Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial
Abstract Introduction Mechanical neck pain (MNP) is a commonly occurring musculoskeletal condition that is usually managed using electrical modalities, joint mobilization techniques, and therapeutic exercises, but has limited evidence of their efficacy. Pathology (densification) of the deep cervical...
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| Format: | Article |
| Language: | English |
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BMC
2021-08-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-021-05533-w |
| _version_ | 1819129742860746752 |
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| author | Prabu Raja G Shyamasunder Bhat N César Fernández-de-las-Peñas Ranganath Gangavelli Fiddy Davis Ravi Shankar Anupama Prabhu |
| author_facet | Prabu Raja G Shyamasunder Bhat N César Fernández-de-las-Peñas Ranganath Gangavelli Fiddy Davis Ravi Shankar Anupama Prabhu |
| author_sort | Prabu Raja G |
| collection | DOAJ |
| description | Abstract Introduction Mechanical neck pain (MNP) is a commonly occurring musculoskeletal condition that is usually managed using electrical modalities, joint mobilization techniques, and therapeutic exercises, but has limited evidence of their efficacy. Pathology (densification) of the deep cervical fascia that occurs due to the increased viscosity of hyaluronic acid (HA) may induce neck pain and associated painful symptoms of the upper quarter region. Fascial manipulation (FM) and yoga poses are considered to reduce the thixotropy of the ground substances of the deep fascia and improve muscle function. The purpose of this study is to investigate the effect of FM and sequential yoga poses (SYP) when compared to the usual care on pain, function, and oculomotor control in MNP. Methods This FaCe-Man trial will recruit 160 patients with subacute and chronic mechanical neck pain diagnosed using predefined criteria. Participants will be randomized to either the intervention group or the usual care group, using a random allocation ratio of 1:1. Patients in the intervention group will receive FM (4 sessions in 4 weeks) and SYP (12 weeks) whereas the standard care group will receive cervical mobilization/ thoracic manipulation (4 sessions in 4 weeks) and therapeutic exercises (12 weeks). The primary outcome is the change in the numeric pain rating scale (NPRS). The secondary outcomes include changes in the patient-specific functional scale and oculomotor control, myofascial stiffness, fear-avoidance behavior questionnaire, and elbow extension range of motion during neurodynamics test 1. Discussion If found effective, FM along with SYP investigated in this trial can be considered as a treatment strategy in the management of mechanical neck pain. Considering the magnitude of the problem, and the pragmatic and patient-centered approach to be followed, it is worth investigating this trial. Trial registration ClinicalTrials.gov CTRI/2020/01/022934 . Registered on January 24, 2020 with ctri.nic.in. Clinical Trials Registry – India. |
| first_indexed | 2024-12-22T08:48:33Z |
| format | Article |
| id | doaj.art-b91da3a70cbb4b69948b1a095b935211 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-12-22T08:48:33Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-b91da3a70cbb4b69948b1a095b9352112022-12-21T18:32:02ZengBMCTrials1745-62152021-08-0122111410.1186/s13063-021-05533-wEffectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trialPrabu Raja G0Shyamasunder Bhat N1César Fernández-de-las-Peñas2Ranganath Gangavelli3Fiddy Davis4Ravi Shankar5Anupama Prabhu6Interdisciplinary Centre for Craniofacial and Orofacial pain Research, Department of Exercise and Sports Science, Manipal College of Health Professions, Manipal Academy of Higher EducationDepartment of Orthopedics, Kasturba Medical College, Manipal Academy of Higher EducationDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan CarlosDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher EducationDepartment of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher EducationDepartment of Data Science, Manipal Academy of Higher EducationDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher EducationAbstract Introduction Mechanical neck pain (MNP) is a commonly occurring musculoskeletal condition that is usually managed using electrical modalities, joint mobilization techniques, and therapeutic exercises, but has limited evidence of their efficacy. Pathology (densification) of the deep cervical fascia that occurs due to the increased viscosity of hyaluronic acid (HA) may induce neck pain and associated painful symptoms of the upper quarter region. Fascial manipulation (FM) and yoga poses are considered to reduce the thixotropy of the ground substances of the deep fascia and improve muscle function. The purpose of this study is to investigate the effect of FM and sequential yoga poses (SYP) when compared to the usual care on pain, function, and oculomotor control in MNP. Methods This FaCe-Man trial will recruit 160 patients with subacute and chronic mechanical neck pain diagnosed using predefined criteria. Participants will be randomized to either the intervention group or the usual care group, using a random allocation ratio of 1:1. Patients in the intervention group will receive FM (4 sessions in 4 weeks) and SYP (12 weeks) whereas the standard care group will receive cervical mobilization/ thoracic manipulation (4 sessions in 4 weeks) and therapeutic exercises (12 weeks). The primary outcome is the change in the numeric pain rating scale (NPRS). The secondary outcomes include changes in the patient-specific functional scale and oculomotor control, myofascial stiffness, fear-avoidance behavior questionnaire, and elbow extension range of motion during neurodynamics test 1. Discussion If found effective, FM along with SYP investigated in this trial can be considered as a treatment strategy in the management of mechanical neck pain. Considering the magnitude of the problem, and the pragmatic and patient-centered approach to be followed, it is worth investigating this trial. Trial registration ClinicalTrials.gov CTRI/2020/01/022934 . Registered on January 24, 2020 with ctri.nic.in. Clinical Trials Registry – India.https://doi.org/10.1186/s13063-021-05533-wCervical painMusculoskeletal manipulationActive stretchingSoft tissue therapyEye movementsConnective tissue |
| spellingShingle | Prabu Raja G Shyamasunder Bhat N César Fernández-de-las-Peñas Ranganath Gangavelli Fiddy Davis Ravi Shankar Anupama Prabhu Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial Trials Cervical pain Musculoskeletal manipulation Active stretching Soft tissue therapy Eye movements Connective tissue |
| title | Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial |
| title_full | Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial |
| title_fullStr | Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial |
| title_full_unstemmed | Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial |
| title_short | Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial |
| title_sort | effectiveness of deep cervical fascial manipulation and yoga postures on pain function and oculomotor control in patients with mechanical neck pain study protocol of a pragmatic parallel group randomized controlled trial |
| topic | Cervical pain Musculoskeletal manipulation Active stretching Soft tissue therapy Eye movements Connective tissue |
| url | https://doi.org/10.1186/s13063-021-05533-w |
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