Effects of Neural Mobilization on Respiratory Parameters, Pain, Range of Motion, and Neck Awareness in Patients With Chronic Neck Pain: A Randomized Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Neck Pain
- Sponsor
- Okan University
- Enrollment
- 26
- Locations
- 1
- Primary Endpoint
- Pulmonary function test
- Status
- Completed
- Last Updated
- last year
Overview
Brief Summary
Objective: Neural mobilization (NM) is commonly used to treat nerve disorders, and it is useful for disorders associated with neck and arm pain. This study aimed to determine the effects of NM on respiratory function in patients with chronic neck pain.
Methods: Overall, 26 patients with neck pain were randomly assigned to two groups: NM or control. In these participants, respiratory function and active cervical range of motion were assessed before and after intervention. Furthermore, the participants were provided a visual analog scale (VAS) and Fremantle Neck Awareness Questionnaire (FreNAQ). Each participant underwent 15 treatment sessions (5 days per week for 3 weeks). Further, in the NM group, in addition to conventional treatment, 10 sessions of neural mobilization were performed.
Investigators
Emine Atıcı
Principal Investigator
Okan University
Eligibility Criteria
Inclusion Criteria
- •Individuals aged 25-65 years,
- •those with neck pain for \>3 months
- •those with complaints of pain, tension
- •numbness on neurodynamic nerve tests
Exclusion Criteria
- •individuals with spinal stenosis,
- •neurological diagnosis, malignancy,
- •upper extremity vascular problems,
- •osteoporosis,
- •pregnancy,
- •history of newly repaired peripheral nerves,
- •inflammatory processes,
- •cervical spine and upper extremity surgeries,
- •conditions affecting lung capacity (such as asthma, bronchitis, and diabetes mellitus)
Outcomes
Primary Outcomes
Pulmonary function test
Time Frame: Change from baseline respiratory function at 3 weeks
PFTs were performed using a spirometer (Schiller SP-260). Spirometric measurements were obtained using a nasal clamp while the patient was in a sitting position. At least three measurements were obtained for each participant, and the best value was considered for the study. In PFT measurements, forced expiratory volume in the 1st second (FEV1), forced vital capacity (FVC), and FEV1/FVC values were compared between the two groups
Pain Intensity
Time Frame: Change from baseline pain intensity at 3 weeks
Pain intensity was assessed using Visual Analog Scale. A description of the parameter being evaluated was written at either end of a 10-cm horizontal line, with scores ranging from 0 (no pain) to 10 (excruciating pain). The participants were asked to choose the score that best described their pain
Range of Motion (ROM) of the Joint
Time Frame: Change from baseline ROM at 3 weeks
Participants' ROM of the neck was measured using a universal goniometer at baseline. The measurements for neck flexion, extension, lateral flexion, and rotation were made during active neck movements while the patient was in a seating position. For the measurement of ROM during neck flexion and extension, the goniometer was placed on the acromion, and the ROM was measured by following the midline of the ear. To measure ROM during lateral flexion, the goniometer was placed on the spinous process of the cervical vertebra 7, and the ROM was measured by tracking its movement. For the measurement of ROM during rotation, the goniometer was placed in the center of the head, and the ROM was measured by following the nose. All measurements were reported in degrees.
Secondary Outcomes
- Fremantle Neck Awareness Questionnaire (FreNAQ in Turkish (FreNAQ-T)(Change from baseline FreNAQ-T at 3 weeks)