The Effect of Tendon Release Techniques in Patients With Cervical Disc Herniation

NCT06526325 | Recruiting

• 1 other identifier: 2024/03
• Study Type: interventional
• Target: 51
• Locations: 1 country
• Sites: 1

Brief Summary

The goal of this clinical trial is to investigate the effect of using enhanced golgi tendon organ stimulation on symptoms in patients with cervical disc herniation. The main question\[s\] it aims to answer are:

• Enhanced Golgi tendon organ stimulation is effective in reducing symptoms in patients with cervical disc herniation.
• Enhanced golgi tendon organ stimulation is not effective in reducing symptoms in patients with cervical disc herniation. Participants will receive enhanced golgi tendon organ stimulation to the Sternocleidomastoideus, platysma, longus colli, longus capitis, scalene, rhomboid major \& minor, levator scapulae and trapezius muscles for 3 weeks, 2 sessions per week for 45 minutes.

Conditions

Cervical Disc Herniation

Keywords

disc herniation; enhanced golgi tendon organ stimulation; pain; cervical

Outcome Measures

Primary Outcomes (2)

• Pain assessment with algometer

  The sternocleidomastoid, platysma, longus colli, longus capitis, scalene, rhomboid major and minor, levator scapulae and trapezius muscles and their tendons are compressed to 0.5 kg using an algometer. The patient's response is used to determine whether or not there is pain.

  baseline, immediately after the 6 weeks intervention

• SF-36 (short form-36)

  The Short Form-36 (SF-36) is a self-assessment scale and analyses 8 dimensions of health including physical function, social function, role limitations (due to physical and emotional reasons), mental health, vitality (energy), pain and general perception of health with 36 items. In scoring the scale, each sub-dimension is given a score between 0 and 100 points, where 0 points indicate that the quality of life dimension is poor and 100 points indicate that it is good.

  baseline, immediately after the 6 weeks intervention

Secondary Outcomes (4)

• visual analogue scale (VAS)

  baseline, immediately after the 6 weeks intervention

• assessment of joint range of motion

  baseline, immediately after the 6 weeks intervention

• Spurling Test

  baseline, immediately after the 6 weeks intervention

• Endurance Test

  baseline, immediately after the 6 weeks intervention

Study Arms (1)

Application of enhanced Golgi tendon organ stimulation to patients

EXPERIMENTAL

The effect of golgi tendon organ stimulation on the symptoms will be examined after applying the improved golgi tendon organ stimulation to patients diagnosed with cervical disc herniation and having pain, limitation of movement, spasm and tenderness in the neck region.

Device: Enhanced golgi tendon organ stimulation

Interventions

Enhanced golgi tendon organ stimulation DEVICE

Enhanced Golgi Tendon Organ Stimulation is a method that can be used by physiotherapists and doctors. The Golgi tendon organ is the proprioceptors located in the tendon adjacent to the myotendinous junction. It is applied using two separate heads, the stimulator and the algometer. The sternocleidomastoideus, platysma, colli longus, capitis longus, scalene, rhomboid major and minor, levator scapulae and trapezius muscles and their tendons will be vibrated with a stimulator for 30 seconds, then 0.5 kilograms of pressure will be applied with an algometer from the origin to the insertion of the muscle in the region at 0.5 centimetre intervals at an angle of 90 degrees.

Application of enhanced Golgi tendon organ stimulation to patients

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 diagnosed with cervical disc herniation
• Volunteering for the research

You may not qualify if:

• Chronic bone disease
• Have had surgery for a cervical disc herniation
• Have a structural abnormality

Sponsors & Collaborators

• Istanbul Arel University: lead

Study Sites (1)

AS Physiotherapy Services centre

Istanbul, 34000, Turkey (Türkiye)

RECRUITING

Related Publications (2)

• Yilmaz M, Tarakci D, Tarakci E. Comparison of high-intensity laser therapy and combination of ultrasound treatment and transcutaneous nerve stimulation on cervical pain associated with cervical disc herniation: A randomized trial. Complement Ther Med. 2020 Mar;49:102295. doi: 10.1016/j.ctim.2019.102295. Epub 2020 Jan 3.

  PMID: 32147037 BACKGROUND

• Yang X, Arts MP, Bartels RHMA, Vleggeert-Lankamp CLA. The type of cervical disc herniation on MRI does not correlate to clinical outcomes. Bone Joint J. 2022 Nov;104-B(11):1242-1248. doi: 10.1302/0301-620X.104B11.BJJ-2022-0657.R2.

  PMID: 36317351 BACKGROUND

MeSH Terms

Conditions

Intervertebral Disc Displacement; Pain

Condition Hierarchy (Ancestors)

Spinal Diseases; Bone Diseases; Musculoskeletal Diseases; Hernia; Pathological Conditions, Anatomical; Pathological Conditions, Signs and Symptoms; Neurologic Manifestations; Signs and Symptoms

Study Officials

• hasan aslan

  AS Physiotherapy Services centre

  PRINCIPAL INVESTIGATOR

Central Study Contacts

hasan aslan

CONTACT

+905538073527; asfizyoterapi@gmail.com

mehmet aslan

CONTACT

+905521873527; sharisin.aslan@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: July 3, 2024
• First Posted: July 29, 2024
• Study Start: February 19, 2024
• Primary Completion: August 1, 2024
• Study Completion: August 19, 2024
• Last Updated: July 31, 2024

Record last verified: 2024-07

Locations

TU (1)