Neck Pain Clinical Trial
Official title:
The Comparsion of MCkenzie and Mulligan Exercise in Patients With Non-Specific Neck Pain
NCT number | NCT05496699 |
Other study ID # | IstinyeFTR |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | April 1, 2022 |
Est. completion date | June 1, 2022 |
Verified date | August 2022 |
Source | Istinye University |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Non-specific neck pain (NSBA) is defined as pain in the posterior and lateral parts of the neck in the absence of neurological and specific pathologies (fracture, infection, inflammation, etc.) between the superior nuchael line and the 1st thoracic vertebra. The lifetime neck pain rate is approximately 12-70%; Neck pain is the reason for admission in approximately 25% of applications to outpatient clinics of the Physical Medicine and Rehabilitation Clinic. Neck pain is the most common spinal problem after low back pain, and it is defined as nonspecific neck pain due to its multifactorial etiology. Many conservative treatment methods are used in the treatment of NSBA. These include medical treatments, exercise, massage, acupuncture, neural therapy and physical therapy modalities. The basis of Mulligan's theory is based on a positional error that develops secondarily, causing misplacement of the joint. With the Mulligan mobilization technique, the joint is displaced to normal and positional error is corrected. Restoration of motion is aimed by repositioning the bone. The main indication in this technique is increased pain, stiffness and weakness in movement. The Mulligan mobilization technique is performed by asking for active movement while maintaining a manually applied joint shift. Painless movement is aimed at the joint. According to the general principles of Mulligan treatment, all techniques are applied in a way that does not cause pain and creates an effect that will eliminate the pain in a short time after the application.
Status | Completed |
Enrollment | 30 |
Est. completion date | June 1, 2022 |
Est. primary completion date | May 1, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 45 Years |
Eligibility | Inclusion Criteria: - Individuals with neck pain of unknown origin for more than 3 months - Individuals between the ages of 18-45 - Non-smokers - Individuals who have the ability to understand and apply Turkish written and verbal instructions Exclusion Criteria: - Individuals with a history of neck injury, micro or macro trauma, - Individuals with tumors in and around the spinal cord, - Individuals who have undergone surgery from the neck and shoulder region, - Individuals with positive Vertebrobacillary Artery Test, - Female individuals who are pregnant, individuals receiving hormone therapy, - Individuals with neurological disease, - Individuals with neuropathic pain due to neurological and systemic disorders, - Patients with any loss of function in the upper extremities due to musculoskeletal disease |
Country | Name | City | State |
---|---|---|---|
Turkey | Istinye University | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Istinye University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Visual Analog Scale | A visual analog scale will be used to assess participants' degree of neck pain before and after treatment. It will be created by marking the instantaneous pain according to the levels on a scale with the visual analog scale. The pain felt by the person will be marked as "0: no pain", "10: I feel very severe pain". Scoring will be made from the parts marked on the plane over the points given by the person. The validity and reliability study of the scale was done by Price et al. made by The scale was adapted to Turkish by A. Aydin et al. | First week | |
Primary | Neck Disability Index | In order to evaluate neck functionality, Vernon et al. Developed by Turkish version study Aslan et al. made by The Neck Disability Questionnaire includes a total of 10 questions such as pain, personal care, concentration, working, driving, and sleeping. Each question will be scored between 0-5 points. The survey will be evaluated out of a maximum of 50 points. 0 points means no restrictions, 50 points means full apology. 0-4 points will be considered as no disability, 5-14 points as mild disability, 14-24 points as moderate disability, 25-34 points as severe disability and 35 and above as complete disability. | First week | |
Secondary | Evaluation of Muscle Strength | A hand held dynamometer, which is a valid and reliable method, will be used to evaluate muscle strength. (17) Neck muscle strength will be evaluated in four directions with extension, forward flexion, and right and left lateral flexion. The position of the dynamometer will be adjusted at the occipital protuberance for extension, above the eyebrows for forward flexion, and above the corresponding ear for right lateral flexion and left lateral flexion. The tests will be repeated three times and patients will be given a rest period of at least one minute between repetitions. The highest value from the results obtained with these measurements will be recorded in Newton (N) as the maximum force to be used in statistical analysis. | First week | |
Secondary | Tampa Kinesiophobia Scale | 17-question survey will be conducted to assess participants' injury avoidance and fear of movement. The scale is scored with Likert scoring (1 = I strongly disagree, 4 = I completely agree). The total score is between 17-68, and it is understood that the higher the score the participant gets, the higher the kinesiophobia. A total score of more than 37 is considered as a high degree of kinesiophobia. (20) | First week | |
Secondary | Fremantle Neck Awareness Questionnaire | Fremantle Neck Awareness Questionnaire will be applied to the participants in order to evaluate the relationship between kinesiophobia and neck awareness. Likert type assessing individual-specific altered perception (0 = Never/Never feel this way, 1 = I rarely feel this way, 2 = Sometimes, or sometimes I feel this way, 3 = I feel this way often, 4 = I feel this way all or most of the time) It's a simple survey. The questionnaire asks individuals 9 questions such as how they perceive their neck relative to their body, how they perceive their body position. | First week | |
Secondary | Corbin Posture Analysis | Corbin Posture Analysis For posture assessment, Corbin et al.'s form was used, in which postural disorders were scored according to severity (0=absent, 1=mild, 2=moderate, 3=well-severe) by observing the case from the lateral and posterior. | First week |
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