Effect of Myofascial Release Technique in Patients with Unilateral Cervical Radiculopathy

Medipol Health Group

Status: Completed

Conditions: Cervical Radicular Pain; Cervical Disc Herniation; Cervical; Hernia; Cervical Disc Disease; Cervical Radiculopathy; Pain

Treatments: Other: Exercise; Other: Myofascial Release Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT04597112

10840098-604.01.01-E.1062

Details and patient eligibility

About

The aim of the study is to investigate the effectiveness of myofascial release technique on pain, range of motion, muscle strength, functionality and quality of life in individuals diagnosed with cervical radiculopathy with unilateral arm involvement and compare this with exercise. The individuals included in the study will be randomized into two groups, 17 control and 17 study groups. Sessions will be 3 days a week for 4 weeks. Conventional physiotherapy and exercise program will be applied to the control group, conventional physiotherapy and myofascial release technique will be applied in the intervention group. Conventional physiotherapy methods; It will include Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound (US), hotpack agents. Exercise program; extension, right and left lateral flexion, right and left rotation exercises, chin-tuck, right and left upper trapezius muscle group stretching, neck extensor muscle group isometric strengthening exercises. Myofascial release will be applied to the fingers, wrist flexor-extensor muscle groups, elbow flexor-extensor muscle groups, pectoral muscles and rotator cuff muscle groups. Patients will be evaluated before and after treatment with Visual Analogue Scale (VAS), Goniometric measurements, algometer, myometer, Neck Disability Scale, "Disability of Arm, Shoulder and Hand" Questionnaire (DASH).

Enrollment: 40 patients

Sex: All

Ages: 30 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Getting a diagnosis of cervical radiculopathy
• Unilateral upper extremity symptoms at least for a month
• The diagnosis is confirmed by the medical board report
• Being between the ages of 30-65
• Voluntary acceptance to participate in the study

Exclusion criteria

• Previous cervical surgery
• Previous cervical trauma
• Have had myofascial therapy or conventional therapy for cervical radiculopathy
• Long-term use of corticosteroids
• Congenital torticollis history
• Using nonsteroidal anti-inflammatory drugs for long time
• Migraine
• Cancer
• Tumor
• Osteoporosis
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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40 participants in 2 patient groups

Myofascial Release Group

Experimental group

Description:

Intervention group, who received conventional therapy and myofascial release therapy.All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. In the intervention group, the myofascial release technique will be applied to the wrist flexors and extensors, elbow flexors and extensors, pectoralis, supraspinatus, infraspinatus, trapezius muscles, starting from the fingers after the conventional treatment, 3 days a week for 4 weeks.

Treatment:

Other: Myofascial Release Technique

Exercise Group

Active Comparator group

Description:

The control group will consist of patients who received conventional therapy and exercise therapy. All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. After conventional treatment, a program consisting of neck extension, lateral flexion and rotation range of motion, stretching of the trapezius muscles and strengthening of the neck extensor muscles will be applied to the control group in the presence of a physiotherapist 3 days a week for 4 weeks.

Treatment:

Other: Exercise