Comparison of Conservative Treatment and Graston and Cup Applications in Patients With Cervical Disc Herniation

NCT ID: NCT06003907

Last Updated: 2024-10-18

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

27 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-01

Study Completion Date

2024-01-02

Brief Summary

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The aim of the study is to examine the effects of graston and dry cupping techniques applied in addition to the conservative treatment program on neck awareness, grip strength, balance and sleep quality in patients with cervical disc herniation between the ages of 18-65.

Detailed Description

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The research will be carried out on 30 cases diagnosed with cervical disc herniation between the ages of 18-65. The patients will be divided into 2 groups as control and experimental groups by simple randomization method. While the conservative physical therapy program is applied to the control group, the patients in the experimental group will be applied 1 day graston and 1 day dry cup technique in addition to the ones in the experimental group. All patients will be treated for 20 sessions, 5 days / 4 weeks. Fremantle Neck Awareness Questionnaire to assess neck awareness, hand dynamometer to assess grip strength, Berg Balance Scale to assess balance and Jenkins Sleep Scale to assess sleep quality will be used. All tests will be measured at the start of treatment and after 4 weeks of intervention. Pre- and post-intervention data were statistically analyzed and compared.

Conditions

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Neck Pain Cervical Disc Herniation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

conservative and traditional physiotherapy
Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

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conventional physiotherapy

traditional and complementary medicine methods will not be used.

Group Type ACTIVE_COMPARATOR

conventional

Intervention Type OTHER

hot application electrotherapy ultrasound mobilization joint range of motion exercises stretching exercises balance exercises posture exercises

cupping therapy and graston

Complementary methods will be used alongside conventional physiotherapy.

Group Type EXPERIMENTAL

conventional

Intervention Type OTHER

hot application electrotherapy ultrasound mobilization joint range of motion exercises stretching exercises balance exercises posture exercises

traditional and complementary medicine methods

Intervention Type OTHER

The Graston Technique is a form of manual therapy known as instrument assisted soft tissue mobilization. Graston massage is performed using titanium-coated metal rods specially designed for different parts of the body.

Cupping therapy is a treatment method that creates a regional vacuum to increase the blood circulation of the person and provide healing.

Interventions

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conventional

hot application electrotherapy ultrasound mobilization joint range of motion exercises stretching exercises balance exercises posture exercises

Intervention Type OTHER

traditional and complementary medicine methods

The Graston Technique is a form of manual therapy known as instrument assisted soft tissue mobilization. Graston massage is performed using titanium-coated metal rods specially designed for different parts of the body.

Cupping therapy is a treatment method that creates a regional vacuum to increase the blood circulation of the person and provide healing.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Being between the ages of 18-65
* Being diagnosed with cervical disc herniation
* Being diagnosed with cervical disc herniation at the level of bulging or protrusion according to MRI results

Exclusion Criteria

* Presence of cervical spine surgery history
* Presence of primary or spinal metastatic malignancy
* Having vascular problems
* Individuals with sleep apnea
* Those who use psychiatric drugs
* Presence of various pathologies in the upper extremity (fracture, ganglion cyst, etc.)
Minimum Eligible Age

18 Years

Maximum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Uskudar University

OTHER

Sponsor Role lead

Responsible Party

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Dr. Öğr. Üyesi Ömer Şevgin

Asst. Prof. Dr.

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Beste İNCEKULAK

Role: STUDY_CHAIR

Uskudar University

Locations

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Üsküdar Unıversıty

Üsküdar, Istanbul, Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

References

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Keramat KU, Gaughran A. Safe physiotherapy interventions in large cervical disc herniations. BMJ Case Rep. 2012 Aug 18;2012:bcr2012006864. doi: 10.1136/bcr-2012-006864.

Reference Type BACKGROUND
PMID: 22907861 (View on PubMed)

Crothers A, Walker B, French SD. Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: design of a randomised controlled trial. Chiropr Osteopat. 2008 Oct 30;16:12. doi: 10.1186/1746-1340-16-12.

Reference Type BACKGROUND
PMID: 18959807 (View on PubMed)

Choi TY, Ang L, Ku B, Jun JH, Lee MS. Evidence Map of Cupping Therapy. J Clin Med. 2021 Apr 17;10(8):1750. doi: 10.3390/jcm10081750.

Reference Type BACKGROUND
PMID: 33920643 (View on PubMed)

Kim S, Lee SH, Kim MR, Kim EJ, Hwang DS, Lee J, Shin JS, Ha IH, Lee YJ. Is cupping therapy effective in patients with neck pain? A systematic review and meta-analysis. BMJ Open. 2018 Nov 5;8(11):e021070. doi: 10.1136/bmjopen-2017-021070.

Reference Type BACKGROUND
PMID: 30397006 (View on PubMed)

Abdel-Aal NM, Elsayyad MM, Megahed AA. Short-term effect of adding Graston technique to exercise program in treatment of patients with cervicogenic headache: a single-blinded, randomized controlled trial. Eur J Phys Rehabil Med. 2021 Oct;57(5):758-766. doi: 10.23736/S1973-9087.21.06595-3. Epub 2021 May 5.

Reference Type BACKGROUND
PMID: 33947825 (View on PubMed)

Other Identifiers

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Uskudar65

Identifier Type: -

Identifier Source: org_study_id

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