Use of Different Electrophysical Agents in Cervical Region Flexibility Training of Healthy Individuals
Condition: Cervical Flexibility; Stretch; Physical Therapy; Electrotherapy
Study type: Interventional

Summary: 
      60 healthy participants with right / left upper trapezoidal shortness based on volunteering
      will be included in the study. Participants were randomly divided into 4 groups; Traction and
      stretching exercises to group 1 (n = 15), laser therapy and stretching exercise to group 2 (n
      = 15), hot pack and stretching exercises to group 3 (n = 15), and group 4 (control group)
      only stretching exercises will be applied.
    

Detailed description: 
      Healthy individuals without any cervical region pathology will be included in the study.
      Exclusion criterias are pregnancy or cancer, hypertension that cannot be controlled, having
      neurological symptoms, previous spinal surgery.

      Demographic information of the participants will be recorded; cervical joint range of motion
      (CROM device), muscle shortness (acromion-earlobe and occiput-wall distance measurement),
      deep cervical flexor muscle strength (Stabilizer Pressure Biofeedback), cervical performance
      level (Cervical Performance Tests), muscle spasm (Palpable Muscle Spasm Scoring) will be
      evaluated. Cervical joint range of motion and muscle shortening will be repeated before and
      after each session, but other parameters will only be repeated at the beginning and the end.
    

Intervention name(s): Traction; Laser therapy; Hot pack; Stretching
Intervention type(s): Procedure; Procedure; Procedure; Procedure
Intervention description(s): Intermittent traction will be applied to the cervical region in a supine position with the neck at 25-30 ° flexion. The target weight is determined as 10% of the patient's weight. Traction pulling force applied to the target weight will be achieved gradually increasing from low. Traction therapy will be applied intermittent traction for 15 minutes in each session as 60 seconds retention and 60 seconds rest. The therapy will be held for 18 sessions, 3 days / week.; Laser therapy will be applied to the participants with a GaAs laser with 904 nm wavelength, 6 points transforaminally, 120 seconds to each point, at 2 J / cm² density, total dose of 12 J laser therapy by keeping the probe in constant contact with the skin.; The hot pack, which is the superficial heat agent, will be held in the neck area of the participants for 20 minutes in each session.The therapy will be held for 18 sessions, 3 days / week.; Stretching exercises will be repeated 3 times a day in total, 2 times a day self-stretching at home and 1 time under the supervision of a physiotherapist. Exercises for upper trapezius muscle, sternokleudomasteudeus (SCM) muscle and the scalene muscle to be applied in a 3 repeat by waiting 30 seconds, stretching under tension.The therapy will be held for 18 sessions, 3 days / week.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: There are paralel groups, each has 15 participants. Different electrotherapy applications will be applied to each group.
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: exercise; hotpack; laser therapy; traction