Effectiveness of LASER Therapy and PNF Technique in Neck Pain
27. april 2026 oppdatert av: Istanbul Gedik University
Low-Intensity Laser Therapy Versus Proprioceptive Neuromuscular Facilitation for Pain and Disability in Chronic Non-Specific Neck Pain: A Randomized Controlled Trial
This study aimed to investigate and compare the effects of low-intensity laser therapy, a photobiomodulation treatment, and proprioceptive neuromuscular facilitation on pain and disability in individuals with non-specific neck pain.
This randomized controlled trial used the Numerical Pain Scale (primary outcome) and the Bournemouth Neck Pain Questionnaire to assess pain, a manual algometer to assess pain threshold, and the Neck Disability Index to assess disability.
Three groups were included in this randomized controlled trial: Group 1: Photobiomodulation therapy (low-intensity laser therapy) + conventional physiotherapy; Group 2: Proprioceptive neuromuscular facilitation with stretching and strengthening + conventional physiotherapy; Group 3: Conventional physiotherapy only.
We hypothesized that low-intensity laser therapy and proprioceptive neuromuscular facilitation would have distinct effects on pain and disability in chronic non-specific neck pain.
Studieoversikt
Status
Fullført
Forhold
Studietype
Intervensjonell
Registrering (Faktiske)
75
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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-
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Istanbul, Tyrkia (Türkiye)
- Istanbul Gedik University
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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
- Voksen
- Eldre voksen
Tar imot friske frivillige
Nei
Beskrivelse
Inclusion Criteria:
- Volunteering to participate in the study
- A neck pain score of at least 3 on the Numerical Pain Scale in the assessment conducted prior to inclusion in the study
- A Neck Disability Index score of 5 or higher
- No comorbid conditions affecting the orthopaedic, neurological or cardiopulmonary systems
- Participants who have not been enrolled in another clinical trial within the last month
Exclusion Criteria:
- Individuals who have undergone upper limb surgery (e.g. shoulder blade, shoulder, elbow, hand, wrist, etc.) within the last year
- Individuals with a pacemaker or subcutaneous implant
- Pregnant women or women who have recently given birth
- Use of antidepressants, anti-inflammatory drugs or anxiolytics within the last 6 months
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: Low-intensity Laser Therapy Group
Low-intensity Laser Therapy + Conventional Physiotherapy
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Low-dose laser therapy was administered twice a week for a total of 10 sessions using a Chattanoga Advance device, at a power of 100 mW and an energy dose of 4 J/cm², with each trigger point receiving treatment plus four additional points marked with a cross (Legouté et al. 2019).
Andre navn:
Conventional physiotherapy involved traditional heat therapy, pain-relieving electrical stimulation and neck exercises.
|
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Eksperimentell: Proprioceptive Neuromuscular Facilitation Group
Proprioceptive Neuromuscular Facilitation Technique + + Conventional Physiotherapy
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Conventional physiotherapy involved traditional heat therapy, pain-relieving electrical stimulation and neck exercises.
Stretching and strengthening exercises were performed twice a week for a total of 10 sessions on the scalene, sternocleidomastoid, trapezius, pectoralis major, pectoralis minor, intercostal and serratus anterior muscles, and three times a week for 10 minutes (including the neck extensors).
The specific method involved the 'hold-release' technique for 10 repetitions of PNF stretching and the maximum isometric contraction technique for strengthening (Liu et al. 2021; Cruz-Montecinos et al. 2017).
Andre navn:
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Aktiv komparator: Control Group
Conventional physiotherapy
|
Conventional physiotherapy involved traditional heat therapy, pain-relieving electrical stimulation and neck exercises.
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Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Numerical Pain Scale
Tidsramme: at baseline and week 5
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It was used to assess neck pain.
Pain is assessed using a rating scale of 1-10.
Higher scores indicate more severe pain.
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at baseline and week 5
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Pressure-Pain Threshold Measurement
Tidsramme: at baseline and week 5
|
A manual algometer was used to assess the pain threshold.
The pain threshold increases as the amount of pressure applied increases in kilograms.
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at baseline and week 5
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The Neck Bournemouth Questionnaire
Tidsramme: at baseline and week 5
|
The study was used to assess the severity of neck pain, functional limitations, and biopsychosocial factors.
This indicates that neck pain has a greater impact on the person's life (high level of limitation/pain).
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at baseline and week 5
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The Neck Disability Index
Tidsramme: at baseline and week 5
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It was used to examine disability.
An increase in the score means an increase in disability.
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at baseline and week 5
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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Samarbeidspartnere
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- Liu K, Yu X, Cui X, Su Y, Sun L, Yang J, Han W. Effects of Proprioceptive Neuromuscular Facilitation Stretching Combined with Aerobic Training on Pulmonary Function in COPD Patients: A Randomized Controlled Trial. Int J Chron Obstruct Pulmon Dis. 2021 Apr 13;16:969-977. doi: 10.2147/COPD.S300569. eCollection 2021.
- Cruz-Montecinos C, Godoy-Olave D, Contreras-Briceno FA, Gutierrez P, Torres-Castro R, Miret-Venegas L, Engel RM. The immediate effect of soft tissue manual therapy intervention on lung function in severe chronic obstructive pulmonary disease. Int J Chron Obstruct Pulmon Dis. 2017 Feb 21;12:691-696. doi: 10.2147/COPD.S127742. eCollection 2017.
- Legoute F, Bensadoun RJ, Seegers V, Pointreau Y, Caron D, Lang P, Prevost A, Martin L, Schick U, Morvant B, Capitain O, Calais G, Jadaud E. Low-level laser therapy in treatment of chemoradiotherapy-induced mucositis in head and neck cancer: results of a randomised, triple blind, multicentre phase III trial. Radiat Oncol. 2019 May 22;14(1):83. doi: 10.1186/s13014-019-1292-2.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
5. februar 2024
Primær fullføring (Faktiske)
28. mars 2026
Studiet fullført (Faktiske)
28. mars 2026
Datoer for studieregistrering
Først innsendt
20. april 2026
Først innsendt som oppfylte QC-kriteriene
27. april 2026
Først lagt ut (Faktiske)
5. mai 2026
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
5. mai 2026
Siste oppdatering sendt inn som oppfylte QC-kriteriene
27. april 2026
Sist bekreftet
1. april 2026
Mer informasjon
Begreper knyttet til denne studien
Nøkkelord
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- E-56365223-050.02.04-2023.1375
Plan for individuelle deltakerdata (IPD)
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Nei
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