The Effects of Local Vibration and Cervical Stabilization Exercises Applied on Neck Muscles on Balance in Healthy Individuals
Primary Purpose
Cervical Pain, Somatosensory Disorders, Vestibular Diseases
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
Neck Muscle Vibration
Cervical Stabilization Exercises
Sponsored by
About this trial
This is an interventional treatment trial for Cervical Pain focused on measuring Vibration, Cervical stabilization exercises, Physiotherapy and rehabilitation, Sensory organization test, Balance
Eligibility Criteria
Inclusion Criteria:
- Individuals who have not had neck pain in the last six months.
Exclusion Criteria:
- Patients with atypical spinal cord anomalies, inflammatory or rheumatologic disorders, malignancy history, radiculopathy, myelopathy or other neurological disorders, vestibular disorders, and vertebral trauma history who underwent any surgical treatment for vertebral colonic at least 3 months before, was not included in the study.
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Active Comparator
Active Comparator
No Intervention
Arm Label
Vibration Group
Stabilization Group
Control Group
Arm Description
Local vibration on neck muscles
Cervical stabilization exercises on cervical region
Individuals performed only daily living activities
Outcomes
Primary Outcome Measures
Sensory Organization Test
The sensory organization test. The sensory organization test (SOT) was developed to describe the contribution levels of the three basic systems of balance (visual, vestibular, somatosensory) to the general equilibrium. SOT was used to assess changes in visual, vestibular, and somatosensory balance of individuals at eighth week.
Secondary Outcome Measures
Head Shake Sensory Organization Test (HS-SOT)
This test is applied in the second and fifth cases of the standard Sensory Organization Test, with eyes closed for events, with the task of shaking the head.
Full Information
NCT ID
NCT03464214
First Posted
February 27, 2018
Last Updated
December 17, 2018
Sponsor
Hacettepe University
1. Study Identification
Unique Protocol Identification Number
NCT03464214
Brief Title
The Effects of Local Vibration and Cervical Stabilization Exercises Applied on Neck Muscles on Balance in Healthy Individuals
Official Title
The Effects of Local Vibration and Cervical Stabilization Exercises Applied on Neck Muscles on Balance in Healthy Individuals
Study Type
Interventional
2. Study Status
Record Verification Date
December 2018
Overall Recruitment Status
Completed
Study Start Date
March 12, 2016 (Actual)
Primary Completion Date
November 15, 2016 (Actual)
Study Completion Date
January 2, 2017 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Hacettepe University
4. Oversight
Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No
5. Study Description
Brief Summary
In healthy individuals, many postural musculoskeletal problems arise due to various reasons. The cervical region is the region where these problems are most common. The cervical region ranks second in the general population after the lumbal area of musculoskeletal system disorders and affects close to 70% of the general population.The most important causes of this posture disorder are; muscular performance and strength are inadequate, as well as decreased proprioception of the muscles, deterioration of the individual balance systems that result in individual visual or vestibular problems.
Exercise therapy is at the forefront of these methods, while a variety of methods are applied in the prevention and treatment of neck problems. Recent studies have focused on multifaceted treatments including exercises to improve strength, endurance and coordination of cervical muscles, proprioceptive training, relaxation exercises to prevent muscle tension, stabilization exercises and behavior modification. Cervical stabilization exercises are a frequently used exercise approach. Cervical stabilization exercises, which are different from ordinary exercises, are based on biomechanics, neurophysiology and physiotherapy research. The main objective of this method is; improve body awareness, maintain posture uniformity, improve strength, endurance, coordination and proprioception. Stabilization exercises also increase the strength and endurance of the postural and stabilizer muscles, improving stability control in the stabilized and non-stabilized positions.
Another method that contributes to the development of balance and proprioceptive sense is vibration application. Proprioception plays an important role in ensuring the coordination of movements. When the proprioception input is disturbed, both the position sense and the speed of movement may be affected. Muscle-tendon vibration is a noninvasive method that is often used in proprioception studies. It has been suggested that the vibration application are the enhancing effect of the proprioceptive. However, there is not enough research on this subject.
The purpose of this study is to determine whether the cervical stabilization exercises to be applied to the cervical region and the local vibration applied to the neck muscles are related to muscle performance, proprioception and balance and their superiority with each other.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Cervical Pain, Somatosensory Disorders, Vestibular Diseases
Keywords
Vibration, Cervical stabilization exercises, Physiotherapy and rehabilitation, Sensory organization test, Balance
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Outcomes Assessor
Allocation
Randomized
Enrollment
16 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Vibration Group
Arm Type
Active Comparator
Arm Description
Local vibration on neck muscles
Arm Title
Stabilization Group
Arm Type
Active Comparator
Arm Description
Cervical stabilization exercises on cervical region
Arm Title
Control Group
Arm Type
No Intervention
Arm Description
Individuals performed only daily living activities
Intervention Type
Device
Intervention Name(s)
Neck Muscle Vibration
Intervention Description
Local vibration device applied on neck muscles for 8 weeks
Intervention Type
Behavioral
Intervention Name(s)
Cervical Stabilization Exercises
Intervention Description
Cervical stabilization exercises performed by healty individuals for 8 weeks
Primary Outcome Measure Information:
Title
Sensory Organization Test
Description
The sensory organization test. The sensory organization test (SOT) was developed to describe the contribution levels of the three basic systems of balance (visual, vestibular, somatosensory) to the general equilibrium. SOT was used to assess changes in visual, vestibular, and somatosensory balance of individuals at eighth week.
Time Frame
SOT was used to assess changes in visual, vestibular, and somatosensory balance of individuals at eighth week.
