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Status unknownNCT02656030Updated Feb 15, 2016

Effects of Specific Training for Deep Neck Muscle

An interventional study of semispinalis cervicis resisted exercise and cranio-cervical flexion exercise in Neck Pain, sponsored by Khon Kaen University. Status unknown at 1 site in Thailand. Open to participants aged 18 Years to 59 Years. Per ClinicalTrials.gov, last updated 2016-02-15.

Sponsored by Khon Kaen University · Not applicable, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Feb 2016), so the status shown — last known as Recruiting — may be out of date.
Phase
Not applicable
Study type
Interventional
Enrollment
60
Allocation
Randomized
Ages
18 Years to 59 Years
Sex
All
01

Study summary

Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.

Exercise is known to be an important component of treatment programs for patients with neck pain. Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles.Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects.

The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.

Read the detailed description

Neck pain is a second the most common problems in musculoskeletal problems the low back pain in general population.The prevalence of neck pain at the some point in their lifetime in general population had been reported to be between 43 to 66.7 percent.the neck problems could be involved physical function, psychological function and social function. The economic burden for neck pain is very high.Recent studies indicate that the patients with chronic neck pain present decreased activation and weak of neck muscles, especially deep flexor and extensor muscles. Alterations of deep are associated with pain and impairment of neck function in chronic neck pain.Recently, many studies have focused on specific training on deep cervical muscles, especially deep cervical flexor and deep cervical extensor muscles. The specific training on deep cervical muscles aims to improve control strategy, improve activation of deep cervical flexor muscles to optimize movement control of segmental motion of the cervical spine. Numerous studies using cranio-cervical flexor exercise as a treatment have revealed reduction on pain, neck disability, changing in activation of deep and superficial cervical flexor muscles. Further, the cervical extensor muscles are believed to be equally important for the rehabilitation of patients with neck pain. So, the activation of the deep cervical extensors should be emphasized for the management in people with neck pain. Schomacher et al (2012) suggested that isometric resisted exercise at the second cervical vertebra can improve semispinalis cervicis muscle activity in neck pain patients. However, the retention effect of semispinalis cervicis exercise is unknown. Therefore, the semispinalis cervicis exercise still need more evidence to support clinically effects. The current study will be conducted to fill the gap of the previous study in immediately, short, and long term effects of semispinalis cervicis exercise in chronic neck pain.

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Conditions studied

  • Neck Pain

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03

In context

Neck Pain

1,232 studies on the registry are indexed under Neck Pain; 255 are open to participants now.

This study's planned enrollment of 60 is above the median of 52 across 1,004 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

Khon Kaen University is the lead sponsor of 160 studies on the registry; 24 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
18 Years to 59 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Chronic mechanical neck pain
  • Aged between 18 to 59 years
  • The symptom more than three months in duration
  • A baseline the Thai version of Neck Disability Index (NDI-TH) score of 10 percent or greater

Exclusion criteria

Exclusion Criteria:

  • a previous history of whiplash injury
  • a previous history injury to the cervical and thoracic spine
  • diagnosed with osteoporosis, malignancy or other spinal inflection
  • a positive vertebro-basilar artery insufficient test
  • diagnosed with cervical radiculopathy and/or myelopathy
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Investigator)
Enrollment
60 participants (estimated)

Study arms

  • Experimental
    semispinalis cervicis resisted exercise

    semispinalis cervicis resisted exercise 2 times/week, 6 weeks duration

    Other: semispinalis cervicis resisted exercise

  • Experimental
    cranio-cervical flexion exercise

    cranio-cervical flexion exercise 2 times/week, 6 weeks duration

    Other: cranio-cervical flexion exercise

  • Active comparator
    usual care

    Usual care 2 times/week, 6 weeks duration

    Other: usual care

Interventions

  • Othersemispinalis cervicis resisted exercise

    semispinalis cervicis resisted exercise, 2 time per week, 6 weeks duration

  • Othercranio-cervical flexion exercise

    cranio-cervical flexion exercise, 2 time per week, 6 weeks duration

  • Otherusual care

    usual care, 2 time per week, 6 weeks duration

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What researchers measure

Primary outcomes

  1. Neck Disability Index

    Time frame: Up to 3-months after the last intervention session

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Study locations

1 of 1 sites recruiting
  • Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University
    Muang, Khon Kaen 40002, Thailand
    Recruiting
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References and documents

Publications

  • Falla D, O'Leary S, Farina D, Jull G. The change in deep cervical flexor activity after training is associated with the degree of pain reduction in patients with chronic neck pain. Clin J Pain. 2012 Sep;28(7):628-34. doi: 10.1097/AJP.0b013e31823e9378. PubMed 22156825 ↗
  • Schomacher J, Petzke F, Falla D. Localised resistance selectively activates the semispinalis cervicis muscle in patients with neck pain. Man Ther. 2012 Dec;17(6):544-8. doi: 10.1016/j.math.2012.05.012. Epub 2012 Jun 22. PubMed 22728210 ↗
  • Suvarnnato T, Puntumetakul R, Uthaikhup S, Boucaut R. Effect of specific deep cervical muscle exercises on functional disability, pain intensity, craniovertebral angle, and neck-muscle strength in chronic mechanical neck pain: a randomized controlled trial. J Pain Res. 2019 Mar 7;12:915-925. doi: 10.2147/JPR.S190125. eCollection 2019. PubMed 30881101 ↗

Individual participant data

Plan to share: Undecided

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 15, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02656030
Lead sponsor
Khon Kaen University
Responsible party
Thavatchai Suvarnnato (Member of Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University) — Principal investigator
First posted
Jan 14, 2016
Start date
Nov 2015
Primary completion
Jun 2017 (estimated)
Completion
Dec 2017 (estimated)
Last update
Feb 15, 2016

Study contacts

Thavatchai Suvarnnato, M.Sc. PT
Contact
suvarnnato@hotmail.com
+66890092175
Thavatchai Suvarnnato, M.Sc. PT
Contact
Thavatchai Suvarnnato, M.Sc. PT
principal investigator · Research Center in Back, Neck, Other Joint Pain and Human Performance, Khon Kaen University

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is status unknown, as verified in Feb 2016. You cannot join it, but the record below documents what was studied.

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