Comparison of the Efficiency of Manual Therapy and Exercise in People With Mechanical Neck Pain

NCT05154526 | Completed

• 1 other identifier: Istanbul University Cerrahpasa
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Mechanical neck pain (MNP) is defined as neck pain that becomes evident with the posture of the cervical region, movement or palpation of the cervical region muscles, felt in the cervical, occipital or posterior scapular region without spreading to the upper extremity, and without any trauma or specific pathology underlying the complaints. Most of the MNP cases are due to muscular or paraspinal soft tissue problems and show improvement in the first 6 weeks with conservative treatment methods. Various manual therapy techniques and various exercises are reported to have positive effects on neck pain. However, the isolated effects of these techniques in people with MNP are not fully known. Therefore, the aim of this study is to determine the effects of two different treatment programs in which the manual therapy technique and the exercise program are applied in individuals with MNP. In addition, comparing the effect of the treatment program in which manual therapy and exercise program are applied together with the isolated effects of these techniques is another aim.

Conditions

Neck Pain; Mobility Limitation

Keywords

neck pain; mechanical neck pain; manual therapy; exercise

Outcome Measures

Primary Outcomes (2)

• Neck Disability Index

  The neck function of the patients will be evaluated with the Neck Disability Index. The disability levels of the participants due to neck pain will be evaluated with the 'Neck Disability Index' . This scale consists of 10 items including pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleep status and leisure activities. Each item was scored from 0 (no disability) to 5 (complete disability).

  6 weeks

• Pain intensity

  Pain intensity of the patients at rest, during activity and at night was assessed using the Visual Analog Scale (VAS). In this evaluation, individuals were told that the number "0" on the 10 cm long horizontal line expresses "no pain", and the number "10" indicates "unbearable pain" and that individuals should mark their intensity of pain on this line.

  6 weeks

Secondary Outcomes (4)

• Range of Motion (ROM)

  6 weeks

• Pain Pressure Threshold (PPT)

  6 weeks l

• 36-Item Short Form Survey (SF-36)

  6 weeks

• Patient satisfaction level

  At the end of 6-weeks

Study Arms (3)

Exercise Group

EXPERIMENTAL

Exercise Program only

Other: Exercise Program

Manual Therapy Group

ACTIVE COMPARATOR

Manual Therapy only

Other: Manual Therapy

Manual Therapy and Exercise Group

ACTIVE COMPARATOR

Manual Therapy + exercise program

Other: Manual Therapy; Other: Exercise Program

Interventions

Manual Therapy OTHER

Manual Therapy: High velocity-low amplitude technique

Manual Therapy Group; Manual Therapy and Exercise Group

Exercise Program OTHER

Exercise program

Exercise Group; Manual Therapy and Exercise Group

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Diagnosed with MNP
• Decrease in cervical region ROM
• Ability to adapt to verbal, written and visual instructions

You may not qualify if:

• Spine surgery history
• Neurological neck pain in the cervical region
• Presence of tumor in the cervical region
• Blood coagulation disorders
• Vertebrobasilar artery insufficiency
• Cervical region trauma history
• Communicative/mental problems that prevent participation in treatment
• Inflammatory rheumatological diseases affecting the cervical region
• Physiotherapy and rehabilitation treatments for neck pain in the last 3 months

Sponsors & Collaborators

• Tuğba Akgüller: lead

Study Sites (1)

Istanbul University-Cerrahpasa

Istanbul, Buyukcekmece, 34500, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain; Mobility Limitation; Motor Activity

Interventions

Musculoskeletal Manipulations; Resistance Training

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; Exercise Therapy; Aftercare; Continuity of Patient Care; Patient Care; Physical Conditioning, Human; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Officials

• Yıldız Analay Akbaba, PhD

  Istabul University-Cerrahpasa

  STUDY DIRECTOR

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: SPONSOR INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: November 13, 2021
• First Posted: December 13, 2021
• Study Start: December 13, 2021
• Primary Completion: April 19, 2022
• Study Completion: April 19, 2022
• Last Updated: May 26, 2023

Record last verified: 2023-05

Locations

TU (1)