THE EFFECT OF MANUAL THERAPY ON PAIN, DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC MECHANICAL NECK PAIN
试验速览
- 阶段
- 不适用
- 状态
- Enrolling By Invitation
- 发起方
- 入组人数
- 30
- 试验地点
- 1
- 主要终点
- Pain Assessment
研究概览
简要总结
The aim of this study is to investigate whether conventional physical therapy combined with manual therapy reduces pain and maintains life support in individuals with chronic mechanical neck pain, compared to conventional physical therapy alone. The study plans to evaluate the combined benefits of both treatment methods and manual therapy. Pain, quality of life, range of motion, and neck injuries will be assessed in the participants. The treatment protocol will be administered twice a week, for a total of 10 sessions over a 5-week period.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Being between 18-65 years of age
- •Having neck pain that has lasted for at least three months
- •Having a Visual Analog Scale (VAS) score of at least 3
排除标准
- •Patients not aged 18-60 years
- •Pregnant women or those suspected of being pregnant
- •Individuals with acute inflammatory diseases
- •Individuals with neurological deficits
- •Individuals with a positive vertebrobasilar artery test
- •Individuals with advanced osteoporosis
- •Individuals who have undergone spinal surgery
- •Individuals who have received an injection in the cervical region within the last 3 months
- •Individuals with any neurological or psychiatric disorders
研究组 & 干预措施
Physical Therapy
Conventional physical therapy includes transcutaneous electrical nerve stimulation (TENS), infrared device application, and exercise programs.
干预措施: Physical therapy (Other)
Physical therapy and Manual therapy
Cervical region mobilization techniques include bridging, cervical manual traction, rotation with traction, lateral flexion with traction, antero-posterior sliding and lateral sliding techniques with traction. Prior to joint mobilization techniques, bilaterally, soft tissue techniques including myofascial release techniques and ischemic compression will be applied to the cervical paravertebral muscles, upper and middle trapezius, levator scapula, sternocleidomastoid (SCM), anterior-medius posterior scalene muscles, deep and superficial fascia to reduce muscle spasm in the soft tissues and relax the cervical muscles. Transverse friction massage will be applied to the occipital attachment points of the semispinalis capitis and splenius capitis muscles.
干预措施: Physical therapy and manual therapy (Other)
结局指标
主要结局
Pain Assessment
时间窗: Baseline and at the end of treatment (week 5)
Visual Pain Scale
Range of motion
时间窗: Baseline and at the end of treatment (week 5)
The data will be recorded in the range of motion assessment section of the patient evaluation form. While the participant is in a seated position, the measurement results of active flexion, extension, right and left rotation, right and left lateral flexion movements of the cervical region will be recorded.
Disability
时间窗: Baseline and at the end of treatment (week 5)
Bournemoth Neck :The BDI consists of 10 categories: neck pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleep, and leisure activities. Individuals included in the study were asked to rate each category between 0 (no disability) and 5 (complete disability) (Vernon, 2008). The total score ranged from 0 (no disability) to 50 (complete disability).
quality of life
时间窗: Baseline and at the end of treatment (week 5)
The SF-36 Quality of Life Scale consists of 36 items assessed across 8 separate subscales. Physical function, social function, general health, fitness, mental health, pain, and physical and emotional role limitations are the subscales of the SF-36. Each subscale can be scored between 0 and 100.
次要结局
未报告次要终点
研究者
Ozden Baskan
Assistant Professor
Istanbul Rumeli University