
Outcome |
TimePoints |
Numerical pain rating scale |
Baseline
At the end of 4th week |
|
Secondary Outcome
|
Outcome |
TimePoints |
Neck Disability Index |
Baseline
At the end of 4th week |
Cervical Range of Motion |
Baseline
At the end of 4th week |
|
Target Sample Size
|
Total Sample Size="66" Sample Size from India="66"
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" |
Phase of Trial
|
N/A |
Date of First Enrollment (India)
|
10/03/2019 |
Date of Study Completion (India) |
Applicable only for Completed/Terminated trials |
Date of First Enrollment (Global) |
Date Missing |
Date of Study Completion (Global) |
Applicable only for Completed/Terminated trials |
Estimated Duration of Trial
|
Years="1" Months="3" Days="0" |
Recruitment Status of Trial (Global)
|
Not Applicable |
Recruitment Status of Trial (India) |
Not Yet Recruiting |
Publication Details
|
None |
Individual Participant Data (IPD) Sharing Statement
|
Will individual participant data (IPD) be shared publicly (including data dictionaries)?
|
Brief Summary
|
This is a clinical trial to find the effect of proprioceptive neuromuscular facilitation for the individuals suffering with neck pain for more than 3 months.To scale the effectiveness of proprioceptive neuromuscular facilitation on the neck muscles, we compare its effects with that of the craniocervical flexor training for such patients which has been well proved so far. Our intervention is done for three times a week for four weeks for both the groups. |