The Effects Of Instrument Cervical Manual Therapy Methods And Proprioceptive Neuromuscular Facilitation Techniques

May 12, 2024 updated by: İsmet Yurdsever, Bahçeşehir University

The Effects Of Instrument-Supported Cervical Manual Therapy Methods And Proprioceptive Neuromuscular Facilitation Techniques

The location of neck pain is usually shown as "pain occurring between the occiput and the third thoracic vertebra". The annual incidence of mechanical neck pain is 12/1000 patients and is one of the most common reasons for visiting physicians. Neck pain usually lasts longer than 3 months and results in a high cost to society

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Movement in one plane in the cervical spine is due to the contribution of vertebrae from other planes. This complicates the kinematics and injury mechanism of the cervical region. Considering the mechanism of injury, demographic information to be obtained from the person is very important.

Study Type

Interventional

Enrollment (Actual)

82

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

  • Turkey
    • None Selected
      • Istanbul, None Selected, Turkey, 34353
        • Ismet Yurtdsever

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

  • Child
  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Those with neck pain
  • Being between 20-60 years old

Exclusion Criteria:

  • High blood pressure
  • Cardiopulmonary disease
  • Malignant
  • Operation, injection, etc. for the neck in the last 3 months. those with a history of treatment
  • Spine surgery
  • Psychological disturbance
  • Neurological and orthopedic deficits

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: Manual therapy applications:
In lower cervical lateral flexion problems, pushing technique will be applied with instrument support from the articular pillar part of the superior vertebra on the side where the limitation is present
Other: Manual therapy application

In lower cervical lateral flexion problems, pushing technique will be applied with instrument support from the articular pillar part of the superior vertebra on the side where the limitation is present.

In lower cervical lateral flexion problems, instrument-assisted pushing technique will be applied from the articular pillar part of the superior vertebra on the side where the limitation is present.
Experimental: Proprioceptive Neuromuscular Facilitation
Proprioceptive Neuromuscular Facilitation (PNF) techniques will be applied to the second group.
Other: Proprioceptive Neuromuscular Facilitation
With the rhythmic initiation technique, it is to teach the movement to the person, to improve the feeling of movement, coordination and to help relaxation. With rhythmic initiation, we want the patient's initial passive and then active participation to understand the movement, the direction and rhythm of the movement. After people actively participate, they can use active joint movement.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Neck Disability Index
Time Frame: one day
The Neck Disability Index (NDI) measures acute and chronic neck pain or disability due to neck injury. It is the most common assessment tool used in the neck. It consists of 10 items. These; intensity of pain, personal care, lifting, reading, headaches, concentration, work, driving, sleep and leisure activities. There are 6 options in each item and the patient will mark one of these options and be evaluated accordingly.
one day
Visual Analogue Scale
Time Frame: one day
In the measurement of neck pain severity, it was planned to use a standard, proven 10 mm VAS. The severity of pain felt by the patient; It is a scale used to mark 0 = no pain and 10 = the most severe pain, thus determining the patient's pain intensity subjectively.
one day
Algometer
Time Frame: one day
It can be used to measure the sensitivity of tissues. The pressure is gradually increased and people must report the feeling of pressure applied. It has been shown that pressure algometry is a highly valid and reliable measurement of cranio-cervical muscles.
one day
Pinchmeter
Time Frame: one day
It will be used to assess finger grip strengths. Measurements will be evaluated on both hands. Before the measurements, the participants will be informed verbally and they will be allowed to experiment. When the participants are ready, they are asked to squeeze the dynamometer with all their strength for 3 seconds and then release it. Participants will rest for 1 minute between measurements.
one day
Jamar Hand Dynomometer
Time Frame: one day
The patients were placed in the sitting position with the wrist in 90° flexion and the forearm in the neutral position. Before the measurements, the participants will be informed verbally. Participants will then be asked to squeeze with all their strength for 3 seconds and then release. Participants will rest for 1 minute between measurements
one day

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Bahçeşehir University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

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)

May 16, 2023

Primary Completion (Actual)

May 16, 2023

Study Completion (Actual)

April 26, 2024

Study Registration Dates

First Submitted

April 30, 2023

First Submitted That Met QC Criteria

April 30, 2023

First Posted (Actual)

May 10, 2023

Study Record Updates

Last Update Posted (Actual)

May 14, 2024

Last Update Submitted That Met QC Criteria

May 12, 2024

Last Verified

May 1, 2024

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Neck Pain

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

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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