Evaluation of the Effects of Manipulation, Mobilization, and Neck Exercises in Individuals With Nonspecific Neck Tension
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Visual Analog Scale
研究概览
简要总结
The primary purpose of this study is to investigate and compare the effects of different physiotherapy approaches, such as manipulation, mobilization, and neck exercises, on pain, range of motion, neck functionality, quality of life, muscle tightness, and psychological status in individuals with non-specific neck tension. Throughout the study, the clinical, physical, and myofascial parameters, as well as the psychological statuses of the patients, were recorded through detailed evaluations conducted before and after the treatment, within the framework of a treatment program planned as 2 sessions per week for a total of 8 sessions over 4 weeks.
详细描述
This study is designed to investigate the clinical, physical, psychological, and myofascial outcomes of manual therapy techniques (manipulation and mobilization) and neck exercises in individuals experiencing non-specific neck tension using a rigorous and multifaceted methodology.
According to the study protocol, participants receive a standardized intervention program consisting of 2 sessions per week for a period of 4 weeks, totaling 8 sessions. During the data collection process of the study, the clinical and functional status of the patients are evaluated using comprehensive scales and standard measurement tools. In this context, pain severity is assessed using the Visual Analog Scale (VAS), range of motion with a goniometer, neck functionality with the Copenhagen Neck Disability Index, quality of life with the SF-36 scale, and anxiety-depression statuses using the Hospital Anxiety and Depression Scale.
Furthermore, during the physical and myofascial examination phase, muscle tightness, palpation findings, and muscle restriction conditions are evaluated and recorded with precision. All of these clinical parameters, myofascial findings, and measurements are repeated before and after the treatment and subjected to comparative statistical analyses to objectively and scientifically demonstrate the effectiveness of the applied physiotherapy approaches.
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)
盲法说明
The outcome assessor was blinded to group allocation. However, the physical therapist (care provider) and the participants were not blinded due to the nature of the physical therapy interventions.
入排标准
- 年龄范围
- 18 Years 至 30 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •- Non-specific neck muscle tension
- •Being between 18-30 years of age
- •Not having a chronic disease
- •Not having undergone any surgery,
- •Having limited mobility in the cervical region
- •Having at least 2 pains according to the Visual Analog Scale at rest
- •Individuals with subacute and chronic non-specific neck pain were included in this study
- •Having a negative vertebrobasilar artery test
排除标准
- •-Having a chronic systemic disease
- •Having cervical straightening and cervical herniation (with a diagnosis and report)
- •Having undergone surgery
- •Having instability in the cervical joints and trauma within the last year
- •Having severe osteoporosis
- •Having neurological findings
- •Having received physical therapy within the last 6 months
- •Having vertigo
研究组 & 干预措施
Manipulation and Exercise Group
Participants in this group receive a comprehensive intervention consisting of cervical manipulation (general cervical, C1), and thoracic manipulation, combined with a standardized exercise program. The exercise program includes neck flexion, extension, lateral flexion, rotation, pectoral and trapezius stretching, and chin tuck exercises.
干预措施: Manipulation and Exercise (Other)
Mobilization and Exercise Group
Participants in this group receive a comprehensive intervention consisting of cervical mobilization (C2-C4 levels), thoracic mobilization, traction with rotation, and anterior-posterior/lateral gliding techniques, combined with the same standardized exercise program as the other groups. The exercise program includes neck flexion, extension, lateral flexion, rotation, pectoral and trapezius stretching, and chin tuck exercises.
干预措施: Mobilization and Exercise (Other)
Exercise Only Group
Participants in this group receive only the standardized exercise program. This program includes neck flexion, extension, lateral flexion, rotation, pectoral and trapezius stretching, and chin tuck exercises.
干预措施: Standardized Exercise Program (Behavioral)
结局指标
主要结局
Visual Analog Scale
时间窗: At baseline and the 4-week treatment period.
Measurement of pain intensity.
次要结局
- Goniometric Measurement (ROM)(At baseline and the 4-week treatment period.)
研究者
Zeynep Sude ÇOLAK
Physiotherapist
Istanbul Rumeli University