Effect of Myofascial Release Technique in Patients with Unilateral Cervical Radiculopathy

NCT ID: NCT04597112

Last Updated: 2024-11-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 40 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2020-10-13
• Study Completion Date: 2021-06-01

Brief Summary

The aim of the study is to investigate the effectiveness of myofascial release technique on pain, range of motion, muscle strength, functionality and quality of life in individuals diagnosed with cervical radiculopathy with unilateral arm involvement and compare this with exercise. The individuals included in the study will be randomized into two groups, 17 control and 17 study groups. Sessions will be 3 days a week for 4 weeks. Conventional physiotherapy and exercise program will be applied to the control group, conventional physiotherapy and myofascial release technique will be applied in the intervention group. Conventional physiotherapy methods; It will include Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound (US), hotpack agents. Exercise program; extension, right and left lateral flexion, right and left rotation exercises, chin-tuck, right and left upper trapezius muscle group stretching, neck extensor muscle group isometric strengthening exercises. Myofascial release will be applied to the fingers, wrist flexor-extensor muscle groups, elbow flexor-extensor muscle groups, pectoral muscles and rotator cuff muscle groups. Patients will be evaluated before and after treatment with Visual Analogue Scale (VAS), Goniometric measurements, algometer, myometer, Neck Disability Scale, "Disability of Arm, Shoulder and Hand" Questionnaire (DASH).

Conditions

Cervical Radiculopathy; Cervical Radicular Pain; Cervical; Hernia; Cervical Disc Disease; Cervical Disc Herniation; Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Myofascial Release Group

Intervention group, who received conventional therapy and myofascial release therapy.All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. In the intervention group, the myofascial release technique will be applied to the wrist flexors and extensors, elbow flexors and extensors, pectoralis, supraspinatus, infraspinatus, trapezius muscles, starting from the fingers after the conventional treatment, 3 days a week for 4 weeks.

Group Type: EXPERIMENTAL

Myofascial Release Technique

Intervention Type: OTHER

Myofascial release focuses on reducing pain by easing the tension and tightness in the trigger points. Therapist will gently massage the myofascia and feel for stiff or tightened areas. Normal myofascia should feel pliable and elastic. The therapist will begin massaging and stretching the areas that feel rigid with light manual pressure. The therapist then aids the tissue and supportive sheath in releasing pressure and tightness. The process is repeated multiple times on the same trigger point and on other trigger points until the therapist feels the tension is fully released.

Exercise Group

The control group will consist of patients who received conventional therapy and exercise therapy. All participants will be given conventional treatment 3 days a week for 4 weeks. Conventional treatment will include 20 minutes hotpack, 5 minutes ultrasound, 20 minutes Transcutaneous Electrical Stimulation. After conventional treatment, a program consisting of neck extension, lateral flexion and rotation range of motion, stretching of the trapezius muscles and strengthening of the neck extensor muscles will be applied to the control group in the presence of a physiotherapist 3 days a week for 4 weeks.

Group Type: ACTIVE_COMPARATOR

Exercise

Intervention Type: OTHER

Exercise is recommended by physical therapists for most cervical radiculopathy patients.

In this study, a customized exercise program will be applied for patients with cervical radiculopathy.

Interventions

Myofascial Release Technique

Myofascial release focuses on reducing pain by easing the tension and tightness in the trigger points. Therapist will gently massage the myofascia and feel for stiff or tightened areas. Normal myofascia should feel pliable and elastic. The therapist will begin massaging and stretching the areas that feel rigid with light manual pressure. The therapist then aids the tissue and supportive sheath in releasing pressure and tightness. The process is repeated multiple times on the same trigger point and on other trigger points until the therapist feels the tension is fully released.

Intervention Type: OTHER

Exercise

Exercise is recommended by physical therapists for most cervical radiculopathy patients.

In this study, a customized exercise program will be applied for patients with cervical radiculopathy.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Getting a diagnosis of cervical radiculopathy
• Unilateral upper extremity symptoms at least for a month
• The diagnosis is confirmed by the medical board report
• Being between the ages of 30-65
• Voluntary acceptance to participate in the study

Exclusion Criteria

• Previous cervical surgery
• Previous cervical trauma
• Have had myofascial therapy or conventional therapy for cervical radiculopathy
• Long-term use of corticosteroids
• Congenital torticollis history
• Using nonsteroidal anti-inflammatory drugs for long time
• Migraine
• Cancer
• Tumor
• Osteoporosis
• Pregnancy

• Minimum Eligible Age: 30 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Istanbul Medipol University Hospital

OTHER

Sponsor Role: lead

Responsible Party

fatih bali

Lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Fatih Bali

Istanbul, Kucukcekmece, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

10840098-604.01.01-E.1062

Identifier Type: -

Identifier Source: org_study_id