Comparison of the Effects of Mulligan Joint Mobilization and Instrument-Assisted Soft Tissue Mobilization on Pain Intensity, Cervical Awareness, and Functionality in Individuals With Chronic 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 Intensity
研究概览
简要总结
The study will include a total of 40 individuals aged 18-65 years with chronic neck pain for at least three months. Participants will be randomly assigned to two groups: the Mulligan mobilization group (n=20) and the AYDM group (n=20). Both groups will receive a total of 12 treatment sessions, 3 days a week for 4 weeks. Assessments will be performed before and after treatment. Pain intensity will be assessed using the Visual Analog Scale (VAS), cervical awareness using the Fremantle Neck Awareness Questionnaire (FNA), and functionality using the Copenhagen Neck Functional Disability Scale (CNFDS). In addition, measurements of cervical joint range of motion, deep neck flexor muscle endurance, quality of life (SF-36), and depression level (Beck Depression Scale) will be taken.
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
- •• Volunteering to participate in the study
- •Being between 18 and 65 years of age
- •Having experienced mechanical neck pain for at least 3 months
- •Not having any contraindications for manual therapy
排除标准
- •Receiving a diagnosis of a psychiatric illness
- •Having a history of spinal surgery
- •Having other musculoskeletal problems that may affect the cervical region (such as scoliosis, shoulder pathologies, thoracic outlet syndrome)
- •Having received physiotherapy for neck and back problems within the last year.
结局指标
主要结局
Pain Intensity
时间窗: Baseline and at the end of treatment (week 4)
Visual Pain Scale.Participants' pain intensity will be assessed using the Visual Analog Scale (VAS). The Visual Analog Scale is a validated and reliable scale that quantitatively determines the intensity of pain perceived by an individual. The scale consists of a 10 cm long horizontal or vertical line, with one end of the line defined as "0 = no pain" and the other end as "10 = unbearable pain".
Range of motion
时间窗: Baseline and at the end of treatment (week 4)
To assess the active range of motion of the cervical joint, the tape measure method described by Hsieh et al. (1986) was used. This method is reported to be a practical and reliable measurement tool for assessing cervical range of motion in clinical practice.
Cervical awareness
时间窗: Baseline and at the end of treatment (week 4)
Fremantle Neck Awareness Questionnaire
Copenhagen Neck Functional Disability Scale
时间窗: Baseline and at the end of treatment (week 4)
Neck Functional Disability is a 15-item questionnaire. Total score(0-30) indicate higher disability
次要结局
- Neck flexor endurance(Baseline and at the end of treatment (week 4))
- SF-36 Quality of life(Baseline and at the end of treatment (week 4))
- Depression Scale(Baseline and at the end of treatment (week 4))
研究者
Ozden Baskan
Doctor physiotherapist
Istanbul Rumeli University