The Inhibition of Sternocleidomastoideus Muscle

NCT04345042 | Completed

• 2 other identifiers: Ahi Evran UniversityBuket Buyukturan
• Study Type: interventional
• Target: 61
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain (NP) is a major public health problem with high prevalence, high cost of health expenditure and loss of productivity.The incidence of NP is increasing among adults and it has been reported to occur in 12-34% of the total population. Exercise programs applied to individuals with NP include craniocervical flexion exercises that focus on the increase in activation of deep cervical flexor muscles and a decrease in the activation of superficial cervical flexors. Falla et al. noted that people with NP also have reduced ability to relax sternocleidomastoideus (SCM) muscle. Although there are many studies indicating that the activation of the SCM muscle should be reduced by activating deep cervical flexors when the literature on NP is examined, there are no studies examining the effect of the inhibition of the SCM muscle.

Conditions

Neck Pain; Massage; Range of Motion

Outcome Measures

Primary Outcomes (2)

• Pain Assessment

  Visual analog scale was used to detect the patients pain intensity. VAS is a simple and common method to evaluate pain intensity. Subjects were instructed to indicate the intensity of their pain by marking a 10-cm line anchored with terms describing the extremes of pain intensity in the last 24 hours. VAS has been shown to be reliable and valid in measuring pain.

  6 weeks

• Disability

  Neck Disability Index (NDI) was applied in order to evaluate how the patient's NP affects their daily life. Total point changes between 0 and 35, with a high score indicating a higher level of disability.

  6 weeks

Secondary Outcomes (4)

• Degree of Cervical Range of Motion

  6 weeks

• Depressive Symptoms

  6 weeks

• Kinesiophobia

  6 weeks

• Evaluation of the static endurance of the neck muscles

  6 weeks

Study Arms (2)

First Group

NO INTERVENTION

In the first group; the investigators applied the TP such as hot pack, ultrasound, exercise and TENS.

Second Group

EXPERIMENTAL

In the second group; the investigators applied the classic massage (Swedish Technique) together with TP.

Other: Classic Massage (Swedish Technique)

Interventions

Classic Massage (Swedish Technique) OTHER

Classic Massage (Swedish Technique); The massage was applied to the paitents with NP in the second group. Massage procedure included 3 strokes, 3 kneads, and 3 strokes to the upper back and neck area. The application was supported by face cradle and carried out in a semi-horizontal position in which the neck was relaxed. The patient was lying in supine position.

Also known as: Exercise, transcuteneal electric stimulation, ultrasound, hot pack

Second Group

Eligibility Criteria

• Age: 18 Years - 55 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• \- Neck pain complaint persists for at least 3 months

You may not qualify if:

• History of cervical spine surgery
• Being included in the physiotherapy and rehabilitation program due to neck pain in the last 6 months
• Diagnosis of vertebrobasillar artery failure
• Diagnosed with cervical stenosis, torticollis, scoliosis, and diagnosing serious pathology such as malignancy, infection and inflammatory disorders

Sponsors & Collaborators

• Ahi Evran University Education and Research Hospital: lead

Study Sites (1)

Ahi Evran University, School of Physical Therapy and Rehablitation

Kırşehir, Others, 40100, Turkey (Türkiye)

Location

Related Publications (3)

• Sihawong R, Janwantanakul P, Sitthipornvorakul E, Pensri P. Exercise therapy for office workers with nonspecific neck pain: a systematic review. J Manipulative Physiol Ther. 2011 Jan;34(1):62-71. doi: 10.1016/j.jmpt.2010.11.005.

  PMID: 21237409 RESULT

• Hogg-Johnson S, van der Velde G, Carroll LJ, Holm LW, Cassidy JD, Guzman J, Cote P, Haldeman S, Ammendolia C, Carragee E, Hurwitz E, Nordin M, Peloso P; Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. The burden and determinants of neck pain in the general population: results of the Bone and Joint Decade 2000-2010 Task Force on Neck Pain and Its Associated Disorders. Spine (Phila Pa 1976). 2008 Feb 15;33(4 Suppl):S39-51. doi: 10.1097/BRS.0b013e31816454c8.

  PMID: 18204398 RESULT

• Buyukturan B, Sas S, Kararti C, Buyukturan O. The effects of combined sternocleidomastoid muscle stretching and massage on pain, disability, endurance, kinesiophobia, and range of motion in individuals with chronic neck pain: A randomized, single-blind study. Musculoskelet Sci Pract. 2021 Oct;55:102417. doi: 10.1016/j.msksp.2021.102417. Epub 2021 Jun 12.

  PMID: 34147954 DERIVED

MeSH Terms

Conditions

Neck Pain

Interventions

Exercise; High-Energy Shock Waves

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; Ultrasonic Waves; Sound; Radiation, Nonionizing; Radiation; Physical Phenomena

Study Officials

• Öznur Büyükturan

  Mr.

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assoc. Prof. Öznur BÜYÜKTURAN

Model Details: A Single- Blind Randomized Controlled Trial

Study Record Dates

• First Submitted: April 4, 2020
• First Posted: April 14, 2020
• Study Start: January 1, 2019
• Primary Completion: January 1, 2020
• Study Completion: February 1, 2020
• Last Updated: April 16, 2020

Record last verified: 2020-04

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)