Comparison of Two Treatments on Nonspecific Neck Pain

NCT06485921 | Active Not Recruiting

• 1 other identifier: IstanbulUC-FTR-MK-01
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study was to evaluate the impact of Ischemic Compression (IC) and Instrument Assisted Soft Tissue Mobilization (IASTM) on pain, functionality, cervical range of motion, pressure pain threshold, and quality of life in patients suffering from nonspecific neck pain.

Conditions

Neck Pain

Keywords

Neck pain; Trigger point; Exercise; Physical therapy; Manual therapy

Outcome Measures

Primary Outcomes (2)

• Visual Analog Scale(VAS)

  VAS is a measurement tool commonly used to assess the intensity of pain or other symptoms. It consists of a horizontal line labeled with descriptive anchors at each end (e.g., 'no pain' to 'worst pain imaginable'). Patients mark on the line to indicate their subjective perception of symptom severity, with the distance from the starting point to the mark providing a quantitative measure. As the value on the scale increases, the perceived pain or symptom intensity also increases

  Six weeks

• Neck Disability Index (NDI)

  NDI is a measurement tool used to assess functional limitations in the neck region. It is commonly employed in individuals experiencing neck pain to evaluate the extent of restrictions in daily activities. NDI allows patients to subjectively assess how much their neck pain affects their daily lives. The score on the scale indicates the degree of functional impairment experienced by the patient and is used to evaluate treatment outcomes. When the score decreases, it indicates a reduction in limitations.

  Six weeks

Secondary Outcomes (5)

• The Work Role Functioning Questionnaire (WRFQ)

  Six weeks

• Cervical range of motion

  Six weeks

• Pain pressure threshold

  Six weeks

• SF- 12 quality of life

  Six weeks

• Global Rating of Change (GROC)

  Six weeks

Study Arms (3)

Ischemic compression GROUP

ACTIVE COMPARATOR

This group will receive 90 seconds of ischemic compression on myofascial trigger points in the trapezius, levator scapulae, supraspinatus, infraspinatus, and splenius cervicis, along with exercises and suggestions for workplace modifications.

Other: Ischemic compression; Other: Exercise and workplace modifications

Instrument assisted soft tissue mobilization Group

ACTIVE COMPARATOR

This group will receive 40 seconds of sweeping and 60 seconds of swiveling by instrument-assisted soft tissue mobilization on myofascial trigger points in the trapezius, levator scapulae, supraspinatus, infraspinatus, and splenius cervicis muscles, along with exercises and suggestions for workplace modifications.

Other: Instrument assisted soft tissue mobilization Group; Other: Exercise and workplace modifications

Control Group

EXPERIMENTAL

This group will only receive exercises and suggestions for workplace modifications.

Other: Exercise and workplace modifications

Interventions

Ischemic compression OTHER

Participants will received a total of 12 treatment sessions over 6 weeks, with 2 sessions per week.

Ischemic compression GROUP

Instrument assisted soft tissue mobilization Group OTHER

Participants will received a total of 12 treatment sessions over 6 weeks, with 2 sessions per week.

Instrument assisted soft tissue mobilization Group

Exercise and workplace modifications OTHER

Participants will receive stretching and strengthening exercises for neck and scapular stabilizer muscles as a 6-week home program.

Control Group; Instrument assisted soft tissue mobilization Group; Ischemic compression GROUP

Eligibility Criteria

• Age: 18 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Having nonspecific neck pain and at least 3 myofascial trigger points in the back and neck muscles,
• Pain duration exceeding 3 months,
• Working with a computer for at least 20 hours per week for at least 1 year,
• Pain intensity rated as at least 3 on the Visual Analog Scale (VAS),
• Age between 18 and 50 years

You may not qualify if:

• Use of anti-inflammatory, analgesic, anticoagulant, muscle relaxant, or antidepressant medications at the start of the study or within 1 week prior to the study,
• History of cervical spine surgery or trauma,
• Neck pain, including inflammatory rheumatic diseases,
• Malignancy or structural deformity,
• Coagulation disorders,
• Presence of cervical radiculopathy or myelopathy,
• Individuals who have undergone any physical therapy and rehabilitation interventions to the neck and back regions in the last three months

Sponsors & Collaborators

• Istanbul University - Cerrahpasa: lead

Study Sites (1)

Faculty of Health Sciences, Istanbul University-Cerrahpasa

Istanbul, Büyükçekmece, 34, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain; Motor Activity

Interventions

Acupressure; Exercise

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

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

Study Officials

• Mouna Khosravi, MSc

  aculty of Health Sciences, Istanbul University-Cerrahpasa, Büyükçekmece/Istanbul, Turkey

  PRINCIPAL INVESTIGATOR

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: Student

Model Details: Three groups with conventional therapy control group

Study Record Dates

• First Submitted: June 27, 2024
• First Posted: July 3, 2024
• Study Start: June 1, 2024
• Primary Completion: September 1, 2024
• Study Completion: October 1, 2024
• Last Updated: July 3, 2024

Record last verified: 2024-06

Locations

TU (1)