Non-Specific Neck Strain, Neck Pain Treatment
Conditions
Keywords
Non-Specific Neck Strain, cervical exercise, manipulation, boyun ağrısı, cervical region
Brief summary
The primary purpose of this study is to investigate and compare the effects of different physiotherapy approaches, such as manipulation, mobilization, and neck exercises, on pain, range of motion, neck functionality, quality of life, muscle tightness, and psychological status in individuals with non-specific neck tension. Throughout the study, the clinical, physical, and myofascial parameters, as well as the psychological statuses of the patients, were recorded through detailed evaluations conducted before and after the treatment, within the framework of a treatment program planned as 2 sessions per week for a total of 8 sessions over 4 weeks.
Detailed description
This study is designed to investigate the clinical, physical, psychological, and myofascial outcomes of manual therapy techniques (manipulation and mobilization) and neck exercises in individuals experiencing non-specific neck tension using a rigorous and multifaceted methodology. According to the study protocol, participants receive a standardized intervention program consisting of 2 sessions per week for a period of 4 weeks, totaling 8 sessions. During the data collection process of the study, the clinical and functional status of the patients are evaluated using comprehensive scales and standard measurement tools. In this context, pain severity is assessed using the Visual Analog Scale (VAS), range of motion with a goniometer, neck functionality with the Copenhagen Neck Disability Index, quality of life with the SF-36 scale, and anxiety-depression statuses using the Hospital Anxiety and Depression Scale. Furthermore, during the physical and myofascial examination phase, muscle tightness, palpation findings, and muscle restriction conditions are evaluated and recorded with precision. All of these clinical parameters, myofascial findings, and measurements are repeated before and after the treatment and subjected to comparative statistical analyses to objectively and scientifically demonstrate the effectiveness of the applied physiotherapy approaches.
Interventions
OTHERManipulation and Exercise
Participants undergo cervical (general, C1) and thoracic manipulation, followed by a standardized exercise program including neck range of motion exercises (flexion, extension, lateral flexion, rotation), pectoral and trapezius stretching, and chin tucks.
OTHERMobilization and Exercise
Participants undergo cervical (C2-C4) and thoracic mobilization, traction with rotation, and gliding techniques (anterior-posterior/lateral), followed by the same standardized exercise program as mentioned above (neck ROM, stretching, chin tucks).
BEHAVIORALStandardized Exercise Program
Participants perform only the standardized exercise program consisting of neck range of motion exercises (flexion, extension, lateral flexion, rotation), pectoral and trapezius stretching, and chin tuck exercises.
Sponsors
Istanbul Rumeli University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Masking description
The outcome assessor was blinded to group allocation. However, the physical therapist (care provider) and the participants were not blinded due to the nature of the physical therapy interventions.
Intervention model description
This is a parallel-group study with three arms. Participants are randomly assigned to one of the following groups: Group 1 receives manipulation and exercise; Group 2 receives mobilization and exercise; and Group 3 (control group) receives only exercise.
Eligibility
Sex/Gender
ALL
Age
18 Years to 30 Years
Healthy volunteers
No
Inclusion criteria
* \- Non-specific neck muscle tension * Being between 18-30 years of age * Not having a chronic disease * Not having undergone any surgery, * Having limited mobility in the cervical region * Having at least 2 pains according to the Visual Analog Scale at rest * Individuals with subacute and chronic non-specific neck pain were included in this study * Having a negative vertebrobasilar artery test
Exclusion criteria
* -Having a chronic systemic disease * Having cervical straightening and cervical herniation (with a diagnosis and report) * Having undergone surgery * Having instability in the cervical joints and trauma within the last year * Having severe osteoporosis * Having neurological findings * Having received physical therapy within the last 6 months * Having vertigo
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Visual Analog Scale | At baseline and the 4-week treatment period. | Measurement of pain intensity. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Goniometric Measurement (ROM) | At baseline and the 4-week treatment period. | Measurement of cervical range of motion (flexion, extension, lateral flexion, rotation) using a goniometer. |
Countries
Turkey (Türkiye)
Contacts
STUDY_DIRECTORGamze BAŞKENT, Dr
Istanbul Rumeli University
Outcome results
None listed