Non-specific Neck Pain, Physical Therapy
Conditions
Keywords
Myofascial Release, Non-specific neck pain, Violinists
Brief summary
Participants will undergo an 8-week myofascial release (MFR) program consisting of therapist-administered MFR sessions (45 minutes, twice weekly) and self-myofascial release exercises (20 minutes, three times weekly). The interventions will target myofascial restrictions in the neck, shoulder, and related fascial structures to reduce pain and improve mobility.
Interventions
Participants will receive a 8-week myofascial release (MFR) program consisting of therapist-applied sessions twice weekly (45 minutes) targeting cervical and shoulder fascia, combined with a self-MFR home program three times per week (20 minutes) using massage balls. The aim is to reduce fascial restrictions and neck pain in violinists with non-specific neck pain.
Sponsors
Study design
Intervention model description
A randomized parallel-group design was used. Participants will be randomly allocated to either the Myofascial Release (MFR) Group or the Control Group in a 1:1 ratio. Randomization will be performed using a computer-generated random sequence by an independent researcher not involved in participant recruitment, assessment, or treatment. Allocation concealment will be ensured using sealed, opaque, consecutively numbered envelopes.
Eligibility
Inclusion criteria
* Individuals who have been playing the violin professionally for at least 2 years * Individuals with non-specific neck pain for the last 3 months * Individuals who practice the violin for more than 10 hours per week on average
Exclusion criteria
* Individuals with signs of spinal stenosis or radiculopathy in the cervical region * Individuals with a history of surgery or serious trauma to the neck, shoulder, or back within the past 1 year * Individuals diagnosed with inflammatory rheumatic diseases (e.g., Ankylosing Spondylitis, Rheumatoid Arthritis) or with a history of active malignancy Individuals with contraindications to myofascial release (MFR), including active skin infection, open wounds, or severe osteoporosis * Individuals using non-routine analgesic medications during the study period or participating in any concurrent physical therapy program
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | Baseline and 8 weeks post-intervention | Visual Analog Scale (VAS) is a patient-reported outcome measure used to assess pain intensity. It is typically a 10 cm line anchored with "no pain" at one end and "worst imaginable pain" at the other. Patients mark a point on the line that represents their current pain level. The score is determined by measuring the distance from the "no pain" anchor, with higher scores indicating greater pain intensity. It is widely used due to its simplicity, sensitivity, and reliability. |
| Neck Disability Index | Baseline and 8 weeks post-intervention | Neck Disability Index (NDI) is a patient-reported outcome measure used to assess disability and functional limitations in individuals with neck pain. It consists of 10 items related to daily activities (e.g., pain intensity, personal care, lifting, reading, work, sleeping). Each item is scored from 0 to 5, with a total score ranging from 0 to 50; higher scores indicate greater disability. It is widely used in clinical and research settings due to its good reliability and validity. |
Countries
Turkey (Türkiye)