Comparison of Conservative Treatment and Graston and Cup Applications in Patients With Cervical Disc Herniation

NCT06003907 | Completed

• 1 other identifier: Uskudar65
• Study Type: interventional
• Target: 27
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to examine the effects of graston and dry cupping techniques applied in addition to the conservative treatment program on neck awareness, grip strength, balance and sleep quality in patients with cervical disc herniation between the ages of 18-65.

Conditions

Neck Pain; Cervical Disc Herniation

Keywords

graston technique; cupping therapy

Outcome Measures

Primary Outcomes (3)

• The Fremantle Neck Awareness Questionnaire

  It is a 9-question questionnaire that evaluates the way people perceive the communication between their neck and their body, and the way they perceive their body position. Evaluates the perception that differs according to the individual. It is a Likert-type questionnaire (0 = Never/Never feel this way, 1= I rarely feel this way, 2 = Sometimes, or sometimes I feel this way, 3 = I feel this way often, 4 = I feel this way all or most of the time)

  6 weeks

• Berg Balance Scale

  The Berg Balance Scale is a scale developed for the assessment of postural control in adults and is easily used in many areas of rehabilitation. It consists of 14 items in total. Scoring evaluates whether the patient can safely perform a task in a given amount of time. High fall risk and balance disorder between 0-20 points; A score of 21-40 indicates moderate risk of falling and an acceptable balance; A score of 41 and above indicates good balance and minimal risk of falling.

  6 weeks

• Jenkins Sleep Scale

  The Jenkins Sleep Scale is used in clinical studies to evaluate the sleep problems of patients. Patients are asked 4 questions about sleep problems in the last month and are asked to answer them. 0 (hardly), 1 (1-3 days per month), 2 (4-7 days per month), 3 (8-14 days per month), 4 (15-21 days per month), 5 (23-31 days per month)

  6 weeks

Study Arms (2)

conventional physiotherapy

ACTIVE COMPARATOR

traditional and complementary medicine methods will not be used.

Other: conventional

cupping therapy and graston

EXPERIMENTAL

Complementary methods will be used alongside conventional physiotherapy.

Other: conventional; Other: traditional and complementary medicine methods

Interventions

conventional OTHER

hot application electrotherapy ultrasound mobilization joint range of motion exercises stretching exercises balance exercises posture exercises

conventional physiotherapy; cupping therapy and graston

traditional and complementary medicine methods OTHER

The Graston Technique is a form of manual therapy known as instrument assisted soft tissue mobilization. Graston massage is performed using titanium-coated metal rods specially designed for different parts of the body. Cupping therapy is a treatment method that creates a regional vacuum to increase the blood circulation of the person and provide healing.

cupping therapy and graston

Eligibility Criteria

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

You may qualify if:

• Being between the ages of 18-65
• Being diagnosed with cervical disc herniation
• Being diagnosed with cervical disc herniation at the level of bulging or protrusion according to MRI results

You may not qualify if:

• Presence of cervical spine surgery history
• Presence of primary or spinal metastatic malignancy
• Having vascular problems
• Individuals with sleep apnea
• Those who use psychiatric drugs
• Presence of various pathologies in the upper extremity (fracture, ganglion cyst, etc.)

Sponsors & Collaborators

• Uskudar University: lead

Study Sites (1)

Üsküdar Unıversıty

Üsküdar, Istanbul, Turkey (Türkiye)

Location

Related Publications (5)

• Keramat KU, Gaughran A. Safe physiotherapy interventions in large cervical disc herniations. BMJ Case Rep. 2012 Aug 18;2012:bcr2012006864. doi: 10.1136/bcr-2012-006864.

  PMID: 22907861 BACKGROUND

• Crothers A, Walker B, French SD. Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: design of a randomised controlled trial. Chiropr Osteopat. 2008 Oct 30;16:12. doi: 10.1186/1746-1340-16-12.

  PMID: 18959807 BACKGROUND

• Choi TY, Ang L, Ku B, Jun JH, Lee MS. Evidence Map of Cupping Therapy. J Clin Med. 2021 Apr 17;10(8):1750. doi: 10.3390/jcm10081750.

  PMID: 33920643 BACKGROUND

• Kim S, Lee SH, Kim MR, Kim EJ, Hwang DS, Lee J, Shin JS, Ha IH, Lee YJ. Is cupping therapy effective in patients with neck pain? A systematic review and meta-analysis. BMJ Open. 2018 Nov 5;8(11):e021070. doi: 10.1136/bmjopen-2017-021070.

  PMID: 30397006 BACKGROUND

• Abdel-Aal NM, Elsayyad MM, Megahed AA. Short-term effect of adding Graston technique to exercise program in treatment of patients with cervicogenic headache: a single-blinded, randomized controlled trial. Eur J Phys Rehabil Med. 2021 Oct;57(5):758-766. doi: 10.23736/S1973-9087.21.06595-3. Epub 2021 May 5.

  PMID: 33947825 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Interventions

Congresses as Topic

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Organizations; Health Care Economics and Organizations

Study Officials

• Beste İNCEKULAK

  Uskudar University

  STUDY CHAIR

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: Asst. Prof. Dr.

Model Details: conservative and traditional physiotherapy

Study Record Dates

• First Submitted: August 15, 2023
• First Posted: August 22, 2023
• Study Start: September 1, 2023
• Primary Completion: December 20, 2023
• Study Completion: January 2, 2024
• Last Updated: October 18, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)