Pressure Biofeedback on Deep Cervical Flexor Muscles

Condition(s) studied

Investigational drug(s) / intervention(s)

Pressure Biofeedback Training: intervention group participants will receive pressure biofeedback training in addition to general musculoskeletal training. This will occur three times a week for 20 minutes over an 8-week period. Sessions begin with a 5-minute warm-up consisting of neck stretching. This was done to prepare for the pressure biofeedback, which will increase the strength of the neck. Participants lay supine with the neck in a neutral position, A stabilizer pressure biofeedback unit (Chattanooga Group, Hixson, TN) is placed under the cervical lordosis and inflated to 20 mmHg using a pressure sensor. The therapist then stands beside the participant and instruct them to nod their head slowly at their own speed. When the DCFM are activated, they make the cervical lordosis a little flatter. In this study, this change is measured as a change in pressure measured by the sensor. The activation scores are calculated as the highest pressure that participants could maintain for 10 seconds.

General Musculoskeletal Exercise: These exercises will be applied three times a week for 30 minutes over an 8-week time period. General musculoskeletal exercise: 10 minutes stretching, 15 minutes strengthening, and 5 minutes posture correction and proprioception exercises with elastic ball against the wall.

Study summary

This study aims to reduce mechanical neck pain and improve deep cervical flexor muscle endurance by using pressure biofeedback training for school educators to improve their job satisfaction and quality of life.

The main question is Can adding Pressure Biofeedback training to the General musculoskeletal Exercise Increase Deep Cervical Flexor Muscle Endurance , Functional Disability and reduce Pain than only implementing General Musculoskeletal Exercise in School Teachers ?

Researcher will Compare General Musculoskeletal Exercise Treatment with a General Musculoskeletal exercise Treatment including Pressure Biofeedback Training

Participants will:

1- undergo this trial for 8 weeks 2 - Three times per week for 30 minute per session

Eligibility

Primary outcome measure(s)

• Cervical Range of Motion — From enrollment time Until after Intervention of 8 weeks
  Cervical range of motion using a goniometer, Flexion and Extension of the neck as the axis of the goniometer is aligned parallel to the external auditory meatus (ear canal). The stationary arm is placed parallel to the floor while the moving arm is aligned with the base of the nares (nostrils). The patient is instructed to gently flex the chin toward the chest . Then arch the head backwards for extension
• Cranio-Cervical Flexion Test — From enrollment time until after Intervention 8 weeks
  clinical test of neuromotor control including the activation and endurance of deep flexors of the cervical spine. This test includes the patient to perform a "yes" like nod. This move is the anatomical action of deep cervical flexors against pressure biofeedback unit.The first stage of this test pressure should increase by 2 mm Hg. The patient is asked to obtain this position for 10 seconds. Then the patient relaxes back to 20 mm Hg. Then we increase the pressure again this time to 24 mm Hg using the same action and hold for 10 seconds. The patient must do this until he/she has reached a pressure of 30 mm Hg. This test should be repeated two times without fatigue
• Numeric Pain Scale — From enrollment time until after Intervention 8 weeks
  It is a pain screening evaluation tool that is commonly used to evaluate the severity of pain at the moment in time, using scale from 0 - 10, with zero meaning " no pain" and 10 meaning " the worst pain"
• Cervical Joint position Error Test — From enrollment until after intervention 8 weeks
  It is a valid test for assessing cervical spine proprioception. In this test, a 40 cm target with 1 cm concentric circles is placed 90 cm away at head height while the patient sits A laser pointer attached to a headband helps the patient align the laser with the target's center to find a neutral head position .With eyes closed, the patient rotates their head and verbally signals when they believe they are back at the starting position before opening their eyes

Trial sites (1)

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