Secondary Outcome Measure Information:
Title
Head Shake Sensory Organization Test (HS-SOT)
Description
This test is applied in the second and fifth cases of the standard Sensory Organization Test, with eyes closed for events, with the task of shaking the head.
Time Frame
HS-SOT was used to assess changes only vestibular balance of individuals at eighth week.
10. Eligibility
Sex
Male
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
30 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Individuals who have not had neck pain in the last six months.
Exclusion Criteria:
Patients with atypical spinal cord anomalies, inflammatory or rheumatologic disorders, malignancy history, radiculopathy, myelopathy or other neurological disorders, vestibular disorders, and vertebral trauma history who underwent any surgical treatment for vertebral colonic at least 3 months before, was not included in the study.
12. IPD Sharing Statement
Plan to Share IPD
Undecided
Citations:
PubMed Identifier
11923661
Citation
Boyd-Clark LC, Briggs CA, Galea MP. Muscle spindle distribution, morphology, and density in longus colli and multifidus muscles of the cervical spine. Spine (Phila Pa 1976). 2002 Apr 1;27(7):694-701. doi: 10.1097/00007632-200204010-00005.
Results Reference
result
PubMed Identifier
3162006
Citation
Peterson BW, Goldberg J, Bilotto G, Fuller JH. Cervicocollic reflex: its dynamic properties and interaction with vestibular reflexes. J Neurophysiol. 1985 Jul;54(1):90-109. doi: 10.1152/jn.1985.54.1.90.
Results Reference
result
PubMed Identifier
10714539
Citation
Jull GA, Richardson CA. Motor control problems in patients with spinal pain: a new direction for therapeutic exercise. J Manipulative Physiol Ther. 2000 Feb;23(2):115-7.
Results Reference
result
PubMed Identifier
1490034
Citation
Panjabi MM. The stabilizing system of the spine. Part I. Function, dysfunction, adaptation, and enhancement. J Spinal Disord. 1992 Dec;5(4):383-9; discussion 397. doi: 10.1097/00002517-199212000-00001.
Results Reference
result
PubMed Identifier
17306912
Citation
Adams M. Re: Spine stability: the six blind men and the elephant. Clin Biomech (Bristol, Avon). 2007 May;22(4):486; author reply 487-8. doi: 10.1016/j.clinbiomech.2007.01.001. Epub 2007 Feb 16. No abstract available.
Results Reference
result
PubMed Identifier
25452010
Citation
Beinert K, Keller M, Taube W. Neck muscle vibration can improve sensorimotor function in patients with neck pain. Spine J. 2015 Mar 1;15(3):514-21. doi: 10.1016/j.spinee.2014.10.013. Epub 2014 Oct 22.
Results Reference
result
PubMed Identifier
10767813
Citation
Brumagne S, Cordo P, Lysens R, Verschueren S, Swinnen S. The role of paraspinal muscle spindles in lumbosacral position sense in individuals with and without low back pain. Spine (Phila Pa 1976). 2000 Apr 15;25(8):989-94. doi: 10.1097/00007632-200004150-00015.
Results Reference
result
PubMed Identifier
10200901
Citation
Bosco C, Colli R, Introini E, Cardinale M, Tsarpela O, Madella A, Tihanyi J, Viru A. Adaptive responses of human skeletal muscle to vibration exposure. Clin Physiol. 1999 Mar;19(2):183-7. doi: 10.1046/j.1365-2281.1999.00155.x.
Results Reference
result
PubMed Identifier
12562163
Citation
Cardinale M, Bosco C. The use of vibration as an exercise intervention. Exerc Sport Sci Rev. 2003 Jan;31(1):3-7. doi: 10.1097/00003677-200301000-00002.
Results Reference
result
PubMed Identifier
12218749
Citation
Torvinen S, Kannus P, Sievanen H, Jarvinen TA, Pasanen M, Kontulainen S, Jarvinen TL, Jarvinen M, Oja P, Vuori I. Effect of four-month vertical whole body vibration on performance and balance. Med Sci Sports Exerc. 2002 Sep;34(9):1523-8. doi: 10.1097/00005768-200209000-00020.
Results Reference
result
PubMed Identifier
15706558
Citation
Bruyere O, Wuidart MA, Di Palma E, Gourlay M, Ethgen O, Richy F, Reginster JY. Controlled whole body vibration to decrease fall risk and improve health-related quality of life of nursing home residents. Arch Phys Med Rehabil. 2005 Feb;86(2):303-7. doi: 10.1016/j.apmr.2004.05.019.
Results Reference
result
PubMed Identifier
22344045
Citation
Cheng CF, Cheng KH, Lee YM, Huang HW, Kuo YH, Lee HJ. Improvement in running economy after 8 weeks of whole-body vibration training. J Strength Cond Res. 2012 Dec;26(12):3349-57. doi: 10.1519/JSC.0b013e31824e0eb1.
Results Reference
result
PubMed Identifier
26180368
Citation
Yong MS, Lee HY, Ryu YU, Lee MY. Effects of craniocervical flexion exercise on upper-limb postural stability during a goal-directed pointing task. J Phys Ther Sci. 2015 Jun;27(6):2005-7. doi: 10.1589/jpts.27.2005. Epub 2015 Jun 30.
Results Reference
result
PubMed Identifier
17678669
Citation
Wrisley DM, Stephens MJ, Mosley S, Wojnowski A, Duffy J, Burkard R. Learning effects of repetitive administrations of the sensory organization test in healthy young adults. Arch Phys Med Rehabil. 2007 Aug;88(8):1049-54. doi: 10.1016/j.apmr.2007.05.003.
Results Reference
result
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The Effects of Local Vibration and Cervical Stabilization Exercises Applied on Neck Muscles on Balance in Healthy Individuals
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