Effects of Neural Mobilization on Respiratory Parameters in Chronic Neck Pain

NCT05867082 | Completed

• 1 other identifier: 009
• Study Type: interventional
• Target: 26
• Locations: 1 country
• Sites: 1

Brief Summary

Objective: Neural mobilization (NM) is commonly used to treat nerve disorders, and it is useful for disorders associated with neck and arm pain. This study aimed to determine the effects of NM on respiratory function in patients with chronic neck pain. Methods: Overall, 26 patients with neck pain were randomly assigned to two groups: NM or control. In these participants, respiratory function and active cervical range of motion were assessed before and after intervention. Furthermore, the participants were provided a visual analog scale (VAS) and Fremantle Neck Awareness Questionnaire (FreNAQ). Each participant underwent 15 treatment sessions (5 days per week for 3 weeks). Further, in the NM group, in addition to conventional treatment, 10 sessions of neural mobilization were performed.

Conditions

Neck Pain; Respiratory

Outcome Measures

Primary Outcomes (3)

• Pulmonary function test

  PFTs were performed using a spirometer (Schiller SP-260). Spirometric measurements were obtained using a nasal clamp while the patient was in a sitting position. At least three measurements were obtained for each participant, and the best value was considered for the study. In PFT measurements, forced expiratory volume in the 1st second (FEV1), forced vital capacity (FVC), and FEV1/FVC values were compared between the two groups

  Change from baseline respiratory function at 3 weeks

• Range of Motion (ROM) of the Joint

  Participants' ROM of the neck was measured using a universal goniometer at baseline. The measurements for neck flexion, extension, lateral flexion, and rotation were made during active neck movements while the patient was in a seating position. For the measurement of ROM during neck flexion and extension, the goniometer was placed on the acromion, and the ROM was measured by following the midline of the ear. To measure ROM during lateral flexion, the goniometer was placed on the spinous process of the cervical vertebra 7, and the ROM was measured by tracking its movement. For the measurement of ROM during rotation, the goniometer was placed in the center of the head, and the ROM was measured by following the nose. All measurements were reported in degrees.

  Change from baseline ROM at 3 weeks

• Pain Intensity

  Pain intensity was assessed using Visual Analog Scale. A description of the parameter being evaluated was written at either end of a 10-cm horizontal line, with scores ranging from 0 (no pain) to 10 (excruciating pain). The participants were asked to choose the score that best described their pain

  Change from baseline pain intensity at 3 weeks

Secondary Outcomes (1)

• Fremantle Neck Awareness Questionnaire (FreNAQ in Turkish (FreNAQ-T)

  Change from baseline FreNAQ-T at 3 weeks

Study Arms (2)

Neural Mobilization Group

EXPERIMENTAL

Each participant underwent 15 treatment sessions (5 days per week for 3 weeks). Further, in the NM group, in addition to conventional treatment, 10 sessions of neural mobilization were performed.

Other: Neural Mobilization

Control Group

EXPERIMENTAL

Each participant underwent 15 treatment sessions (5 days per week for 3 weeks).

Other: Neural Mobilization

Interventions

Neural Mobilization OTHER

Radial Nerve Mobilization, Medial Mobilization, Ulnar Mobilization

Control Group; Neural Mobilization Group

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Individuals aged 25-65 years,
• those with neck pain for \>3 months
• those with complaints of pain, tension
• numbness on neurodynamic nerve tests

You may not qualify if:

• individuals with spinal stenosis,
• neurological diagnosis, malignancy,
• upper extremity vascular problems,
• osteoporosis,
• pregnancy,
• history of newly repaired peripheral nerves,
• inflammatory processes,
• cervical spine and upper extremity surgeries,
• conditions affecting lung capacity (such as asthma, bronchitis, and diabetes mellitus)

Sponsors & Collaborators

• Okan University: lead

Study Sites (1)

Medical Park Gebze Hosptal

Gebze, Kocaeli, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Elif Tunç, Msc

  Medical Park Gebze Hospital

  STUDY DIRECTOR

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: May 9, 2023
• First Posted: May 19, 2023
• Study Start: June 26, 2023
• Primary Completion: October 27, 2023
• Study Completion: October 27, 2023
• Last Updated: August 1, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)