EFFECT OF COMPREHENSIVE OCULAR AND CERVICAL MUSCLE RE-EDUCATION PROGRAM (COCMRP) ON PAIN, DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH NON-SPECIFIC NECK PAIN – A RANDOMIZED CONTROLLED TRIAL
Main Article Content
Keywords
pain, disability, gaze stability, cervical mobility, nonspecific neck pain
Abstract
Background: Nonspecific neck pain is an increasingly frequent musculoskeletal condition in the middle-aged group. Recent research highlights sensorimotor control disturbances, head-eye movement control deficit in patients with chronic neck pain. The reason of the long-term neck pain is the incongruence between the sensorimotor conflict from the cortical network areas created by the gaze direction and the sensorimotor feedback. It is therefore possible to alleviate the neck pain by changing the gaze direction and adjusting the sensorimotor incongruence. The aim of the study was to find the effect of Comprehensive ocular and cervical muscle re-education program (COCMRP) on pain, disability and quality of life in patients with non-specific neck pain.
Methodology: After designing the study Institutional Ethical Approval was taken. Consent was obtained from all the participants. 69 samples were screened based on eligibility criteria, 9 were excluded and were further divided into Group A (experimental group) and Group B (control group). Pre-assessment was done at Week 0. The experimental group received the Comprehensive ocular and cervical muscle re-education program for 3 session per week for 8 weeks, receiving total 24 sessions. The control group did their regular exercise program. Post-assessment was done at week Result: The Shapiro-Wilk test was used to assess the normality of data distribution. Analysis of variance (ANOVA) was used for comparison of mean at different time intervals. There were non-significant differences between the groups for disability and quality of life at Week 0. (p>0.05) There was a significant difference between the groups for pain, disability and quality of life balance at week 8 (p<0.05).
Conclusion: The study concludes that Comprehensive ocular and cervical muscle re-education program is beneficial in reducing pain, disability and improving quality of life in patients with nonspecific neck pain
References
2. Falla D, Farina D. Neuromuscular adaptation in experimental and clinical neck pain. Journal of Electromyography and Kinesiology. 2008 Apr 1;18(2):255-61.
3. Jahre H, Grotle M, Smedbråten K, Dunn KM, Øiestad BE. Risk factors for non-specific neck pain in young adults. A systematic review. BMC musculoskeletal disorders. 2020 Dec;21(1):1-2.
4. de Zoete RM, Osmotherly PG, Rivett DA, Farrell SF, Snodgrass SJ. Sensorimotor control in individuals with idiopathic neck pain and healthy individuals: a systematic review and meta-analysis. Archives of physical medicine and rehabilitation. 2017 Jun 1;98(6):1257-71.
5. Goudarzi L, Ghomashchi H, Vahedi M, Kahlaee AH. Investigating the Effect of Addition of Cervical Proprioceptive Training to Conventional Physiotherapy on Visual, Vestibular and Proprioceptive Dependency of Postural Control in Patients with Chronic Non-Specific Neck Pain: A Randomized Controlled Clinical Trial. Archives of Bone and Joint Surgery. 2024;12(1):36.
6. Bijur PE, Silver W, Gallagher EJ. Reliability of the visual analog scale for measurement of acute pain. Academic emergency medicine. 2001 Dec;8(12):1153-7.
7. Busija L, Pausenberger E, Haines TP, Haymes S, Buchbinder R, Osborne RH. Adult measures of general health and health‐related quality of life: Medical outcomes study short form 36‐item (SF‐36) and short form 12‐item (SF‐12) health surveys, Nottingham health profile (NHP), sickness impact profile (SIP), medical outcomes study short form 6D (SF‐6D), health utilities index mark 3 (HUI3), quality of well‐being scale (QWB), and assessment of quality of life (AQoL). Arthritis care & research. 2011 Nov;63(S11):S383-412.
8. Nobusako S, Matsuo A, Morioka S. Effectiveness of the gaze direction recognition task for chronic neck pain and cervical range of motion: a randomized controlled pilot study. Rehabilitation research and practice. 2012 May 7;2012.
9. Şimşek Ş, Duray M, Altuğ F. Effect of the gaze direction recognition task on pain intensity, range of motion and isometric muscle endurance in chronic neck pain. Cukurova Medical Journal. 2019 Jun 6;44(2):439-46.
10. Kapila J. Immediate local fatigue effects on sensorimotor cervical activity and proprioception in individuals with and without neck pain history.
