Thermotherapie bei akuten unspezifischen Nackenschmerzen
Vergleich der kurzfristigen Wirkung oberflächlicher Thermotherapieanwendungen in einer randomisierten kontrollierten Studie mit akuten unspezifischen Nackenschmerzen
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.
Studienübersicht
Status
Bedingungen
Intervention / Behandlung
Studientyp
Einschreibung (Tatsächlich)
Phase
- Unzutreffend
Kontakte und Standorte
Studienorte
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Turkey
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Istanbul, Turkey, Türkei (türkiye), +90
- Nuray ALACA
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Istanbul, Turkey, Türkei (türkiye), 34752
- Acibadem University
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-
Teilnahmekriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Waffen und Interventionen
Teilnehmergruppe / Arm |
Intervention / Behandlung |
|---|---|
|
Schein-Komparator: Sham-Gruppe
|
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. |
|
Aktiver Komparator: Hot Pack-Gruppe
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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. |
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Aktiver 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. |
Was misst die Studie?
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
The Numerical Rating Scale (NPRS-11)
Zeitfenster: 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
Zeitfenster: 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)
Zeitfenster: Global Rating of Change assessed on the third day relative to baseline.
|
All participants were asked to rate their condition on the third day compared with baseline by indicating whether they had improved significantly, improved slightly, remained unchanged, deteriorated slightly, or deteriorated significantly, on a scale ranging from -2 to +2, with higher scores indicating greater improvement. |
Global Rating of Change assessed on the third day relative to baseline.
|
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Neck disability index
Zeitfenster: Change from baseline disability scale at 3th day
|
Neck-related disability was assessed using the 10-item Neck Disability Index (NDI). Each item is scored from 0 (no disability) to 5 (maximum disability), resulting in a total score ranging from 0 to 50. Higher scores indicate greater neck-related disability. |
Change from baseline disability scale at 3th day
|
|
Pressure Pain Threshold
Zeitfenster: Change from baseline Pressure Pain Threshold at 3th day
|
Pressure pain threshold (PPT) was assessed using a handheld digital pressure algometer at 12 standardized bilateral anatomical sites, including cervical paravertebral and upper trapezius regions. Pressure was applied perpendicular to the skin at a rate of approximately 0.5 kg/cm²/s until the participant first reported that the sensation had changed from pressure to pain. Three measurements were obtained at each site, and the mean values were used to derive global cervical and trapezius pressure pain threshold scores. Higher PPT values indicated lower mechanical pain sensitivity. |
Change from baseline Pressure Pain Threshold at 3th day
|
Mitarbeiter und Ermittler
Sponsor
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Tatsächlich)
Primärer Abschluss (Tatsächlich)
Studienabschluss (Tatsächlich)
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
- 2024/9/340
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