Effect of Exercise and Manuel Therapy Methods on Pain, Posture, Daily Living in People With Cervical Pathologies

NCT03622944 | Completed

• 1 other identifier: GO15/564
• Study Type: interventional
• Target: 45
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of the study is to determine the effect of exercise and two different manual therapy methods on pain, quality of life and posture in people with neck pain.

Conditions

Musculoskeletal Disorder of the Neck

Keywords

neck pain; physiotherapy; rehabilitation

Outcome Measures

Primary Outcomes (1)

• change in pain sensitivity

  pressure pain threshold (PPT) was measured with digital algometer. Pressure pain threshold which identifies minimum levels increasing mechanical stimulus is gold standard method for measuring pain sensitivity. PPT was measured from cervical vertebrae's spinous process and muscle belly's. Algometer range was set 0 kgF to 12kgF. Higher values represent increased pressure sensation.

  change from baseline PPT at six weeks

Secondary Outcomes (5)

• change in Light touch sensation

  change from baseline light touch sensation at six weeks

• change in upper extremity disability

  Change from baseline disability at six weeks .

• change in posture

  change from baseline posture at six weeks

• change in perceived life quality

  change from baseline life quality at six weeks

• change in functional disability

  change from baseline functional disability at six weeks

Study Arms (3)

Muscle energy technic

ACTIVE COMPARATOR

post isometric relaxation technics were used as muscle energy technics.

Procedure: Muscle Energy Technic; Procedure: Exercise

Deep Friction Massage

ACTIVE COMPARATOR

Painful areas palpated and deep friction massage was applied.

Procedure: Deep Friction Massage; Procedure: Exercise

exercise

ACTIVE COMPARATOR

Physiotherapist guided Spinal stabilization exercises were applied.

Procedure: Exercise

Interventions

Muscle Energy Technic PROCEDURE

post isometric relaxation technics were applied to levator scapulae, trapezius, pectoralis muscles three sessions per week, totally six weeks.

Muscle energy technic

Deep Friction Massage PROCEDURE

deep friction massage was applied to cervical region included tendons, muscles and soft tissue.

Deep Friction Massage

Exercise PROCEDURE

spinal stabilization exercise were applied three sessions in a week totally six weeks.

Deep Friction Massage; Muscle energy technic; exercise

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• clinical diagnosis of cervical disorder (for example; chronic neck pain, cervical disc herniation)
• must have pain at least three months.

You may not qualify if:

• History of structural scoliosis
• History of surgery
• History of metabolic, neurologic and metastatic diseases.

Sponsors & Collaborators

• Hacettepe University: lead

Related Publications (4)

• Rihn JA, Radcliff K, Hipp J, Vaccaro AR, Hilibrand AS, Anderson DG, Albert TJ. Radiographic variables that may predict clinical outcomes in cervical disk replacement surgery. J Spinal Disord Tech. 2015 Apr;28(3):106-13. doi: 10.1097/BSD.0b013e31826a0c84.

  PMID: 24694684 RESULT

• Carreon LY, Glassman SD, Campbell MJ, Anderson PA. Neck Disability Index, short form-36 physical component summary, and pain scales for neck and arm pain: the minimum clinically important difference and substantial clinical benefit after cervical spine fusion. Spine J. 2010 Jun;10(6):469-74. doi: 10.1016/j.spinee.2010.02.007. Epub 2010 Apr 1.

  PMID: 20359958 RESULT

• Persson LC, Lilja A. Pain, coping, emotional state and physical function in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar--a blinded, prospective randomized study. Disabil Rehabil. 2001 May 20;23(8):325-35. doi: 10.1080/09638280010005567.

  PMID: 11374522 RESULT

• Boyles R, Toy P, Mellon J Jr, Hayes M, Hammer B. Effectiveness of manual physical therapy in the treatment of cervical radiculopathy: a systematic review. J Man Manip Ther. 2011 Aug;19(3):135-42. doi: 10.1179/2042618611Y.0000000011.

  PMID: 22851876 RESULT

MeSH Terms

Conditions

Neck Pain

Interventions

Exercise

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Aynur Demirel, PhD

  Hacettepe University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 18, 2018
• First Posted: August 9, 2018
• Study Start: October 1, 2015
• Primary Completion: March 1, 2016
• Study Completion: October 1, 2016
• Last Updated: August 9, 2018

Record last verified: 2018-08

Data Sharing

• IPD Sharing: Will not share