The Effects Of Jaw Sensorimotor System In The Treatment Of Neck Pain And Dysfunction

Summary

The study will be focused on non- specific chronic neck pain patients. The primary objective is to study the effects of jaw sensorimotor system in the treatment of patients with neck pain and dysfunction. It will be randomized controlled trail with the estimated sample size of 80 with both genders. The experimental group will be performed Jaw opening-closing movements with active neck flexion and extension movements and control group will be performed active neck flexion and extension movements. Both groups will be received isometric strengthening exercises, Postural Advice and Home Exercise Program with Dairy. Numeric Pain Rating scale (NPRS), Neck disability Index (NDI), Neck Proprioception tests and Neck muscles endurance test will be used as outcome measures at day 0 and week 6 for treatment effect in both groups. Tables and graphs will used for demographic descriptions and appropriate statistical tests will be applied to establish treatment effect within and between groups.

Conditions

• Neck Pain
• PHYSIOTHERAPY
• JAW

Interventions

OTHER

Jaw opening-closing movements

Jaw opening-closing movements Patient seated on a normal standard comfortable chair with proper back support and feet placed on the floor with no head support. Active jaw movements The patient will then perform maximal Jaw opening-closing movements at a pace convenient for his/her for 15 times. Three sets with two minutes rest in between will be ensured. Active neck exercises While performing the above movements of jaws, the patient will actively perform active neck exercise (head-neck movements in sagittal plane- Extension- Flexion). Head-Neck extension on jaw opening (Mandible moves vertically downward); and then from Head-Neck extension to natural flexion movement on jaw closing (Mandible moves vertically upward).

OTHER

Specific Active exercises

Active neck exercises: Patient seated on a normal standard comfortable chair with proper back support and feet placed on the floor with no head support. Note: For Active neck exercise (flexion and extension movements of neck), firstly the patient will perform maximal Jaw opening-closing movements at a pace convenient for his/her for 5 times in order to observe (eyeball observation) the neck extension and flexion as reference point for each individual. Using this reference points, the patient will ask perform below mentioned active neck exercise. Active neck exercises: The patient will then perform active neck exercise (flexion and extension of neck) at a pace convenient for his/her for 15 times. Three sets with two minutes rest in between will be ensured. Active jaw movement: While performing the above movements of neck, the patient will not perform any jaws movements.

OTHER

Exercise Therapy

Isometric strengthening exercises For flexion the starting position will be upright head and neck. The patient will be asked to hold this position. For extension the starting position will be upright head and neck. The patient will be asked to hold this position. For rotation the starting position will be upright head and neck. The patient will be asked to hold this position. • In all above movements ( flexion, extension \& rotation) following method will be followed: Manual resistance will then be applied by the investigator by placing the hand on the patient's forehead, posterior part of the head and lateral part of the head with 6 second hold. 15 repetitions of this exercise will be performed. Three sets with one minute rest in between will be ensured.

OTHER

Supportive Treatment

Postural Advice and Home Exercise Program with Dairy Postural advice and home exercise program. Postural Advise Maintain upright posture while sitting. * Avoid prolonged neck bending. * Avoid twisting movement of the neck. * Use a suitable pillow to maintain cervical spine. * Adjust computer screen at eye level. * Avoid constant use of mobile or similar device to prevent excessive strain over neck joints and muscles. * Carry light and even weight in both hands while shopping and other chores.•Stay hydrated. Home Exercise Program (unsupervised) (3 times a day) * Forward flexion (Self Resisted), 6 sec hold, number of repetitions 15 * Right side flexion (Self Resisted ), 6 sec hold, number of repetitions 15 * Left side flexion (Self Resisted) x 6 sec hold,number of repetitions 15 * Backward flexion (Self Resisted) x 6 sec hold, number of repetitions 15 Home Dairy A home dairy will be provided to maintain home exercise program record.

Sponsors & Collaborators

• University of Lahore

  lead OTHER

Principal Investigators

• Saeed Akhter, MS · University of Lahore

Study Design

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

50 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2018-11-15

Primary Completion

2022-10-04

Completion

2022-10-04

Countries

• Pakistan

Study Locations