Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: Protocol for a randomized controlled trial

© 2018 The Author(s). 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 u...

Full description

Saved in:
Bibliographic Details
Main Authors: Munlika Sremakaew, Gwendolen Jull, Julia Treleaven, Marco Barbero, Deborah Falla, Sureeporn Uthaikhup
Format: Journal
Published: 2018
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85042059937&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/48535
Tags: Add Tag
No Tags, Be the first to tag this record!
Institution: Chiang Mai University
id th-cmuir.6653943832-48535
record_format dspace
spelling th-cmuir.6653943832-485352018-04-25T10:13:43Z Effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: Protocol for a randomized controlled trial Munlika Sremakaew Gwendolen Jull Julia Treleaven Marco Barbero Deborah Falla Sureeporn Uthaikhup © 2018 The Author(s). 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. 2018-04-25T10:13:43Z 2018-04-25T10:13:43Z 2018-02-13 Journal 14712474 2-s2.0-85042059937 10.1186/s12891-018-1964-3 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85042059937&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/48535
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
description © 2018 The Author(s). 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.
format Journal
author Munlika Sremakaew
Gwendolen Jull
Julia Treleaven
Marco Barbero
Deborah Falla
Sureeporn Uthaikhup
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
author_facet Munlika Sremakaew
Gwendolen Jull
Julia Treleaven
Marco Barbero
Deborah Falla
Sureeporn Uthaikhup
author_sort Munlika Sremakaew
title 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_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_sort effects of local treatment with and without sensorimotor and balance exercise in individuals with neck pain: protocol for a randomized controlled trial
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85042059937&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/48535
_version_ 1681423267011756032