Effect of Myofascial Release Technique in Patients with Unilateral Cervical Radiculopathy

NCT04597112 | Completed

• 1 other identifier: 10840098-604.01.01-E.1062
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to investigate the effectiveness of myofascial release technique on pain, range of motion, muscle strength, functionality and quality of life in individuals diagnosed with cervical radiculopathy with unilateral arm involvement and compare this with exercise. The individuals included in the study will be randomized into two groups, 17 control and 17 study groups. Sessions will be 3 days a week for 4 weeks. Conventional physiotherapy and exercise program will be applied to the control group, conventional physiotherapy and myofascial release technique will be applied in the intervention group. Conventional physiotherapy methods; It will include Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound (US), hotpack agents. Exercise program; extension, right and left lateral flexion, right and left rotation exercises, chin-tuck, right and left upper trapezius muscle group stretching, neck extensor muscle group isometric strengthening exercises. Myofascial release will be applied to the fingers, wrist flexor-extensor muscle groups, elbow flexor-extensor muscle groups, pectoral muscles and rotator cuff muscle groups. Patients will be evaluated before and after treatment with Visual Analogue Scale (VAS), Goniometric measurements, algometer, myometer, Neck Disability Scale, "Disability of Arm, Shoulder and Hand" Questionnaire (DASH).

Conditions

Cervical Radiculopathy; Cervical Radicular Pain; Cervical; Hernia; Cervical Disc Disease; Cervical Disc Herniation; Pain

Keywords

Cervical Radiculopathy; Pain; Radiculopathy; Cervical; Hernia; Myofascial Release; Exercise

Outcome Measures

Primary Outcomes (4)

• Algometer

  It is a device used to evaluate the sensitivity to pain and to determine the perception of pressure. The pressure algometer has proven useful in evaluating fibrositis and hypersensitive spots, trigger points, arthritis activation, and visceral pain-pressure sensitivity.

  10 minutes

• Myometer

  Hand myometer is a means of expressing force quantitatively. It is preferred over other dynamometers because of its ease of use and portability.

  10 minutes

• Electrogoniometer

  It is an evaluation tool used to record the objective measurement of joint range of motion.

  10 minutes

• Visual Analog Scale

  Visual Analog Scale (VAS) is used to convert some values that cannot be measured numerically into digital. Two end definitions of the parameter to be evaluated are written on both ends of a 100 mm line and the patient is asked to indicate where his / her condition is appropriate by drawing a line or by placing a dot or marking.

  1 minutes

Secondary Outcomes (2)

• Neck Disability Index

  10 minutes

• Disability of Arm Shoulder and Hand Test

  10 minutes

Study Arms (2)

Myofascial Release Group

EXPERIMENTAL

Intervention group, who received conventional therapy and myofascial release therapy.All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. In the intervention group, the myofascial release technique will be applied to the wrist flexors and extensors, elbow flexors and extensors, pectoralis, supraspinatus, infraspinatus, trapezius muscles, starting from the fingers after the conventional treatment, 3 days a week for 4 weeks.

Other: Myofascial Release Technique

Exercise Group

ACTIVE COMPARATOR

The control group will consist of patients who received conventional therapy and exercise therapy. All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. After conventional treatment, a program consisting of neck extension, lateral flexion and rotation range of motion, stretching of the trapezius muscles and strengthening of the neck extensor muscles will be applied to the control group in the presence of a physiotherapist 3 days a week for 4 weeks.

Other: Exercise

Interventions

Myofascial Release Technique OTHER

Myofascial release focuses on reducing pain by easing the tension and tightness in the trigger points. Therapist will gently massage the myofascia and feel for stiff or tightened areas. Normal myofascia should feel pliable and elastic. The therapist will begin massaging and stretching the areas that feel rigid with light manual pressure. The therapist then aids the tissue and supportive sheath in releasing pressure and tightness. The process is repeated multiple times on the same trigger point and on other trigger points until the therapist feels the tension is fully released.

Myofascial Release Group

Exercise OTHER

Exercise is recommended by physical therapists for most cervical radiculopathy patients. In this study, a customized exercise program will be applied for patients with cervical radiculopathy.

Exercise Group

Eligibility Criteria

• Age: 30 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Getting a diagnosis of cervical radiculopathy
• Unilateral upper extremity symptoms at least for a month
• The diagnosis is confirmed by the medical board report
• Being between the ages of 30-65
• Voluntary acceptance to participate in the study

You may not qualify if:

• Previous cervical surgery
• Previous cervical trauma
• Have had myofascial therapy or conventional therapy for cervical radiculopathy
• Long-term use of corticosteroids
• Congenital torticollis history
• Using nonsteroidal anti-inflammatory drugs for long time
• Migraine
• Cancer
• Tumor
• Osteoporosis
• Pregnancy

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Fatih Bali

Istanbul, Kucukcekmece, 34173, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Radiculopathy; Hernia; Pain; Motor Activity

Interventions

Myofascial Release Therapy; Exercise

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms; Behavior

Intervention Hierarchy (Ancestors)

Massage; Therapy, Soft Tissue; Musculoskeletal Manipulations; Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: October 15, 2020
• First Posted: October 22, 2020
• Study Start: October 13, 2020
• Primary Completion: May 10, 2021
• Study Completion: June 1, 2021
• Last Updated: November 15, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)