Cervical Syndrome
Conditions
Keywords
Neck Pain, Physical Therapy Modalities, Fascia, Manual Therapy, Massage
Brief summary
This study aimed to investigate the effects of myofascial release therapy (MRT) for improving pressure pain thresholds (PPTs), range of motion and pain in patients with mechanical neck pain (NP).
Detailed description
Fifty-four participants with NP were randomly allocated to either an MRT (five sessions) or a physical therapy (PT) groups (ten sessions) during two weeks. Multimodal PT program included: ultrasound therapy (US), transcutaneous electric nerve stimulation (TENS) and massage. Visual Analogue Scale (VAS), range of motion and (CROM) PPTs in sub-occipital and upper trapezius muscles were measured at baseline, at the end of treatment and at 1 month follow-up. T-tests and a repeated-measures multivariate analysis of variance (RM-MANOVA) were used for VAS, CROM and PPTs, respectively.
Interventions
PROCEDUREPhysiotherapy treatment
The MRT group was treated five times with several maneuvers. Each maneuver was performed once per session by slow and progressive application of a light force. The whole procedure lasted no more than 45 minutes. The treatment included four basic maneuvers. * Suboccipital induction * Posterior elongation of the cervical fascia in Supine position * Assisted cervical fascia * Myofascial induction of sternocleidomastoid
Sponsors
University of Cadiz
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Investigator)
Masking description
Blind researcher
Intervention model description
RANDOMIZED CLINICAL TRIAL WITH BLIND EVALUATION BY THIRD PARTIES, LONGITUDINAL AND PROSPECTIVE.
Eligibility
Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Patients of both sexes, aged between 20 and 60 years, in an active state of pain and diagnosed with muscle breakdown
Exclusion criteria
\- Patients who are pregnant, have pacemakers and surgically operated in the area to be treated
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The intensity of cervical pain | Baseline | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of cervical pain, and the worst and lowest level of pain experienced in the preceding week in the cervical area. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The intensity of cervical pain | Four weeks | A 10-point Numerical Pain Rating Scale (NPRS; 0: no pain, 10: maximum pain) will be used to assess the patients' current level of cervical pain, and the worst and lowest level of pain experienced in the preceding week in the cervical area. |
| Active cervical range of motion | Baseline, four weeks and eight weeks | Measured by goniometer type crom |
| Pressure pain thresholds in cervical trigger points | Baseline, four weeks and eight weeks | Pressure pain thresholds (PPTs) will be measured with a pressure algometer (Baseline, Pain TestTM, Wagner Instruments). The clinimetric properties of this instrument have been evaluated previously. The PPT will the point at which pressure elicited pain and will presented as kilograms per square centimeter. All measurements will be conducted by the same well-trained physician. |
Countries
Spain
Outcome results
None listed