Comparison Of Different Physiotherapy Methods In People With Non-Specific Neck Pain

NCT07004491 | Active Not Recruiting

• 1 other identifier: E-10840098-202.3.02-3746
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

The study will include 45 people between the ages of 25-55 with non-specific neck pain. The patients will be randomly divided into three groups. Group 1 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application. Group 2 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application in addition to the Mulligan mobilization technique. Group 3 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application in addition to graston treatment for 5 minutes to the upper and lower trapezius, rhomboid major and minor muscles.

Conditions

Neck Pain

Keywords

Non specific neck pain; physiotherapy applicaitons; pain

Outcome Measures

Primary Outcomes (4)

• Visucal Analog scale

  The Visual Analog Scale (VAS) (0-10 cm), which is found to be valid, reliable and sensitive in patients with neck pain, will be used to assess pain. O means no pain; 10 means severe pain.

  10 minutes

• Joint range of motion

  The patients' neck joint range of motion will be measured with a standard goniometer.

  20 minutes

• Quality of life (SF-36)

  SF-36 will be used to assess the participants' quality of life. The 36-question questionnaire is divided into 8 groups: physical role functioning, emotional role functioning, bodily pain, energy, social role functioning, mental health and general health perception. Each category is scored between 0-100 and higher scores indicate better quality of life

  15 minutes

• The neck disability scale

  Functional status and disability level will be assessed with the neck pain and disability scale.The neck disability scale will be used to assess how the participants' daily lives are affected by neck pain. The total score of the scale ranges from 0 to 35, with higher scores indicating higher levels of disability

  15 minutes

Study Arms (3)

First Intervention

EXPERIMENTAL

5 minutes of Ultrasound, 20 minutes of Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application will be applied.

Other: Conventional therapy

Second Intervention

EXPERIMENTAL

In addition to 5 minutes of Ultrasound, 20 minutes of Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application, Mulligan mobilization technique will be applied. Continuous apophyseal shifting technique will be applied as mobilization. Mobilization will be applied in 3 sets of 4-5 repetitions.

Other: Conventional therapy+ Mulligan mobilization

Third Intervention

EXPERIMENTAL

In addition to 5 minutes of Ultrasound, 20 minutes of Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application, Graston treatment will be applied to the upper and lower trapezius, rhomboid major and minor muscles for 5 minutes.

Other: Conventional therapy+ Graston

Interventions

Conventional therapy OTHER

Ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application

First Intervention

Conventional therapy+ Mulligan mobilization OTHER

Conventional therapy+ Mulligan mobilization

Second Intervention

Conventional therapy+ Graston OTHER

Conventional therapy+ Graston application

Third Intervention

Eligibility Criteria

• Age: 25 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients diagnosed with non-specific neck pain by a doctor
• aged between 25-55
• who have had pain in their neck for at least 2 weeks will be included in the study.

You may not qualify if:

• Neurological disease
• Manual therapy contraindication such as osteoporosis, spinal infection
• Spondyloarthropathy, disc herniation
• People with contraindications to the Graston technique such as neoplastic disorders, anticoagulant drug use, uncontrolled hypertension or general infection will not be included in the study

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Istanbul Medipol University

Istanbul, Turkey (Türkiye)

Location

Related Publications (1)

• Mahmood T, Afzal W, Ahmad U, Arif MA, Ahmad A. Comparative effectiveness of routine physical therapy with and without instrument assisted soft tissue mobilization in patients with neck pain due to upper crossed syndrome. J Pak Med Assoc. 2021 Oct;71(10):2304-2308. doi: 10.47391/JPMA.03-415.

  PMID: 34974559 RESULT

Related Links

• Comparative effectiveness of routine physical therapy with and without instrument assisted soft tissue mobilization in patients with neck pain due to upper crossed syndrome.

MeSH Terms

Conditions

Neck Pain; Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• MERVE YILMAZ MENEK, Assoc. Prof.

  Medipol University

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: May 27, 2025
• First Posted: June 4, 2025
• Study Start: May 26, 2025
• Primary Completion: July 26, 2025
• Study Completion: September 30, 2025
• Last Updated: June 4, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)