Cervical Flexibility, Stretch, Physical Therapy, Electrotherapy
Conditions
Keywords
exercise, hotpack, laser therapy, traction
Brief summary
60 healthy participants with right / left upper trapezoidal shortness based on volunteering will be included in the study. Participants were randomly divided into 4 groups; Traction and stretching exercises to group 1 (n = 15), laser therapy and stretching exercise to group 2 (n = 15), hot pack and stretching exercises to group 3 (n = 15), and group 4 (control group) only stretching exercises will be applied.
Detailed description
Healthy individuals without any cervical region pathology will be included in the study. Exclusion criterias are pregnancy or cancer, hypertension that cannot be controlled, having neurological symptoms, previous spinal surgery. Demographic information of the participants will be recorded; cervical joint range of motion (CROM device), muscle shortness (acromion-earlobe and occiput-wall distance measurement), deep cervical flexor muscle strength (Stabilizer Pressure Biofeedback), cervical performance level (Cervical Performance Tests), muscle spasm (Palpable Muscle Spasm Scoring) will be evaluated. Cervical joint range of motion and muscle shortening will be repeated before and after each session, but other parameters will only be repeated at the beginning and the end.
Interventions
PROCEDURETraction
Intermittent traction will be applied to the cervical region in a supine position with the neck at 25-30 ° flexion. The target weight is determined as 10% of the patient's weight. Traction pulling force applied to the target weight will be achieved gradually increasing from low. Traction therapy will be applied intermittent traction for 15 minutes in each session as 60 seconds retention and 60 seconds rest. The therapy will be held for 18 sessions, 3 days / week.
PROCEDURELaser therapy
Laser therapy will be applied to the participants with a GaAs laser with 904 nm wavelength, 6 points transforaminally, 120 seconds to each point, at 2 J / cm² density, total dose of 12 J laser therapy by keeping the probe in constant contact with the skin.
PROCEDUREHot pack
The hot pack, which is the superficial heat agent, will be held in the neck area of the participants for 20 minutes in each session.The therapy will be held for 18 sessions, 3 days / week.
PROCEDUREStretching
Stretching exercises will be repeated 3 times a day in total, 2 times a day self-stretching at home and 1 time under the supervision of a physiotherapist. Exercises for upper trapezius muscle, sternokleudomasteudeus (SCM) muscle and the scalene muscle to be applied in a 3 repeat by waiting 30 seconds, stretching under tension.The therapy will be held for 18 sessions, 3 days / week.
Sponsors
Pamukkale University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
There are paralel groups, each has 15 participants. Different electrotherapy applications will be applied to each group.
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
Yes
Inclusion criteria
-Healthy individuals without any cervical region pathology
Exclusion criteria
* Pregnancy and cancer * Uncontrolled hypertension * Presence of neurological symptoms * Spinal surgery history
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cervical range of motion (ROM) | Baseline to 6 weeks after | ROM is measured by CROM device during flexion, extension, right/left lateral flexion and right/left rotation activity. |
| Cervical flexibility | Baseline to 6 weeks after | Cervical flexibility is measured using the standard tape measure, the distance between the occiput and the wall in the standing position of the participants, and the distance between the earlobe and the acromion. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cervikal Muscle spasm | Baseline to 6 weeks after | The degree of muscular spasm in the upper trapezoidal muscle, sternocleudomasteudeus (SCM) muscle, and scalen muscles is evaluated by palpation over 4 points. |
Other
| Measure | Time frame | Description |
|---|---|---|
| Cervical Performance Level | Baseline to 6 weeks after | In cervical flexion, extension, right and left lateral flexion directions, cervical performance tests are evaluated by recording the holding time in the desired position with a stopwatch. |
| Muscle Strength of Deep Cervical Flexor Muscles | Baseline to 6 weeks after | Strength measurement of deep cervical flexor muscles is evaluated with the Stabilizer Pressure Biofeedback device (Chattanooga Medical Suplly Inc, Chattanooga, TN). |
Countries
Turkey (Türkiye)
Outcome results
None listed