- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03563079
Effects of Instrument-assisted Soft Tissue Mobilization (IASTM) on Pain and Disability in Individuals With Non-specific Chronic Neck Pain.
June 19, 2018 updated by: Francisco Xavier de Araujo, Pt, Federal University of Health Science of Porto Alegre
Effects of Instrument-assisted Soft Tissue Mobilization (IASTM) on Pain and Disability in Individuals With Non-specific Chronic Neck Pain: A Randomized Clinical Trial
INTRODUCTION: Cervical pain is a very common clinical condition in the world population, and can affect 70% of people at some point in life.
Many of these conditions arise from musculoskeletal disorders, which may be caused by myofascial dysfunctions.
Instrument-assisted soft tissue mobilization (IASTM) may be an important therapeutic tool as a means of treatment under these conditions.
PURPOSE: To verify the effect of instrument-assisted soft tissue mobilization (IASTM) on pain, disability and range of motion (ROM) in individuals with non-specific chronic neck pain.
DESIGN: Randomized Clinical Trial.
METHODS: The sample will consist of 46 volunteers with non-specific chronic neck pain of both sexes, aged between 18 and 60 years, who presented pain for at least 12 weeks, without irradiation to the upper limbs distally to the shoulders.
Of these, those that are not excluded, will be allocated randomly in one of the two groups present: Experimental Group (GE) - IASTM in the neck and Control Group (CG) - Manual myofascial release in the neck region.
A blinded evaluator will be assigned to conduct the evaluation process for both groups.
DESPECTS: The outcomes will be neck pain, neck disability and range of motion of the neck.
Study Overview
Status
Unknown
Conditions
Intervention / Treatment
Detailed Description
- To verify the effect of instrument-assisted soft tissue mobilization (IASTM) on pain, disability and ROM in individuals with non-specific chronic neck pain.
- Characterization of individuals with chronic nonspecific neck pain. To describe and compare, at the pre-intervention, post-intervention moments in a 3-week follow-up period, the intensity of neck pain using the numerical pain scale (NPS); the self - perception of disability using the Neck Disability Index (NDI) and range of motion (ROM) of the neck - flexion, extension, rotations and right and left slopes through a pendulum flexometer.
- Randomized unicentric clinical trial of longitudinal cut according to the standardization proposed by the Consolidated Standards of Reporting Trials - CONSORT statement
- The sample will be composed of 46 volunteers with chronic nonspecific neck pain.
- The subjects will be recruited through digital ads in the main social networks, as well as coming from the Physiotherapy service in a clinic in the city of Viamão / RS. An online form will be completed by the interested parties, which will include the eligibility criteria for participation in the study. Only the subjects that follow the criteria will be allocated to carry out the study.
Study Type
Interventional
Enrollment (Anticipated)
6
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
RS
-
Porto Alegre, RS, Brazil, 90050-170
- Recruiting
- Universidade Federal de Ciências da Saúde de Porto Alegre
-
Contact:
- Francisco Araujo, Pt
- Phone Number: +55 5192581467
- Email: franciscoxaraujo@gmail.com
-
Principal Investigator:
- Francisco De Araujo, Pt
-
-
Rio Grande Do Sul
-
Porto Alegre, Rio Grande Do Sul, Brazil, 90050-170
- Recruiting
- Federal University of Health Sciences of Porto Alegre
-
Contact:
- Raffaele C Greco
- Phone Number: +5551992033035
- Email: cunhagreco@yahoo.com.br
-
Principal Investigator:
- Raffaele C Greco
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 60 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- people presenting as main complaint chronic neck pain, manifested for at least twelve weeks, without irradiation to the upper limbs distally to the shoulders.
- presenting scales scores (NSP) above 3 and NDI above 30%.
Exclusion Criteria:
- Individuals who are positive in the Spurling test, indicating Cervical Radiculopathy,
- Some severe clinical condition (such as fracture, neoplasia or systemic diseases); --
- history of previous surgery in the neck or thoracic spine;
- injury of whiplash trauma in the six months prior to evaluation;
- diagnosis of cervical stenosis;
- diagnosis of myelopathy;
- pregnancy;
- signs and symptoms of moderate to severe temporomandibular dysfunction,
- neck hematoma,
- neck scarring,
- severe osteoporosis,
- open lesions or recent neck fractures,
- generalized infections,
- coagulation disorders,
- acute inflammatory conditions,
- fever.
- Also excluded are patients who have undergone physical therapy or massage up to one month prior to the evaluation.
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: trial group
The treatment will be performed using two pieces of Instrument Assisted Soft Tissue Mobilization (IASTM) stainless steel in the neck, bilaterally, which comprise the following muscles: Upper Trapezius, Splenius, scalenes and Sternocleidomastoid.
An established time of 3 minutes will be used in each region, using an angle of 30 to 60º with the instrument.
As it is observed, through the instrument, regions of greater adhesion, the researcher will use most of this time to release this condition.
|
Soft Tissue Mobilization
Other Names:
|
Active Comparator: group control
Treatment will be performed using manual Myofascial Release techniques.
Release the upper Trapezius muscle bilaterally, sliding using roller with the dorsum of the fingers and ending with myofascial release.
Sternocleidomastoid, sliding using roller with the dorsum of the fingers, ending with myofascial release.
Afterwards the release of the scalenes muscles will be performed, with the fingers sliding and ending with the myofascial release.
Soon afterwards techniques will be performed for the Splenius muscles, using finger slips and ending with posterior cervicothoracic release.
The same time of 3 min will be used for the treatment bilaterally in each region.
|
Myofascial Release Technique
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Evaluation of pain
Time Frame: assessment at baseline and its change in 1-week and 3-month follow-up
|
the numerical scale of pain will be used.
The Numerical Scale consists of a ruler divided into equal parts, numbered successively from 0 to 10.
The study participant is meant to make the equivalence between the intensity of his pain and a numerical classification, where 0 corresponds to the classification "No Pain" and 10 to the classification "Maximum Pain" (pain of maximum intensity imaginable), that is, the higher the number the worse the score.
|
assessment at baseline and its change in 1-week and 3-month follow-up
|
Disability of the neck
Time Frame: assessment at baseline and its change in 1-week and 3-month follow-up
|
Neck disability index.
The Neck Disability Index is used to assess the functional capacity of the neck.
Is composed of 10 questions regarding activities and pain.
Items are organized by type of activity and followed by six different statements expressing progressive functional capacity levels.
The NDI score consists of the sum of the points, from 0 to 5 of each of the 10 questions, totaling a maximum of 50 points.
O value can be expressed as a percentage, on a scale of 0% (no disability) to 100% (complete disability).
The score total is divided by the number of questions answered multiplied by number 5. The higher the score, the greater the patient's disability.
|
assessment at baseline and its change in 1-week and 3-month follow-up
|
Range of motion
Time Frame: assessment at baseline and its change in 1-week and 3-month follow-up
|
For measurement, an angular flexometer
|
assessment at baseline and its change in 1-week and 3-month follow-up
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
characterization of the sample
Time Frame: baseline
|
quiz
|
baseline
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
April 30, 2018
Primary Completion (Anticipated)
April 20, 2019
Study Completion (Anticipated)
May 10, 2019
Study Registration Dates
First Submitted
May 25, 2018
First Submitted That Met QC Criteria
June 8, 2018
First Posted (Actual)
June 20, 2018
Study Record Updates
Last Update Posted (Actual)
June 21, 2018
Last Update Submitted That Met QC Criteria
June 19, 2018
Last Verified
June 1, 2018
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- FAraujo
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
product manufactured in and exported from the U.S.
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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