MANUAL THERAPY ON PAIN, DISABILITY AND QUALITY OF LIFE

NCT07494734 | Enrolling By Invitation

• 1 other identifier: E-53938333-050-55608
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to investigate whether conventional physical therapy combined with manual therapy reduces pain and maintains life support in individuals with chronic mechanical neck pain, compared to conventional physical therapy alone. The study plans to evaluate the combined benefits of both treatment methods and manual therapy. Pain, quality of life, range of motion, and neck injuries will be assessed in the participants. The treatment protocol will be administered twice a week, for a total of 10 sessions over a 5-week period.

Conditions

Neck Pain; Neck Pain Musculoskeletal

Keywords

Manual therapy; Quality of life; Disability; Neck pain

Outcome Measures

Primary Outcomes (4)

• Pain Assessment

  Visual Pain Scale

  Baseline and at the end of treatment (week 5)

• Range of motion

  The data will be recorded in the range of motion assessment section of the patient evaluation form. While the participant is in a seated position, the measurement results of active flexion, extension, right and left rotation, right and left lateral flexion movements of the cervical region will be recorded.

  Baseline and at the end of treatment (week 5)

• Disability

  Bournemoth Neck :The BDI consists of 10 categories: neck pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleep, and leisure activities. Individuals included in the study were asked to rate each category between 0 (no disability) and 5 (complete disability) (Vernon, 2008). The total score ranged from 0 (no disability) to 50 (complete disability).

  Baseline and at the end of treatment (week 5)

• quality of life

  The SF-36 Quality of Life Scale consists of 36 items assessed across 8 separate subscales. Physical function, social function, general health, fitness, mental health, pain, and physical and emotional role limitations are the subscales of the SF-36. Each subscale can be scored between 0 and 100.

  Baseline and at the end of treatment (week 5)

Study Arms (2)

Physical Therapy

OTHER

Conventional physical therapy includes transcutaneous electrical nerve stimulation (TENS), infrared device application, and exercise programs.

Other: Physical therapy

Physical therapy and Manual therapy

EXPERIMENTAL

Cervical region mobilization techniques include bridging, cervical manual traction, rotation with traction, lateral flexion with traction, antero-posterior sliding and lateral sliding techniques with traction. Prior to joint mobilization techniques, bilaterally, soft tissue techniques including myofascial release techniques and ischemic compression will be applied to the cervical paravertebral muscles, upper and middle trapezius, levator scapula, sternocleidomastoid (SCM), anterior-medius posterior scalene muscles, deep and superficial fascia to reduce muscle spasm in the soft tissues and relax the cervical muscles. Transverse friction massage will be applied to the occipital attachment points of the semispinalis capitis and splenius capitis muscles.

Other: Physical therapy and manual therapy

Interventions

Physical therapy OTHER

Traditional physiotherapy includes transcutaneous electrical nerve stimulation (TENS), infrared device application, and exercise programs.

Physical Therapy

Physical therapy and manual therapy OTHER

Cervical region mobilization techniques include bridging, cervical manual traction, rotation with traction, lateral flexion with traction, antero-posterior sliding and lateral sliding techniques with traction. Prior to joint mobilization techniques, bilaterally, soft tissue techniques including myofascial release techniques and ischemic compression will be applied to the cervical paravertebral muscles, upper and middle trapezius, levator scapula, sternocleidomastoid (SCM), anterior-medius posterior scalene muscles, deep and superficial fascia to reduce muscle spasm in the soft tissues and relax the cervical muscles. Transverse friction massage will be applied to the occipital attachment points of the semispinalis capitis and splenius capitis muscles.

Physical therapy and Manual therapy

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 18-65 years of age
• Having neck pain that has lasted for at least three months
• Having a Visual Analog Scale (VAS) score of at least 3

You may not qualify if:

• Patients not aged 18-60 years
• Pregnant women or those suspected of being pregnant
• Individuals with acute inflammatory diseases
• Individuals with neurological deficits
• Individuals with a positive vertebrobasilar artery test
• Individuals with advanced osteoporosis
• Individuals who have undergone spinal surgery
• Individuals who have received an injection in the cervical region within the last 3 months
• Individuals with any neurological or psychiatric disorders

Sponsors & Collaborators

• Istanbul Rumeli University: lead

Study Sites (1)

Physiotherapy center

Kocaeli, Gebze, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain

Interventions

Physical Therapy Modalities; Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Therapeutics; Rehabilitation; Complementary Therapies

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: March 20, 2026
• First Posted: March 27, 2026
• Study Start: March 15, 2026
• Primary Completion: May 1, 2026
• Study Completion: May 10, 2026
• Last Updated: March 27, 2026

Record last verified: 2026-03

Locations

TU (1)