Comparison of Two Treatments on Nonspecific Neck Pain

NCT ID: NCT06485921

Last Updated: 2024-07-03

Basic Information

• Recruitment Status: ACTIVE_NOT_RECRUITING
• Clinical Phase: NA
• Total Enrollment: 48 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-06-01
• Study Completion Date: 2024-10-31

Brief Summary

The purpose of this study was to evaluate the impact of Ischemic Compression (IC) and Instrument Assisted Soft Tissue Mobilization (IASTM) on pain, functionality, cervical range of motion, pressure pain threshold, and quality of life in patients suffering from nonspecific neck pain.

Detailed Description

Chronic nonspecific neck pain affects approximately 67% of the global population at least once in their lifetime. This type of neck pain, which is not linked to any specific cause or disease but often associated with the musculoskeletal system, can result from muscle strain or spasms in the neck. It causes functional limitations and decreases quality of life for those affected. Individuals frequently turn to healthcare services and pain-relieving medications in their efforts to manage this discomfort. Chronic nonspecific neck pain is recognized as a significant public health challenge due to its considerable socioeconomic impact. Several studies have indicated that myofascial trigger points in the neck region are associated with nonspecific neck pain and that myofascial trigger point therapy can reduce pain. Therefore, the role of myofascial trigger point therapy in the treatment of nonspecific neck pain has been emphasized in studies.

Conditions

Neck Pain

Study Design

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

Study Groups

Ischemic compression GROUP

This group will receive 90 seconds of ischemic compression on myofascial trigger points in the trapezius, levator scapulae, supraspinatus, infraspinatus, and splenius cervicis, along with exercises and suggestions for workplace modifications.

Group Type: ACTIVE_COMPARATOR

Ischemic compression

Intervention Type: OTHER

Participants will received a total of 12 treatment sessions over 6 weeks, with 2 sessions per week.

Exercise and workplace modifications

Intervention Type: OTHER

Participants will receive stretching and strengthening exercises for neck and scapular stabilizer muscles as a 6-week home program.

Instrument assisted soft tissue mobilization Group

This group will receive 40 seconds of sweeping and 60 seconds of swiveling by instrument-assisted soft tissue mobilization on myofascial trigger points in the trapezius, levator scapulae, supraspinatus, infraspinatus, and splenius cervicis muscles, along with exercises and suggestions for workplace modifications.

Group Type: ACTIVE_COMPARATOR

Instrument assisted soft tissue mobilization Group

Intervention Type: OTHER

Participants will received a total of 12 treatment sessions over 6 weeks, with 2 sessions per week.

Exercise and workplace modifications

Intervention Type: OTHER

Participants will receive stretching and strengthening exercises for neck and scapular stabilizer muscles as a 6-week home program.

Control Group

This group will only receive exercises and suggestions for workplace modifications.

Group Type: EXPERIMENTAL

Exercise and workplace modifications

Intervention Type: OTHER

Participants will receive stretching and strengthening exercises for neck and scapular stabilizer muscles as a 6-week home program.

Interventions

Ischemic compression

Participants will received a total of 12 treatment sessions over 6 weeks, with 2 sessions per week.

Intervention Type: OTHER

Instrument assisted soft tissue mobilization Group

Participants will received a total of 12 treatment sessions over 6 weeks, with 2 sessions per week.

Intervention Type: OTHER

Exercise and workplace modifications

Participants will receive stretching and strengthening exercises for neck and scapular stabilizer muscles as a 6-week home program.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Having nonspecific neck pain and at least 3 myofascial trigger points in the back and neck muscles,

2. Pain duration exceeding 3 months,

3. Working with a computer for at least 20 hours per week for at least 1 year,

4. Pain intensity rated as at least 3 on the Visual Analog Scale (VAS),

5. Age between 18 and 50 years

Exclusion Criteria

1. Use of anti-inflammatory, analgesic, anticoagulant, muscle relaxant, or antidepressant medications at the start of the study or within 1 week prior to the study,

2. History of cervical spine surgery or trauma,

3. Neck pain, including inflammatory rheumatic diseases,

4. Malignancy or structural deformity,

5. Coagulation disorders,

6. Presence of cervical radiculopathy or myelopathy,

7. Individuals who have undergone any physical therapy and rehabilitation interventions to the neck and back regions in the last three months

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Istanbul University - Cerrahpasa

OTHER

Sponsor Role: lead

Responsible Party

Mouna Khosravi

Student

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mouna Khosravi, MSc

Role: PRINCIPAL_INVESTIGATOR

aculty of Health Sciences, Istanbul University-Cerrahpasa, Büyükçekmece/Istanbul, Turkey

Locations

Faculty of Health Sciences, Istanbul University-Cerrahpasa

Istanbul, Büyükçekmece, Turkey (Türkiye)

Countries

Turkey (Türkiye)

Other Identifiers

IstanbulUC-FTR-MK-01

Identifier Type: -

Identifier Source: org_study_id