MANUAL THERAPY ON PAIN, DISABILITY AND QUALITY OF LIFE

Istanbul Rumeli University

Status: Invitation-only

Conditions: Neck Pain Musculoskeletal; Neck Pain

Treatments: Other: Physical therapy; Other: Physical therapy and manual therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT07494734

E-53938333-050-55608

Details and patient eligibility

About

The aim of this study is to investigate whether conventional physical therapy combined with manual therapy reduces pain and maintains life support in individuals with chronic mechanical neck pain, compared to conventional physical therapy alone. The study plans to evaluate the combined benefits of both treatment methods and manual therapy. Pain, quality of life, range of motion, and neck injuries will be assessed in the participants. The treatment protocol will be administered twice a week, for a total of 10 sessions over a 5-week period.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 65 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Being between 18-65 years of age

  • Having neck pain that has lasted for at least three months
  • Having a Visual Analog Scale (VAS) score of at least 3

Exclusion criteria

• Patients not aged 18-60 years

  • Pregnant women or those suspected of being pregnant
  • Individuals with acute inflammatory diseases
  • Individuals with neurological deficits
  • Individuals with a positive vertebrobasilar artery test
  • Individuals with advanced osteoporosis
  • Individuals who have undergone spinal surgery
  • Individuals who have received an injection in the cervical region within the last 3 months
  • Individuals with any neurological or psychiatric disorders

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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30 participants in 2 patient groups

Physical Therapy

Other group

Description:

Conventional physical therapy includes transcutaneous electrical nerve stimulation (TENS), infrared device application, and exercise programs.

Treatment:

Other: Physical therapy

Physical therapy and Manual therapy

Experimental group

Description:

Cervical region mobilization techniques include bridging, cervical manual traction, rotation with traction, lateral flexion with traction, antero-posterior sliding and lateral sliding techniques with traction. Prior to joint mobilization techniques, bilaterally, soft tissue techniques including myofascial release techniques and ischemic compression will be applied to the cervical paravertebral muscles, upper and middle trapezius, levator scapula, sternocleidomastoid (SCM), anterior-medius posterior scalene muscles, deep and superficial fascia to reduce muscle spasm in the soft tissues and relax the cervical muscles. Transverse friction massage will be applied to the occipital attachment points of the semispinalis capitis and splenius capitis muscles.

Treatment:

Other: Physical therapy and manual therapy