Investigation of the Effectiveness of Manual Therapy Plus Cervical Stabilization Exercise in Chronic Neck Pain

NCT04420403 | Completed

• 1 other identifier: 2020/05/28
• Study Type: interventional
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to investigate the effectiveness of manual therapy plus cervical stabilization exercise compared to manual therapy alone on balance, proprioception, and neck muscle morphology in chronic neck pain.

Conditions

Neck Pain

Keywords

neck pain; manual therapy; exercise; postural control

Outcome Measures

Primary Outcomes (1)

• Balance

  The balance will be evaluated with Biodex BioSwayTM Balance Evaluation System. It reliably measures the patient's ability to balance on soft and/or hard ground.

  change from baseline at 6 weeks

Secondary Outcomes (4)

• Proprioception

  change from baseline at 6 weeks

• Muscle morphology

  change from baseline at 6 weeks

• Pain intensity

  change from baseline at 6 weeks

• Disability level

  change from baseline at 6 weeks

Study Arms (2)

Manual therapy plus cervical stabilization exercise group

EXPERIMENTAL

The patients diagnosed with chronic neck pain (CNP) with 18-55 years of age followed by routine controls and who were volunteered will be included in the study.

Other: Manual Therapy; Other: Cervical Stabilazation Exercise (CSE)

Only manual therapy group

ACTIVE COMPARATOR

The patients diagnosed with CNP with 18-55 years of age followed by routine controls and who were volunteered will be included in the study.

Other: Manual Therapy

Interventions

Manual Therapy OTHER

Cyriax's mobilization techniques will be applied as manual therapy. Before the mobilization, soft tissue mobilization techniques will be applied to relieve muscular spasm and preventing the patient' s anxiety. Bringing, manual traction, manual traction with rotation, manual traction with anterior-posterior gliding and lateral gliding mobilization techniques will be applied. Appropriate mobility techniques will be selected according to the complaints and symptoms of the patients. Cervical mobilization applications will take an average of 15-20 minutes.

Manual therapy plus cervical stabilization exercise group; Only manual therapy group

Cervical Stabilazation Exercise (CSE) OTHER

The CSE program aims to maintain a neutral spine position and activate deep cervical muscles during exercises. It is performed in stages with gradual progression according to the stages of motor learning and sensory-motor integration, namely, static, dynamic, and functional. The program will start with postural training and then the cervical bracing technique with the activation of deep neck flexors for CSE was performed. The patients will be asked to maintain a neutral spine during the exercises and throughout the day as much as possible. The difficulty and variety of exercises will be increased weekly. It will be carried out 2 days a week for 6 weeks (12 sessions) by the supervisor physiotherapist.

Manual therapy plus cervical stabilization exercise group

Eligibility Criteria

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

You may qualify if:

• to 55 years of age,
• Having generalized neck pain for more than 3 months,
• Being volunteer

You may not qualify if:

• Being pregnant,
• Malignancy,
• Having cervical stenosis,
• Severe cervical spondylosis,
• Cervical fractures and tumor,
• Osteoporosis,
• Positive vertebrobasilar test
• Positive Babinski reflex
• Neurologic deficit related to compression of the spinal root or cord,
• Having neurologic, dermatologic, infectious, inflammatory rheumatologic and endocrine diseases,
• Being an inability to fulfill the questionnaires,
• Any problems that will hinder exercise (advanced cardiopulmonary or orthopedic problems), having intervention including exercise program or physiotherapy in the three months

Sponsors & Collaborators

• Ataturk Training and Research Hospital: lead

Study Sites (1)

Ankara Yildirim Beyazit University

Ankara, 06760, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain; Motor Activity

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• seyda toprak celenay, PhD, PT

  Ankara Yildirim Beyazıt University

  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: associate professor

Model Details: Participants were randomly assigned to manual therapy plus cervical stabilization exercise group (intervention group) and only the manual therapy group (control group).

Study Record Dates

• First Submitted: May 29, 2020
• First Posted: June 9, 2020
• Study Start: May 20, 2020
• Primary Completion: June 1, 2021
• Study Completion: June 24, 2021
• Last Updated: January 4, 2022

Record last verified: 2021-12

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)