Biomechanical Risk Factors of Cervical Pain in Pregnant Women
ConditionCervical Pain
Trial statusNot yet recruiting
Trial phaseNot listed
Trial typeObservational
Biological sexFemale
Age20-35
SponsorCairo University
About this trial
The purpose of the study is to assess the biomechanical risk factors for neck pain in pregnant women.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Pregnant women in their third trimester suffering from cervical pain.
They have experienced cervical pain starting during pregnancy.
They reported no neck pain or neck-related disorders during the previous year and were screened for the absence of cervical pathology during a physical examination.
Disqualifiers
Objective signs of structural pathology on physical examination, including but not limited to shoulder bursitis, impingement, tendonitis, fracture, cervical nerve or disc impairment, radiculopathy, or loss of upper extremity sensory or motor function.
Acute injury of the neck or shoulders (<12 weeks before the study).
History of fibromyalgia or musculoskeletal pain present in more than 4 body regions concurrently.
Self-reported systemic illness, including cancer, rheumatic, cardiovascular, or neurological disease
Trial population
They will be selected from the departments of obstetrics and gynecology at Sinhout Hospital and Minya Elkamh Central Hospital, El-Sharqia Governorate, Egypt.
Trial design
Design model
Other
Time perspective
Cross-sectional
Treatments tested in this trial
- Other intervention
Treatment groups
116 Participants
are divided into 1 treatment groupGroup A: Pregnant women with cervical pain0 interventions
Trial outcomes
Primary outcomes
1
Pain intensity
The VAS will be used to assess cervical pain for each pregnant woman. It is a pain rating scale, whose scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale-"no pain" on the left end (0 cm) of the scale and "worst pain" on the right end of the scale (10 cm).
Time frame
2 months2
Measurement of trigger points
Pressure algometer will be used to assess the trigger points of the neck muscles of each pregnant woman in the study. It will be placed perpendicularly to the fibers of the upper trapezius muscle, bilaterally, exactly over the myofascial trigger points. These points were pressed until the pain is reported, and the value displayed on the equipment's display will be recorded in kg/cm2.
Time frame
2 monthsSecondary outcomes
1
Measurement of craniovertebral angle (CVA)
Posture screen analysis mobile application will be used to measure the CVA for each pregnant woman The CVA is the best indicator of forward head posture. To determine this angle, two references are defined: One line runs from the swallow of the ear to the seventh cervical vertebra (C7) and another horizontal line parallel to the ground passes only through the spinous apophysis of C7. An angle of less than 50°-53° may indicate FHP. Thereby, the smaller the CVA, the greater the disability
Time frame
2 months2
Measurement of cervical flexion range of motion (ROM)
Place the goniometer's axis over the external auditory meatus before using it. Place the stationary arm perpendicular to the floor or vertically. Place the movable arm in line with the nose's base. This should be noted as 0°. To assess cervical flexion: ask the patient to nod forward and bring their chin towards their chest. Normal cervical flexion is usually approximately 80º
Time frame
2 months3
Measurement of cervical extension range of motion (ROM)
Place the goniometer's axis over the external auditory meatus before using it. Place the stationary arm perpendicular to the floor or vertically. Place the movable arm in line with the nose's base. This should be noted as 0°.To assess cervical extension: ask the patient to look upwards as far as possible, until full extension of the neck is achieved. Normal cervical extension is usually 50°.
Time frame
2 months4
Measurement of cervical lateral flexion range of motion (ROM)
The goniometer fulcrum will be aligned over the spinous process of the C7. The fixed arm of the goniometer will be aligned vertically along the imaginary line between the two acromion processes. The movable arm will be aligned over the external occipital protuberance. Ask the patient to tilt his/her head laterally to the left, without rotating the head, while her shoulders remain fix. Repeat the procedure for the opposite side and note the angle of flexion of the head. Normal flexion from starting point on either side is 45°
Time frame
2 monthsSponsors and contacts
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Source ClinicalTrials.gov
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