The Effects Of Instrument Cervical Manual Therapy Methods And Proprioceptive Neuromuscular Facilitation Techniques

NCT05851703 | Completed

• 1 other identifier: neck pain
• Study Type: interventional
• Target: 82
• Locations: 1 country
• Sites: 1

Brief Summary

The location of neck pain is usually shown as "pain occurring between the occiput and the third thoracic vertebra". The annual incidence of mechanical neck pain is 12/1000 patients and is one of the most common reasons for visiting physicians. Neck pain usually lasts longer than 3 months and results in a high cost to society

Conditions

Neck Pain

Keywords

pain

Outcome Measures

Primary Outcomes (5)

• Neck Disability Index

  The Neck Disability Index (NDI) measures acute and chronic neck pain or disability due to neck injury. It is the most common assessment tool used in the neck. It consists of 10 items. These; intensity of pain, personal care, lifting, reading, headaches, concentration, work, driving, sleep and leisure activities. There are 6 options in each item and the patient will mark one of these options and be evaluated accordingly.

  one day

• Visual Analogue Scale

  In the measurement of neck pain severity, it was planned to use a standard, proven 10 mm VAS. The severity of pain felt by the patient; It is a scale used to mark 0 = no pain and 10 = the most severe pain, thus determining the patient's pain intensity subjectively.

  one day

• Algometer

  It can be used to measure the sensitivity of tissues. The pressure is gradually increased and people must report the feeling of pressure applied. It has been shown that pressure algometry is a highly valid and reliable measurement of cranio-cervical muscles.

  one day

• Pinchmeter

  It will be used to assess finger grip strengths. Measurements will be evaluated on both hands. Before the measurements, the participants will be informed verbally and they will be allowed to experiment. When the participants are ready, they are asked to squeeze the dynamometer with all their strength for 3 seconds and then release it. Participants will rest for 1 minute between measurements.

  one day

• Jamar Hand Dynomometer

  The patients were placed in the sitting position with the wrist in 90° flexion and the forearm in the neutral position. Before the measurements, the participants will be informed verbally. Participants will then be asked to squeeze with all their strength for 3 seconds and then release. Participants will rest for 1 minute between measurements

  one day

Study Arms (2)

Manual therapy applications:

EXPERIMENTAL

In lower cervical lateral flexion problems, pushing technique will be applied with instrument support from the articular pillar part of the superior vertebra on the side where the limitation is present

Other: Manual therapy application

Proprioceptive Neuromuscular Facilitation

EXPERIMENTAL

Proprioceptive Neuromuscular Facilitation (PNF) techniques will be applied to the second group.

Other: Proprioceptive Neuromuscular Facilitation

Interventions

Manual therapy application OTHER

In lower cervical lateral flexion problems, pushing technique will be applied with instrument support from the articular pillar part of the superior vertebra on the side where the limitation is present. In lower cervical lateral flexion problems, instrument-assisted pushing technique will be applied from the articular pillar part of the superior vertebra on the side where the limitation is present.

Manual therapy applications:

Proprioceptive Neuromuscular Facilitation OTHER

With the rhythmic initiation technique, it is to teach the movement to the person, to improve the feeling of movement, coordination and to help relaxation. With rhythmic initiation, we want the patient's initial passive and then active participation to understand the movement, the direction and rhythm of the movement. After people actively participate, they can use active joint movement.

Proprioceptive Neuromuscular Facilitation

Eligibility Criteria

• Age: 18 Months - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Those with neck pain
• Being between 20-60 years old

You may not qualify if:

• High blood pressure
• Cardiopulmonary disease
• Malignant
• Operation, injection, etc. for the neck in the last 3 months. those with a history of treatment
• Spine surgery
• Psychological disturbance
• Neurological and orthopedic deficits

Sponsors & Collaborators

• Bahçeşehir University: lead

Study Sites (1)

Ismet Yurtdsever

Istanbul, None Selected, 34353, Turkey (Türkiye)

Location

Related Publications (1)

• Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.

  PMID: 28826164 BACKGROUND

MeSH Terms

Conditions

Neck Pain; Pain

Interventions

Muscle Stretching Exercises

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Exercise Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Exercise; Motor Activity; Movement; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

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

Study Record Dates

• First Submitted: April 30, 2023
• First Posted: May 10, 2023
• Study Start: May 16, 2023
• Primary Completion: May 16, 2023
• Study Completion: April 26, 2024
• Last Updated: May 14, 2024

Record last verified: 2024-05

Locations

TU (1)