The Immediate Effects of Post Isometric Relaxation Techniques

NCT ID: NCT05581667

Last Updated: 2023-12-28

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-10-07

Study Completion Date

2022-12-10

Brief Summary

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Aim: The aim of this study is to investigate the immediate effects of Post Isometric Relaxation (PIR) Technique on pain threshold, pain severity and joint range of motion of the cervical region in healthcare workers with neck pain.

Method: A total of 30 male and female participants aged 20-45 were randomly divided into two groups (Post Isometric Relaxation (PIR) Technique and Control Group). PIR group participants were under a single session of PIR application with 10 repetitions to m.supraspinatus, the upper part of the m.trapeze and m.levator scapula in addition to classical Swedish massage for neck and upper thoraric region. Control group participants received only classical Swedish massage to the cervical and upper thoracic region. Pain severity (Visual Analog Scale), Pain threshold (digital algometer), range of servical motion (goniometer) were measured at baseline and immediately after the single-session PIR Techniques.

Detailed Description

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Neck pain is the second most common musculoskeletal problem in the world after low back pain in terms of disability and health expenditures. Occupational groups with the highest incidence of neck pain include those working in a hospital environment, office workers, and manual workers.

Post Isometric Relaxation Technique (PIR) is a Muscle Energy Technique (MET) and is used by physiotherapists to relax muscles, reduce pain and increase range of motion. The PIR Technique provides its neurological effects through autogenic inhibition, which results in relaxation in the agonist muscle by inhibiting contraction with the stimuli sent by the group Ib fibers originating from the Golgi tendon organ of the agonist muscle to the medulla spinalis during static stretching.

The aim of our study is to investigate the instantaneous effect of PIR Technique on pain threshold, pain intensity and joint range of motion (neck flexion, extension, right and left rotation, right and left lateral flexion) in hospital workers with neck pain.

This experimental study, which was planned as randomized and single-blind, was planned to be carried out with a total of 30 volunteer participants, male and female, working in a private hospital in Istanbul between 7 October 2022 and 10 December 2022.

Conditions

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Neck Pain

Keywords

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neck pain Post isometric relaxation hospital employees pain threshold

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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PIR Group

PIR Group participants will be given a one-time PIR Technique for each of the neck and upper back muscles, right after the classical Swedish massage is applied to the cervical region and upper back area.

Group Type EXPERIMENTAL

post isometric relaxation

Intervention Type OTHER

PIR is performed by first passively lengthening the muscle, then having the patient lightly contract (10-20% of maximum) against resistance for 5 seconds passively before exhaling and relaxing the muscle and repeated. The clinician then takes up the slack within the muscle and repeats the technique 3 to 5 times

Swedish Massage

Intervention Type OTHER

classic Swedish massage for the cervical and upper thoracic region. Massage is a method that is applied to superficial soft tissues such as muscles, skin, ligaments and fascia and structures located under the superficial tissues and aims to relax.

Control Group

Control group participants will receive classical Swedish massage only to the cervical and upper thoracic region.

Group Type EXPERIMENTAL

Swedish Massage

Intervention Type OTHER

classic Swedish massage for the cervical and upper thoracic region. Massage is a method that is applied to superficial soft tissues such as muscles, skin, ligaments and fascia and structures located under the superficial tissues and aims to relax.

Interventions

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post isometric relaxation

PIR is performed by first passively lengthening the muscle, then having the patient lightly contract (10-20% of maximum) against resistance for 5 seconds passively before exhaling and relaxing the muscle and repeated. The clinician then takes up the slack within the muscle and repeats the technique 3 to 5 times

Intervention Type OTHER

Swedish Massage

classic Swedish massage for the cervical and upper thoracic region. Massage is a method that is applied to superficial soft tissues such as muscles, skin, ligaments and fascia and structures located under the superficial tissues and aims to relax.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* be a hospital worker
* complaining of neck pain for at least 3 months
* pain intensity at rest is 4 out of 10 according to VAS assessment
* volunteer to participate in the study

Exclusion Criteria

* Having neck pain after trauma to the neck in the last 6 months
* presence of neurological signs; neck pain that has spread to the arm and fingers
* have had spinal surgery
* shoulder pathology
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Bulent Ecevit University

OTHER

Sponsor Role lead

Responsible Party

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Sanem ŞENER

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Zonguldak Bülent Ecevit University

Zonguldak, Kozlu, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Cohen SP. Epidemiology, diagnosis, and treatment of neck pain. Mayo Clin Proc. 2015 Feb;90(2):284-99. doi: 10.1016/j.mayocp.2014.09.008.

Reference Type BACKGROUND
PMID: 25659245 (View on PubMed)

Page P. Cervicogenic headaches: an evidence-led approach to clinical management. Int J Sports Phys Ther. 2011 Sep;6(3):254-66.

Reference Type BACKGROUND
PMID: 22034615 (View on PubMed)

Other Identifiers

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Immediate PIR

Identifier Type: -

Identifier Source: org_study_id