Effects of Neural Mobilization on Respiratory Parameters, Pain, Range of Motion, and Neck Awareness in Patients With Chronic Neck Pain: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 26
- 试验地点
- 2
- 主要终点
- Pulmonary function test
研究概览
简要总结
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.
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 (Participant)
入排标准
- 年龄范围
- 25 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individuals aged 25-65 years,
- •those with neck pain for >3 months
- •those with complaints of pain, tension
- •numbness on neurodynamic nerve tests
排除标准
- •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)
结局指标
主要结局
Pulmonary function test
时间窗: 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
时间窗: 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
时间窗: 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.
次要结局
- Fremantle Neck Awareness Questionnaire (FreNAQ in Turkish (FreNAQ-T)(Change from baseline FreNAQ-T at 3 weeks)
研究者
Emine Atıcı
Principal Investigator
Okan University