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Local Vibration in Cervical Radiculopathy

Not Applicable
Recruiting
Conditions
Cervical Radiculopathy
Registration Number
NCT06381011
Lead Sponsor
Bitlis Eren University
Brief Summary

The aim of this study is to evaluate the effect of local vibration application on the upper extremity pain, paresthesia, neck pain, and limitations in cervical joint range of motion experienced by patients with cervical radiculopathy.

Detailed Description

At least 34 patients diagnosed with cervical radiculopathy who meet the inclusion and exclusion criteria will be included in the study. Subsequently, the patients will be randomly divided into two groups. Patients in the first group will receive placebo local vibration application in addition to conventional treatment, while patients in the second group will receive local vibration application in addition to conventional treatment

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
34
Inclusion Criteria
    1. Between the ages of 18 and 70,
    1. Nerve root compression according to the magnetic resonance imaging,
    1. Unilateral or bilateral neck pain rated 3 or higher on the Numeric Pain Rating Scale, or neck pain with paresthesia or upper extremity pain rated 3 or higher on the Numeric Pain Rating Scale.
Exclusion Criteria
    1. History of previous cervical or thoracic spinal surgery,
    1. Symptoms or signs of upper motor neuron disorder,
    1. Body mass index (BMI) higher than 35 kg/m2,
    1. Having received spinal injection in the last two weeks,
    1. Presence of local infection at the application site,
    1. Upper extremity nerve entrapment syndrome (such as carpal tunnel or cubital tunnel syndrome),
    1. Diagnosis of systemic inflammatory arthritis (such as rheumatoid arthritis, etc.),
    1. Having engaged in strenuous exercise in the last 24 hours,
    1. Poor or noncompliance to the treatment program

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
ParesthesiaChange from baseline neck pain immediately and five days after the intervention

The effect of local vibration intervention on patients' paresthesia will be evaluated using the Patients' Global Impression of Improvement Scale. In this scale, patients will be asked to mark their perceived change in paresthesia using the following options: 'very much better,' 'much better,' 'a little better,' 'no change,' 'a little worse,' 'much worse,' and 'very much worse.'

Neck PainChange from baseline neck pain immediately and five days after the intervention

The effect of local vibration intervention on patients' neck pain will be evaluated using the Patients' Global Impression of Improvement Scale. In this scale, patients will be asked to mark their perceived change in pain using the following options: 'very much better,' 'much better,' 'a little better,' 'no change,' 'a little worse,' 'much worse,' and 'very much worse.'

Upper Limb PainChange from baseline neck pain immediately and five days after the intervention

The effect of local vibration intervention on patients' upper limb pain will be evaluated using the Patients' Global Impression of Improvement Scale. In this scale, patients will be asked to mark their perceived change in pain using the following options: 'very much better,' 'much better,' 'a little better,' 'no change,' 'a little worse,' 'much worse,' and 'very much worse.'

Secondary Outcome Measures
NameTimeMethod
Cervical Range of MotionChange from baseline neck pain immediately and five days after the intervention

The immediate and short-term effect of local vibration intervention on cervical range of motion will be measured using a 10-inch standard manual goniometer. To measure cervical flexion and extension range of motion, the pivot point of the goniometer will be placed at the external auditory meatus. The fixed arm of the goniometer will be held vertically, and the moving arm will follow along the base of the nostrils. For measuring cervical rotation range of motion, measurements will be taken from behind the participants. The pivot point of the goniometer will be placed at the vertex, while the fixed arm will be kept parallel to the acromion, and the moving arm will follow along with their nose. Lateral flexion range of motion will be taken in front of the participants. The pivot point of the goniometer will be placed over the sternal notch, with its fixed arm parallel to the acromion, and its moving arm will follow along the tip of the participants' nose.

The Change in the Pressure Pain Threshold of the Upper TrapeziusChange from baseline neck pain immediately and five days after the intervention

The potential impact of local vibration intervention on patients' pain thresholds will be evaluated using an analog algometer. Pain threshold measurements will be taken at the upper trapezius muscle. The algometer will be positioned perpendicular to the measurement areas. Three measurements will be taken for each region, with a half-minute interval between measurements. The average of the three measurements will be calculated and recorded. A change of 20-25% in the algometric measurement values will be considered significant.

The Change in the Viscoelastic Properties of the Upper TrapeziusChange from baseline neck pain immediately and five days after the intervention

The effect of local vibration intervention on the viscoelastic properties of patients' upper trapezius will be measured using the myotonometer (MyotonPRO). The upper trapezius myometric measurement will be taken with the patient seated on a chair with hands placed over knees, and measured from the midpoint between the C7 spinous process and the acromion.

Trial Locations

Locations (1)

Bitlis Tatvan State Hospital

🇹🇷

Bitlis, Tatvan, Turkey

Bitlis Tatvan State Hospital
🇹🇷Bitlis, Tatvan, Turkey
Etem Öztürk, Mr.
Contact
5465632789
fztetem2121@gmail.com
Ömer Dursun, Asst. Prof.
Contact
5426088687
fztomrdrsn@gmail.com
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