Influence of Extracorporeal Shockwave Therapy in Patients of Mechanical Neck Pain
NCT ID: NCT07266272
Last Updated: 2025-12-05
Study Results
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Basic Information
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COMPLETED
NA
52 participants
INTERVENTIONAL
2023-07-01
2024-03-27
Brief Summary
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The study aimed to determine whether adding extracorporeal shockwave therapy (ESWT) to a standardized physiotherapy program provides additional benefits for patients with chronic mechanical neck pain. Specifically, it examined effects on pain intensity, pressure pain threshold (PPT), neck disability index (NDI), cervical active range of motion (AROM), and joint position sense (JPS).
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Detailed Description
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Purpose:
The study aimed to determine whether adding extracorporeal shockwave therapy (ESWT) to a standardized physiotherapy program provides additional benefits for patients with chronic mechanical neck pain. Specifically, it examined effects on pain intensity, pressure pain threshold (PPT), neck disability index (NDI), cervical active range of motion (AROM), and joint position sense (JPS).
Key Details:
* Study Design: Double-blinded, pretest-posttest controlled clinical trial.
* Participants: 52 patients aged 18-29 with chronic mechanical neck pain for over 3 months.
* Groups:
* Group A: Standardized physiotherapy only (stretching, isometric exercises, posture training).
* Group B: ESWT + standardized physiotherapy.
* Duration: 4 weeks, 2 sessions/week (1 ESWT + 1 physiotherapy in Group B).
* Assessments: NPRS for pain, pressure algometer for PPT, Arabic NDI, goniometer for AROM \& JPS.
* Results:
* Adding ESWT significantly improved PPT, left cervical rotation AROM, cervical extension JPS, and right cervical rotation JPS.
* No significant differences between groups in other measures.
* Conclusion: ESWT combined with physiotherapy may enhance pain threshold, AROM in rotation, and proprioception compared to physiotherapy alone.
Sources of Strength in the Study:
1. Double-blind design reduces bias.
2. Randomized allocation with adequate sample size determined by power analysis.
3. Use of validated measurement tools (NPRS, NDI Arabic version, Wagner algometer, standard goniometer).
4. Clearly defined inclusion/exclusion criteria ensuring sample homogeneity.
5. Use of standardized physiotherapy protocol enhances reproducibility.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Control group, standardized physiotherapy group receiving (Stretch, strength, Postural correction)
The control group recieve conventional program without additional shockwave
Exercise
Stretch + isometrics + postural correction
Intervention group received Extracorporeal shockwave therapy + Standardized physiotherapy as control
Group B
Extracorporeal Shockwave therapy
Radial, pneumatic extracorporeal shockwave therapy: The ESWT was applied using the following treatment parameters: 2,000 pulses, intensity of 1 to 1.2 bars, and 10 Hz frequency
Exercise
Stretch + isometrics + postural correction
Interventions
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Extracorporeal Shockwave therapy
Radial, pneumatic extracorporeal shockwave therapy: The ESWT was applied using the following treatment parameters: 2,000 pulses, intensity of 1 to 1.2 bars, and 10 Hz frequency
Exercise
Stretch + isometrics + postural correction
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. The patient's age is between 18 and 29 years old.
3. The patient has at least one taut band at the upper fibers of the trapezius as described in assessment procedures.
4. patient's numeric pain rating scale (NPRS) was 3 to 8 out of 10
Exclusion Criteria
2. Had a neck or shoulder operation during the last two years.
3. Had any structural pathology of the cervical spine, such as disk prolapse, spinal stenosis, or cervical spondylosis.
4. Had a traumatic history, instability, and spasmodic torticollis.
5. Had cardiovascular, respiratory, or allergic disease or neck osteoarthritis.
6. Had homeostatic disorders.
7. Fibromyalgia, shoulder diseases (tendonitis, bursitis, capsulitis).
8. Inflammatory rheumatic diseases.
9. Severe psychiatric illness and other diseases that restrict physical loading, and pregnancy (Salo et al., 2010).
10. Patients with vertebrobasilar insufficiency and vertigo.
18 Years
29 Years
ALL
No
Sponsors
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Benha University
OTHER
Responsible Party
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Mohamed Faramawy Shible El.deeb
Assistant lecturer of physical therapy for orthopedics and sport injuries
Locations
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12
Shibīn al Kawm, Menofya, Egypt
Countries
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References
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Akamatsu FE, Ayres BR, Saleh SO, Hojaij F, Andrade M, Hsing WT, Jacomo AL. Trigger points: an anatomical substratum. Biomed Res Int. 2015;2015:623287. doi: 10.1155/2015/623287. Epub 2015 Feb 24.
Abbott JH, Schmitt J. Minimum important differences for the patient-specific functional scale, 4 region-specific outcome measures, and the numeric pain rating scale. J Orthop Sports Phys Ther. 2014 Aug;44(8):560-4. doi: 10.2519/jospt.2014.5248. Epub 2014 May 14.
Abadiyan F, Hadadnezhad M, Khosrokiani Z, Letafatkar A, Akhshik H. Adding a smartphone app to global postural re-education to improve neck pain, posture, quality of life, and endurance in people with nonspecific neck pain: a randomized controlled trial. Trials. 2021 Apr 12;22(1):274. doi: 10.1186/s13063-021-05214-8.
Romeo P, Lavanga V, Pagani D, Sansone V. Extracorporeal shock wave therapy in musculoskeletal disorders: a review. Med Princ Pract. 2014;23(1):7-13. doi: 10.1159/000355472. Epub 2013 Nov 5.
Rahbar M, Samandarian M, Salekzamani Y, Khamnian Z, Dolatkhah N. Effectiveness of extracorporeal shock wave therapy versus standard care in the treatment of neck and upper back myofascial pain: a single blinded randomised clinical trial. Clin Rehabil. 2021 Jan;35(1):102-113. doi: 10.1177/0269215520947074. Epub 2020 Jul 30.
Provided Documents
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Document Type: Study Protocol, Statistical Analysis Plan, and Informed Consent Form: Shockwave in patients of neck pain protocol
Other Identifiers
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Shockwave in neck pain
Identifier Type: -
Identifier Source: org_study_id
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