Comparison of the Immediate Effects of Manual Therapy Techniques on Joint Range of Motion, Grip Strength, Pressure Pain Threshold, and Functionality in Non-Specific Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 39
- 试验地点
- 1
- 主要终点
- Assessment of Cervical Joint Range of Motion
研究概览
简要总结
The aim of this study is to investigate the effects of manual therapy techniques on joint range of motion, pain tolerance, grip strength, and functionality in individuals with non-specific neck pain. The study is experimental in design. Individuals aged between 18 and 55 who were diagnosed with non-specific neck pain and met the inclusion criteria participated in the study.
详细描述
Participants who agreed to take part and signed the informed consent form were asked to complete the "Patient Assessment Form" during the initial interview.
In addition, the following assessment tools were used: the Cervical Range of Motion (CROM) device to evaluate joint range of motion, a hand dynamometer to assess grip strength, an algometer to measure pain tolerance, and the "Neck Disability Index" to evaluate functionality.
Participants were then randomly assigned to one of three groups:
Group 1: Atlanto-occipital manipulation
Group 2: Cervical mobilization
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
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 55 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Be between the ages of 18 and 55
- •Have been diagnosed with non-specific neck pain by a specialized physician
- •Have been experiencing neck pain for less than 3 months
- •Have a neck pain level of at least 3 on the Visual Analog Scale
- •Have bilateral active trigger points in the upper trapezius muscle
- •Have restricted active cervical range of motion
排除标准
- •Presence of neurological deficit or radicular pain
- •History of pathology or surgery in the cranio-cervical region
- •Positive response in the extension-rotation test
- •Use of anticoagulants or corticosteroids
- •Presence of one or more red flags defined for non-specific neck pain
研究组 & 干预措施
Atlanto-occipital Manipulation Group
Participants in the first group received atlanto-occipital manipulation.
干预措施: Atlanto-occipital manipulation (Other)
Cervical Mobilization Group
Participants in the second group underwent Grade II-III cervical mobilization techniques.
干预措施: Cervical mobilization (Other)
Trigger Point Therapy Group
Participants in the third group received trigger point therapy, which included ischemic compression followed by myofascial stretching on the upper trapezius muscle.
干预措施: Trigger point therapy (Other)
结局指标
主要结局
Assessment of Cervical Joint Range of Motion
时间窗: Immediately before and after interventions, assessed within a single session
The evaluation of cervical flexion, extension, right-left lateral flexion, and right-left rotation range of motion conducted using the CROM device. The CROM device is an inclinometer system affected by magnetic forces and gravity. Validity and reliability studies have been carried out to assess the movements of the cervical region using this device. There are no risks or side effects associated with this assessment method.
Assessment of Grip Strength
时间窗: Immediately before and after interventions, assessed within a single session
Grip strength of the individuals was measured using the "Jamar Hand Dynamometer" (Takei Scientific Instruments Co., Ltd. - Japan). Measurements were conducted as recommended in the literature, with the patient comfortably seated, shoulder abducted, elbow in 90 degrees of flexion, forearm in a neutral position, and wrist in 0-30 degrees of extension. Measurements were repeated three times with five-second intervals between each trial for both the dominant and non-dominant hands, and the average value was recorded as the result. There are no risks or side effects associated with this assessment method.
Measurement of Pain Tolerance Threshold
时间窗: Immediately before and after interventions, assessed within a single session
Pain tolerance was measured using the J-tech algometer device. Measurements were taken bilaterally, both on the right and left sides, at the C5 level and at the midpoint of the upper trapezius muscle. The measurements were repeated three times, and the average value was recorded as the result. There are no risks or side effects associated with this assessment method.
Neck Disability Index
时间窗: Immediately before and after interventions, assessed within a single session
This questionnaire is used for the evaluation of cervical function and has undergone validity and reliability studies. The questionnaire consists of 10 sections, with 6 multiple-choice options for each section. Scoring ranges from 0 to 5 for each section based on the selected response. The total score determines the overall result of the test. There are no risks or side effects associated with this assessment method.
次要结局
未报告次要终点