Comparison of Conventional Physiotherapy and Conventional Physiotherapy Combined With Chiropractic in Patients With Non-Specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Pain Assessment
研究概览
简要总结
Chronic neck pain will be a common condition that can negatively affect daily activities, mobility, and overall quality of life. This study will aim to investigate whether adding chiropractic treatment to standard physiotherapy will improve outcomes in individuals with long-standing neck pain.
A total of 40 adults between the ages of 20 and 65 with complaints of neck pain will be included in the study. Participants will be randomly assigned to two groups. One group will receive chiropractic treatment in addition to standard physiotherapy, while the other group will receive only standard physiotherapy. Standard physiotherapy will include TENS, heat therapy, and neck massage.
The treatments will be administered over a total of 7 sessions, twice a week. Before and after the treatment period, all participants will undergo a series of assessments. These will measure pain levels, neck function, muscle strength, range of motion, and quality of life.
The aim of this study will be to determine whether adding chiropractic treatment to physiotherapy will provide additional benefits in reducing pain and improving function and quality of life in individuals with chronic neck pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Being between 18-65 years of age
- •Having neck pain that has lasted for least three months
- •Having a Visual Analog Scale (VAS) score of at least 3
排除标准
- •Patients not aged 18-60 years
结局指标
主要结局
Pain Assessment
时间窗: From enrollment and at the end of treatment (at 4 weeks)
The Pain Visual Analog Scale (VAS) is a unidimensional measure of pain intensity. It typically consists of a 10-centimeter horizontal line anchored by two descriptors: "no pain" (0) and "worst imaginable pain" (10). Participants are asked to mark a point on the line that best represents their current level of pain. The distance from the "no pain" anchor to the marked point is measured in centimeters or millimeters and recorded as the pain score, with higher scores indicating greater pain intensity.
Disability Assessment
时间窗: Baseline and at end of treatment, 4 weeks
The Neck Disability Index is the most widely used and most strongly validated tool for assessing self-assessed disability in patients with neck pain. It has been used effectively in both clinical and research settings in the treatment of this very common problem.Each question is scored on a scale of 0-5; the total score is expressed as a percentage between 0-100 (or 0-50 points).
Joint Position sense assessment
时间窗: Baseline and at end of treatment, 4 weeks
It is an objective test used to assess the proprioceptive function (position sense) of the neck. It is used to measure whether cervical proprioception is impaired in individuals with neck pain and the effectiveness of interventions such as manual therapy (Cheng et al., 2010). Required Materials: Laser pointer or reflective marker. Headband (to secure the laser) Target point or reference frame (A point or circle can be drawn on the wall.) Goniometer or motion analyzer (Optional.)
Fear avoidance questionnaire
时间窗: Baseline and at end of treatment, 4 weeks
It aims to comprehensively assess the cognitive, behavioral, and sensory components of fear-avoidance behavior in patients with painful medical conditions. Each item is scored on a 6-point Likert scale from 0, "Strongly disagree," to 5, "Strongly agree." The total score indicates one of several severity levels ranging from 0 to 100. The best score is 0 and the worst score is 100.
次要结局
- Quality of life assessment(Baseline and at end of treatment, 4 weeks)
研究者
Ozden Baskan
Assistant Professor
Istanbul Rumeli University