Investigation of the Effect of Motor Imagery Training in Individuals With Cervical Discogenic Pain
Image, Body, Neck Pain, Disc Herniation
About this trial
This is an interventional treatment trial for Image, Body focused on measuring imagery, neck pain, disc herniation, exercise training, awareness
Eligibility Criteria
Inclusion Criteria: Being between the ages of 18 and 65, Having a diagnosis of cervical disc herniation based on MRI findings, clinical, and physical examination, Experiencing neck pain for 3 months or longer, Having a resting pain intensity rated 3-7 (moderate severity) on the "Visual Analog Scale" for pain assessment (36), Classifying neck pain according to the 'Neck Pain Task Force' clinical classification system as Grade 3 (neck pain with accompanying neurological symptoms) or above, Having a Mini-Mental Test score of 24 or higher for the evaluation of cognitive functions. Exclusion Criteria: Having a history of spinal tumor, spinal deformities, congenital malformation, or head trauma, Undergoing cervical spine surgery in the last 6 months, Having a presence of systemic, cardiorespiratory, central nervous system, or rheumatic diseases, any musculoskeletal or craniocervical disorders, or a history of headache.
Sites / Locations
- School of Sarıkaya Physical Therapy and Rehabilitation
- Tugba DERE
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Motor Imagery Training
Motor Control Exercise
Motor Imagery Training Motor Imagery Training will be applied only to the 2nd group, under the supervision of a physiotherapist, twice a week for 8 weeks, for 20 minutes each session. The treatment duration for the 2nd group will be planned to be a total of 50 minutes, including both motor imagery and motor control exercises. Motor imagery sessions will take place in a quiet environment, with individuals comfortably seated. Lateralization Training Kinesthetic Imagery Visual Imagery Mirror-Image Active Exercise: Between weeks 6 and 8 of motor imagery training, the active exercises (Stretching Exercises, Active Exercises, and Endurance Exercises) will be actively performed in front of a mirror
Stretching Exercises: Stretching exercises will be applied to the cervical muscles, pectoral muscles, back, and shoulder muscles. Individuals will be asked to perform flexion, extension, lateral flexion, and rotational normal joint movements in the cervical region, and hold the end position for a few seconds. All stretching exercises will be performed for 15 repetitions. Active Exercises: To strengthen the cervical muscle groups, individuals will be taught how to use a mild to moderate resistance theraband for cervical flexion, extension, and lateral flexion, without compromising the chin tuck movement. Each movement will be performed for 10 repetitions, with 5-second rest intervals between exercises. Endurance Exercises: Before starting the endurance exercises, individuals will be taught the contraction of deep cervical flexors to gain automatic postural stabilization, and they will be instructed to maintain this movement in every exercise and activity.