Effect of Myofascial Release Technique in Patients with Unilateral Cervical Radiculopathy
- Conditions
- Cervical Disc HerniationCervical RadiculopathyCervical Disc DiseasePainCervical Radicular PainCervical; Hernia
- Interventions
- Other: ExerciseOther: Myofascial Release Technique
- Registration Number
- NCT04597112
- Lead Sponsor
- Istanbul Medipol University Hospital
- Brief Summary
The aim of the study is to investigate the effectiveness of myofascial release technique on pain, range of motion, muscle strength, functionality and quality of life in individuals diagnosed with cervical radiculopathy with unilateral arm involvement and compare this with exercise. The individuals included in the study will be randomized into two groups, 17 control and 17 study groups. Sessions will be 3 days a week for 4 weeks. Conventional physiotherapy and exercise program will be applied to the control group, conventional physiotherapy and myofascial release technique will be applied in the intervention group. Conventional physiotherapy methods; It will include Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound (US), hotpack agents. Exercise program; extension, right and left lateral flexion, right and left rotation exercises, chin-tuck, right and left upper trapezius muscle group stretching, neck extensor muscle group isometric strengthening exercises. Myofascial release will be applied to the fingers, wrist flexor-extensor muscle groups, elbow flexor-extensor muscle groups, pectoral muscles and rotator cuff muscle groups. Patients will be evaluated before and after treatment with Visual Analogue Scale (VAS), Goniometric measurements, algometer, myometer, Neck Disability Scale, "Disability of Arm, Shoulder and Hand" Questionnaire (DASH).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 40
- Getting a diagnosis of cervical radiculopathy
- Unilateral upper extremity symptoms at least for a month
- The diagnosis is confirmed by the medical board report
- Being between the ages of 30-65
- Voluntary acceptance to participate in the study
- Previous cervical surgery
- Previous cervical trauma
- Have had myofascial therapy or conventional therapy for cervical radiculopathy
- Long-term use of corticosteroids
- Congenital torticollis history
- Using nonsteroidal anti-inflammatory drugs for long time
- Migraine
- Cancer
- Tumor
- Osteoporosis
- Pregnancy
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Exercise Group Exercise The control group will consist of patients who received conventional therapy and exercise therapy. All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. After conventional treatment, a program consisting of neck extension, lateral flexion and rotation range of motion, stretching of the trapezius muscles and strengthening of the neck extensor muscles will be applied to the control group in the presence of a physiotherapist 3 days a week for 4 weeks. Myofascial Release Group Myofascial Release Technique Intervention group, who received conventional therapy and myofascial release therapy.All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. In the intervention group, the myofascial release technique will be applied to the wrist flexors and extensors, elbow flexors and extensors, pectoralis, supraspinatus, infraspinatus, trapezius muscles, starting from the fingers after the conventional treatment, 3 days a week for 4 weeks.
- Primary Outcome Measures
Name Time Method Myometer 10 minutes Hand myometer is a means of expressing force quantitatively. It is preferred over other dynamometers because of its ease of use and portability.
Algometer 10 minutes It is a device used to evaluate the sensitivity to pain and to determine the perception of pressure. The pressure algometer has proven useful in evaluating fibrositis and hypersensitive spots, trigger points, arthritis activation, and visceral pain-pressure sensitivity.
Visual Analog Scale 1 minutes Visual Analog Scale (VAS) is used to convert some values that cannot be measured numerically into digital. Two end definitions of the parameter to be evaluated are written on both ends of a 100 mm line and the patient is asked to indicate where his / her condition is appropriate by drawing a line or by placing a dot or marking.
Electrogoniometer 10 minutes It is an evaluation tool used to record the objective measurement of joint range of motion.
- Secondary Outcome Measures
Name Time Method Neck Disability Index 10 minutes It is a test consisting of ten parts that determines to what extent neck pain affects daily life activities. The questions are of a nature that includes the intensity of pain and the effect of pain on occupational and social activity and its relationship with emotional factors. 10 cm visual analogue scale (VAS) is used for each question. High scores indicate the severity of the disease.
Disability of Arm Shoulder and Hand Test 10 minutes This questionnaire evaluates the disability and activity limitations resulting from upper extremity injury, as well as the restriction of leisure activities and work participation. The DASH questionnaire consists of three parts. According to the survey results; A result of 0-100 is obtained from each section. (0 = no apology, 100 = maximum apology).
Trial Locations
- Locations (1)
Fatih Bali
🇹🇷Istanbul, Kucukcekmece, Turkey