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Termoterapi ved akutte uspecifikke nakkesmerter

2. oktober 2026 opdateret af: Nuray Alaca, Acibadem University

Sammenligning af den kortsigtede effekt af overfladiske termoterapiapplikationer i akutte uspecifikke nakkesmerter-randomiserede kontrollerede forsøg

Neck pain is one of the most common musculoskeletal pain disorders secondary to low back pain. Medical and non-medical treatments such as physiotherapy are applied in its treatment. Patients with nonspecific neck pain (NBA) can be treated with various interventions such as drug therapy, manual therapy, heat and exercise. Although it is frequently used in clinical practice, there is no evidence that superficial thermotherapy (hot or cold) methods effectively relieve neck pain. Therefore, this study aims to compare the short-term effects of superficial hot or cold applications on pain, range of motion and functional status in patients with NBA.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

60

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Turkey
      • Istanbul, Turkey, Tyrkiet (Türkiye), +90
        • Nuray ALACA
      • Istanbul, Turkey, Tyrkiet (Türkiye), 34752
        • Acibadem University

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år til 65 år (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • Being diagnosed with nonspecific neck pain by a doctor,
  • To be between the ages of 18-65,
  • Neck pain lasting for less than 3 month
  • No previous neck or shoulder surgery,
  • No shoulder pain due to any cause,
  • A tumour or inflammatory disease underlying the neck pain not to be found,
  • A clinically underlying stenosis or discogenic problem not to be present.
  • Negative results from the following clinical examination tests;

Spurling test, Lhermitte test, Cervical distraction test, Adson test,

Exclusion Criteria:

  • Not meeting the inclusion criteria,
  • Positive neurological examination (positive motor presence, reflex or sensory abnormalities indicating spinal root compression) or abnormal neurological findings related to nerve compression in the upper limb
  • Systemic rheumatological or metabolic diseases or cancer
  • Refusal to participate in the study,
  • Failure to complete treatment,
  • Having any neurological problem
  • Severe psychological illnesses

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Dobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Sham-komparator: Sham Group

An unrefrigerated room temperature Cold Pack will be wrapped in a towel and applied to the patient's posterior neck and back for 15 minutes while the patient is lying face down.

Aktiv komparator: Hot Pack gruppe

Hot pack (55-60 degrees) application will be wrapped in a towel and applied to the back side neck and back of the patient for 15 minutes while the patient is lying face down.

Aktiv komparator: Cold Pack gruppe

Cold pack application (2-4 degrees) will be wrapped in a towel and applied to the patient's back side neck and back for 15 minutes while the patient is lying prone.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
The Numerical Rating Scale (NPRS-11)
Tidsramme: Change from baseline pain score at 3th day

The Numerical Rating Scale (NPRS-11) is an 11-point scale for self-report of pain. It is the most commonly used unidimensional pain scale. The respondent selects a whole number (integers 0-10) that best reflects the intensity (or other quality if requested of his/her pain.0 point is the minimum and 10 point is the maximum. The higher the score, the more severe the pain.

Change from baseline pain score at 3th day
Range of Motion
Tidsramme: Change from baseline range of motion at 3th day

CROM device will be used. The active range of motion of each individual will be measured and measured in accordance with the manufacturer's procedures

Change from baseline range of motion at 3th day
Global Rating of Change scale (Patient Satisfaction)
Tidsramme: Change from baseline Global Rating of Change scale at 3th day

Patient satisfaction regarding improvement in cervical situtaion will be evaluated by the Global Rating of Change scale. All participants will be asked to rate their condition after a six-week intervention period compared to baseline by indicating whether they have improved significantly, improved slightly, unchanged, deteriorated slightly, or deteriorated significantly between -2 to +2, with a higher value indicating better condition in this study.

Change from baseline Global Rating of Change scale at 3th day

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Neck disability index
Tidsramme: Change from baseline disability scale at 3th day

Since some parts of the 10-item questionnaire could not be answered by the patients (driving, working life), the average neck disability index score will be calculated by dividing the total score by the number of questions answered. The scoring is between 0 and 50. 0 points means the best result, 50 points means the worst result. 0 - 4 points; no disability, 5 - 14 points; mild disability, 15 - 24 points; moderate disability, 25 - 34 points; severe disability, > 35 points; complete disability

Change from baseline disability scale at 3th day
Pressure Pain Threshold
Tidsramme: Change from baseline Pressure Pain Threshold at 3th day

A digital pressure algometer will be applied to the web space of the cervical opposite the trigger point. Participants are instructed to say "stop" or "pain" so the stimulus can be terminated "when the sensation first transitions from pressure to pain" (pain threshold).

Change from baseline Pressure Pain Threshold at 3th day

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

19. juli 2024

Primær færdiggørelse (Faktiske)

10. juni 2025

Studieafslutning (Faktiske)

10. juni 2025

Datoer for studieregistrering

Først indsendt

12. juli 2024

Først indsendt, der opfyldte QC-kriterier

12. juli 2024

Først opslået (Faktiske)

18. juli 2024

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

6. oktober 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

2. oktober 2026

Sidst verificeret

1. juli 2024

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 2024/9/340

Plan for individuelle deltagerdata (IPD)

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