11. de Vries J, Ischebeck BK, Voogt LP, Van Der Geest JN, Janssen M, Frens MA, Kleinrensink GJ. Joint position sense error in people with neck pain: a systematic review. Manual therapy. 2015 Dec 1;20(6):736-44.
12. Lauche R, Langhorst J, Dobos GJ, Cramer H. Clinically meaningful differences in pain, disability and quality of life for chronic nonspecific neck pain–a reanalysis of 4 randomized controlled trials of cupping therapy. Complementary therapies in medicine. 2013 Aug 1;21(4):342-7.
13. Worsfold C. Functional rehabilitation of the neck. Physical Therapy Reviews. 2020 Mar 3;25(2):61-72.
14. McCaskey MA, Schuster-Amft C, Wirth B, Suica Z, de Bruin ED. Effects of proprioceptive exercises on pain and function in chronic neck-and low back pain rehabilitation: a systematic literature review. BMC musculoskeletal disorders. 2014 Dec; 15(1):1-7.
15. Iqbal ZA, Alghadir AH, Anwer S. Efficacy of deep cervical flexor muscle training on neck pain, functional disability, and muscle endurance in school teachers: a clinical trial. BioMed research international. 2021 Jan 13; 2021.
16. Brijwasi T, Borkar P. To study the effect of sports specific training program on selective physical and physiological variables in basketball players. Int. J. Phys. Educ. Sport. Health. 2022;9:25-30.
17. Agrawal M, Borkar P. Effect Of Six-Week Hop Stabilization Exercise Program On Balance And Lower Limb Power In Amateur Volleyball Players: Randomized Controlled Trial. Journal for ReAttach Therapy and Developmental Diversities. 2023 Dec 16;6(1):928-33.
18. Borkar K, Borkar P. Analysis of physical performance during follicular phase vs luteal phase of menstrual cycle in eumenorrheic and young women. Age. 2022;21(0.79).
19. Giri HS, Borkar P. Effects of sensory stimulation on balance and postural control in diabetic neuropathy: systematic review. International Journal of Research in Medical Sciences. 2021 Jul;9(7):2090.
20. Moseley GL. Graded motor imagery for pathologic pain: a randomized controlled trial. Neurology. 2006 Dec 26;67(12):2129-34.
21. Borkar P, Badwe AN. Effect of Sports Specific Training Program on Skill Performance of Basketball Players–A Randomized Trial. Journal for ReAttach Therapy and Developmental Diversities. 2023 Aug 16;6(7s):884-9.
22. Agrawal R, Borkar P. Influence of martial art on self efficacy and attention time span in adults: Systematic review. International Journal of Physical Education, Sports and Health. 2021;8(3):151-7.
23. Warang S, Borkar P. EFFECT OF CYCLING SPECIFIC CIRCUIT TRAINING (CSCT) ON PHYSIOLOGICAL VARIABLES IN AMATEUR CYCLISTS–A RANDOMIZED CONTROLLED TRIAL. Journal of Population Therapeutics and Clinical Pharmacology. 2024 Mar 8;31(3):390-8.
24. Singh R, Borkar P. Prevalence of work-related musculoskeletal disorders among IT professionals in India-a literature review. International Journal of Research in Medical Sciences. 2020 Oct;8(10):3765.
25. Mendhe S, Borkar P. Effect of Scapular Stabilization Exercise Program on Neck Disability and Forward Head Posture among Computer Operators. Indian Journal of Physiotherapy & Occupational Therapy Print-(ISSN 0973-5666) and Electronic–(ISSN 0973-5674). 2021 Aug 25;15(4):68-72.
26. Logde A, Borkar P. Effect of retro walking on hamstring flexibility in normal healthy individual. Int J Phys Educ Sports Health. 2018;5(3):71-3.
27. Masal S, Borkar P. Epidemiology of musculoskeletal injuries in Indian classical dancers: A systematic review. Int J of Phy Edu, Sports, and Health. 2021;8(3):310-9.
28. Qu N, Tian H, De Martino E, Zhang B. Neck pain: do we know enough about the sensorimotor control system?. Frontiers in Computational Neuroscience. 2022 Jul 15;16:946514
Article Sidebar
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
All articles published in JPTCP are licensed under Copyright Creative Commons Attribution-NonCommercial 4.0 International License.
Muskan Agrawal
Post graduate Student
Pradeep Borkar
Associate Professor Department of Ortho Physiotherapy, Dr. APJ Abdul Kalam College of Physiotherapy, Pravara Institute of Medical Sciences, Loni, Ahmednagar, India, Mob: 9168572881