Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial
Abstract Background Impaired cervical joint position sense and balance are associated with neck pain. Specific therapeutic exercise and manual therapy are effective for improving neck pain and functional ability but their effects on joint position sense and balance impairments remain uncertain. Chan...
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| Format: | Article |
| Language: | English |
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BMC
2018-02-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12891-018-1964-3 |
| _version_ | 1818257348979851264 |
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| author | Munlika Sremakaew Gwendolen Jull Julia Treleaven Marco Barbero Deborah Falla Sureeporn Uthaikhup |
| author_facet | Munlika Sremakaew Gwendolen Jull Julia Treleaven Marco Barbero Deborah Falla Sureeporn Uthaikhup |
| author_sort | Munlika Sremakaew |
| collection | DOAJ |
| description | Abstract Background Impaired cervical joint position sense and balance are associated with neck pain. Specific therapeutic exercise and manual therapy are effective for improving neck pain and functional ability but their effects on joint position sense and balance impairments remain uncertain. Changes in the joint position sense and balance may need to be addressed specifically. The primary objective is to investigate the most effective interventions to improve impaired cervical joint position sense and balance in individuals with neck pain. The secondary objective is to assess the effectiveness of the interventions on pain intensity and disability, pain location, dizziness symptoms, cervical range of motion, gait speed, functional ability, treatment satisfaction and quality of life. Methods A 2 × 2 factorial, single blind RCT with immediate, short- and long-term follow-ups. One hundred and sixty eight participants with neck pain with impaired joint position sense and balance will be recruited into the trial. Participants will be randomly allocated to one of four intervention groups: i) local neck treatment, ii) local treatment plus tailored sensorimotor exercises, iii) local treatment plus balance exercises, and iv) local treatment plus sensorimotor and balance exercises. Participants receive two treatments for 6 weeks. Primary outcomes are postural sway and cervical joint position error. Secondary outcomes include gait speed, dizziness intensity, neck pain intensity, neck disability, pain extent and location, cervical range of motion, functional ability, perceived benefit, and quality of life. Assessment will be measured at baseline, immediately after treatment and at 3, 6, 12 month-follow ups. Discussion Neck pain is one of the major causes of disability. Effective treatment must address not only the symptoms but the dysfunctions associated with neck pain. This trial will evaluate the effectiveness of interventions for individuals with neck pain with impaired cervical joint position sense and balance. This trial will impact on clinical practice by providing evidence towards optimal and efficient management. Trial registration ClinicalTrials.gov (NCT03149302). May 10, 2017. |
| first_indexed | 2024-12-12T17:42:14Z |
| format | Article |
| id | doaj.art-cb3b7826c4894126b7083866afdb4b73 |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-12-12T17:42:14Z |
| publishDate | 2018-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-cb3b7826c4894126b7083866afdb4b732022-12-22T00:17:02ZengBMCBMC Musculoskeletal Disorders1471-24742018-02-0119111210.1186/s12891-018-1964-3Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trialMunlika Sremakaew0Gwendolen Jull1Julia Treleaven2Marco Barbero3Deborah Falla4Sureeporn Uthaikhup5Department of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai UniversityPhysiotherapy, School of Health and Rehabilitation Sciences, The University of QueenslandPhysiotherapy, School of Health and Rehabilitation Sciences, The University of QueenslandRehabilitation Research Laboratory 2rLab, Department of Business Economics Health and Social Care, University of Applied Sciences and Arts of Southern SwitzerlandCentre of Precision Rehabilitation for Spinal Pain (CPR Spine), School of Sport, Exercise and Rehabilitation Sciences, College of Life and Environmental Sciences, University of BirminghamDepartment of Physical Therapy, Faculty of Associated Medical Sciences, Chiang Mai UniversityAbstract Background Impaired cervical joint position sense and balance are associated with neck pain. Specific therapeutic exercise and manual therapy are effective for improving neck pain and functional ability but their effects on joint position sense and balance impairments remain uncertain. Changes in the joint position sense and balance may need to be addressed specifically. The primary objective is to investigate the most effective interventions to improve impaired cervical joint position sense and balance in individuals with neck pain. The secondary objective is to assess the effectiveness of the interventions on pain intensity and disability, pain location, dizziness symptoms, cervical range of motion, gait speed, functional ability, treatment satisfaction and quality of life. Methods A 2 × 2 factorial, single blind RCT with immediate, short- and long-term follow-ups. One hundred and sixty eight participants with neck pain with impaired joint position sense and balance will be recruited into the trial. Participants will be randomly allocated to one of four intervention groups: i) local neck treatment, ii) local treatment plus tailored sensorimotor exercises, iii) local treatment plus balance exercises, and iv) local treatment plus sensorimotor and balance exercises. Participants receive two treatments for 6 weeks. Primary outcomes are postural sway and cervical joint position error. Secondary outcomes include gait speed, dizziness intensity, neck pain intensity, neck disability, pain extent and location, cervical range of motion, functional ability, perceived benefit, and quality of life. Assessment will be measured at baseline, immediately after treatment and at 3, 6, 12 month-follow ups. Discussion Neck pain is one of the major causes of disability. Effective treatment must address not only the symptoms but the dysfunctions associated with neck pain. This trial will evaluate the effectiveness of interventions for individuals with neck pain with impaired cervical joint position sense and balance. This trial will impact on clinical practice by providing evidence towards optimal and efficient management. Trial registration ClinicalTrials.gov (NCT03149302). May 10, 2017.http://link.springer.com/article/10.1186/s12891-018-1964-3BalanceExercisesManual therapyNeck painSensorimotor control |
| spellingShingle | Munlika Sremakaew Gwendolen Jull Julia Treleaven Marco Barbero Deborah Falla Sureeporn Uthaikhup Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial BMC Musculoskeletal Disorders Balance Exercises Manual therapy Neck pain Sensorimotor control |
| title | Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial |
| title_full | Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial |
| title_fullStr | Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial |
| title_full_unstemmed | Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial |
| title_short | Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial |
| title_sort | effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain protocol for a randomized controlled trial |
| topic | Balance Exercises Manual therapy Neck pain Sensorimotor control |
| url | http://link.springer.com/article/10.1186/s12891-018-1964-3 |
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