Kinematic Training in Patients With Neck Pain Based on Machine Learning Classification Approach

Summary

The goal of this clinical trial is to study if kinematic training based on novel kinematic assessment clasification approach can decrease chronic neck pain and prevent its reoccurance better than conventional kinematic training in adults. The main question\[s\] it aims to answer \[is/are\]:

Does clustering patients with neck pain based on head and neck movement characteristics lead to more efficient kinematic rehabilitation training and improved clinical outcomes

Researchers will compare effects of cluster specific kinematic training to see if it effects pain levels and its reoccurance.

Participants will \[describe the main tasks participants will be asked to do, interventions they'll be given and use bullets if it is more than 2 items\].

Conditions

• Chronic Neck Pain

Interventions

OTHER

Smallest movement deficit training protocol

Kinematic training intervention (head and neck movement training): focused on head and neck movement training in a sitting position with changing velocities (ranges of difficulty levels from 0,5 to 3, 3 to 5, and 4 to 7 deg/s), amplitudes (40 to 90% ROM), and changes of direction/movements (combination of single and mixed axis of movement - flexion/extension and lef or right rotations). The listed parameters are increased when the average accuracy of two following training sessions reaches 60% time-on-target. Patients will perform 4 training sessions per week (20 min duration each), for four weeks.

OTHER

Smaller movement deficit training protocol

Kinematic training intervention (head and neck movement training): focused on head and neck movement training in a sitting position with the task to catch the moving target (always starting 2-15 deg in front of the starting position of the head) moving at different constant velocities (ranges of individual trial velocities at different difficulty levels - 0,5 to 3, 3 to 5, and 4 to 7 deg/s), amplitudes (40 to 90% ROM). Movements will be perfromed in a diagonal 2D line encompasing flexion/extension and rotations). The listed parameters are increased when the average session accuracy reaches 60% time-on-target. If 60% time-on-target will be reached before the end of 4 week training period, general training intervention will be continued. Patients will perform 4 training sessions per week (20 min duration each), for four weeks.

OTHER

Larger movement deficit training group

Kinematic training intervention (head and neck movement training): focused on head and neck movement training in a sitting position with the task to follow the moving target (always starting at the same starting position of the head) moving at different constant velocities (ranges of individual trial velocities at different difficulty levels - 0,5 to 3, 3 to 5, and 4 to 7 deg/s), amplitudes (40 to 90% ROM). All movements finish at random point which has to be maintained for 5 s. Movements will be performed in diagonal 2D lines simultaneously encompasing flexion/extension and rotations). The listed parameters are increased when the average session accuracy reaches 60% time-on-target. If 60% time-on-target will be reached before the end of 4 week training period, training intervention of the group with smaller movement deficits will be continued. Patients will perform 4 training sessions per week (20 min duration each), for four weeks.

OTHER

Largest movement deficit training protocol

Kinematic training intervention (head and neck movement training): focused on head and neck movement training in a sitting position with the goal to follow the moving target (always starting at the same starting position as the head) moving at different constant velocities (ranges of individual trial velocities at different difficulty levels - 0,5 to 3, 3 to 5, and 4 to 7 deg/s), amplitudes (40 to 90% ROM). All movements finish at random point which has to be maintained for 5 s. Movements will be performed in a single axis (flexion/extension and seperatelly rotations). The listed parameters are increased when the average session accuracy reaches 60% time-on-target. If 60% time-on-target will be reached before the end of 4 week training period, training intervention of the group with larger movement deficits will be continued. Patients will perform 4 training sessions per week (20 min duration each), for four weeks.

OTHER

Control group intervention protocol

Kinematic training intervention (head and neck movement training): focused on head and neck movement training in a sitting position with constant velocities (ranges of difficulty levels from 0,5 to 3, 3 to 5, and 4 to 7 deg/s), at different amplitudes between trials (40 to 90% ROM), and at predefined movement paths (square, circle, zig-zag and figure of 8 pattern). The listed parameters are increased when the average accuracy of two following training sessions reaches 60% time-on-target. Patients will perform 4 training sessions per week (20 min duration each), for four weeks.

Sponsors & Collaborators

• University of Ljubljana

  lead OTHER

Study Design

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

65 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2026-03-18

Primary Completion

2026-06-20

Completion

2026-09-20

Countries

• Slovenia

Study Locations