Effect of Muscle Energy Technique on Clinical and Functional Levels in Chronic
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 2
- 主要终点
- Pain thresold
研究概览
简要总结
The primary aim of this study is to examine the effect on pain characteristics by applying muscle energy technique to patients with moderate chronic obstructive pulmonary disease.Secondary aim, clinical status of muscle energy technique in moderate chronic obstructive pulmonary patients: assessment of dyspnea and functional levels: kinesiophobia, muscle strength and endurance of neck muscles, hand grip strength, functional capacity, daily living activity, exercise habits, exercise efficiency, self-confidence, posture and to examine its effects on quality of life.
52 volunteer participants, 35 and 65 years old, diagnosed with moderate COPD, will be divided into muscle energy technique group (MET) (n = 26) and control group (CG) (n = 26) using randomization (minimization) method.
Individuals in the KET group will be applied muscle energy technique to certain muscles (Scalene(anterior-medius-posterior),Levator scapula,Sternocloidomastoideus, Upper trapezius, Pectoral muscles, Serratus anterior, Latissimus dorsi muscles) 3 days a week for 4 weeks and home exercise program applications will be requested. Individuals to be included in the study as a control group will be asked to apply home exercise programs 3 days a week for 4 weeks. All individuals included in the study will be re-evaluated parameters before, after and 6 weeks after the study.
In our study, the sociodemeographic information of the individuals who signed the voluntary consent form will be recorded. Pain Intensity Visual Analogue Scale (VAS), pain screening and evaluation of clinical features Brief Pain Inventory, pressure pain threshold of trapezoidal muscle and cervical paravertebral muscles with algometer, assessment of dyspnea with Medical Research Council (MRC) Dyspnea Scale, Fear of re-injury due to movement and activity Using the Tampa Kinesophobia Scale (TKS), measurement of muscle strength of neck muscles Digital Hand-Held Dynamometer (HHD), evaluation of neck muscles endurance with body weight and sandbag measurement of hand grip strength Hand Grip dynamometer, with the six-minute walking test of functional capacity, daily life activity with the Glittre GYA test, effectiveness of exercise Exercise wounds and barriers scale, Postural analysis with Newyork Posture Scale, health-related quality of life the St. George's Respiratory Questionnaire (SGRQ), general health-related quality of life Short Form SF-36 questionnaire will be evaluated using.
详细描述
DATA COLLECTION TOOLS AND FEATURES:
- Demographic Information Age, gender, height, weight, body mass index (BMI), profession, dominant side, educational status, history, family history, smoking and alcohol consumption, medications used, pain, pain Exercise behavior, injury mechanism (previous sports injuries, accidents) and location and duration of symptoms, COPD exacerbation history, exercise effectiveness and self-confidence will be recorded.
- Pain Assessment 2.1. Visual Analogue Scale (GAS) The severity of pain during rest, activity and night time will be evaluated by VAS.
2.2. Brief Pain Inventory (BPI) The short pain questionnaire (BPI) is a multi-dimensional pain assessment scale that has been validated in Turkish and is easy to apply. This scale will evaluate the presence of pain, severity, character, treatments, responses to this treatment, general activity, and social-emotional effects on the basis of the last week of the patients. The severity of each item will be graded from 0 (no obstacle) to 10 (obstruction). It consists of 32 questions in total.
2.3. Evaluation of Pressure Pain Thresholds The pressure pain threshold will be evaluated with a digital algometer, which is an objective assessment method. The pain thresholds of the upper trapezoidal and cervical paravertebral muscles will be evaluated using the QST Pressure Pain Threshold branded algometer device. Trapezius muscle tenderness will be evaluated from 3 points: medial of acromion, body of muscle and 7th vertebra level. Cervical paravertebral muscle sensitivity will be evaluated from 3 points: C1 level, between C3 and C4, and C7. All measurements will be evaluated by the same physiotherapist with the same algometer. 3. Assessment of Fear of Movement The Tampa Kinesophobia Scale (TKS) is a 17-question scale developed to measure fear of re-injury due to movement and activity. This scale includes fear, avoidance and re-injury parameters in work-related activities. 4. Evaluation of Cervical Region Muscle Strength 4.1.Muscle strength measurement of the cervical flexor muscles will be evaluated in the supine position in the head and neck neutral position, the arms at the side of the trunk, and the knees in the extension position. With the help of Velcro, the body will be fixed to the bed over the spina iliaca anterior superior and sternum. Contraction will be requested from individuals against Hand-held Dynamometer(HHD) placed on the frontal bone.
4.2. Measurement of the strength of the cervical extensor muscles will be made in the prone position, with the head and neck in neutral, and the arms in a free position next to the body. With the help of Velcro, the measurement will be made by fixing the body to the bed over the spina iliaca posterior superior and T3 vertebra. Contraction will be desired by placing the HHD in the occipital area.
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
- None
入排标准
- 年龄范围
- 35 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals between the ages of 35-65,
- •Moderate COPD diagnosed according to Gold criteria by a chest diseases specialist,
- •Neck pain longer than 3 months
- •Those who are not diagnosed with fibromyalgia will be included in the study.
排除标准
- •COPD exacerbation period,
- •Those with disc herniation, fracture, etc. musculoskeletal problems in the cervical and thoracic region
- •Undergoing cervical surgery,
- •Having problems preventing him from exercising,
- •Those with uncontrolled diabetes, hypertension and coronary artery disease,
- •Individuals who received physiotherapy due to neck pain in the last 3 months will not be included in the study.
结局指标
主要结局
Pain thresold
时间窗: change from baseline at 4 weeks and 6 weeks after the intervention
This is measured by using digital pressure algometry.
次要结局
- Glittre Daily Living Activity Assessment(change from baseline at 4 weeks and 6 weeks after the intervention)
- Posture Evaluation(change from baseline at 4 weeks and 6 weeks after the intervention)
- İnformation about functional health and well-being(change from baseline at 4 weeks and 6 weeks after the intervention)
- Severity of pain(change from baseline at 4 weeks and 6 weeks after the intervention)
- Endurance Evaluation of Cervical Extensor Muscles(change from baseline at 4 weeks and 6 weeks after the intervention)
- Measuring the quality of life related to health(change from baseline at 4 weeks and 6 weeks after the intervention)
- Multidimensional pain assessment(change from baseline at 4 weeks and 6 weeks after the intervention)
- Assessment of Fear of Movement(change from baseline at 4 weeks and 6 weeks after the intervention)
- Evaluation of Cervical Region Muscle Strength(change from baseline at 4 weeks and 6 weeks after the intervention)
- Endurance Evaluation of Cervical Region Flexor Muscles(change from baseline at 4 weeks and 6 weeks after the intervention)
- Assessment of Hand Grip Strength(change from baseline at 4 weeks and 6 weeks after the intervention)
- Assessment of Shortness of Breath(change from baseline at 4 weeks and 6 weeks after the intervention)
- Assessment of Functional Capacity(change from baseline at 4 weeks and 6 weeks after the intervention)
- Exercise Habits(change from baseline at 4 weeks and 6 weeks after the intervention)
研究者
Serpil Mıhçıoğlu
Research assistant
Eastern Mediterranean University