Immediate Effect of Cervical Manual Therapy Methods in Patients With Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      Chronic neck pain is an important health problem in modern society and is frequently
      encountered today. Approximately 10% of the adult population experiences neck pain at least
      once in their lives.

      Anamnesis of the patient with neck pain; It should include the patient's complaints, illness
      history, family history, social status, work life and leisure activities.

      The age of the patient, the severity of the symptoms, the mechanism of the injury, the
      activity history, the duration of the symptoms, the location and limits, the spread of the
      pain, the relationship of the complaints with the change in position, the restrictions during
      movement, and the sleeping positions should be taken into account. In addition, past
      diseases, operations and current diseases, medications used should be recorded.

      Among chronic pains, neck pain ranks second after low back pain. Physical stresses in daily
      living activities, maintaining static posture and sleeping habits, carrying bags and weights
      in the wrong position, muscle imbalance are important factors in neck pain. Although cervical
      spine involvements have a great effect on neck pain, almost all of them have paravertebral
      muscle spasm, especially trapezius muscle spasm. Physiotherapy applications are widely used
      in the treatment of chronic neck pain.
    

Detailed description: 
      Therapeutic approaches are frequently used to reduce inflammation and accelerate the healing
      process. Reducing pain in neck diseases, ensuring sufficient length of the muscle, strength
      balance, improving strength and function, improving postural re-education and cervical
      movements are the main goals. With the increasing prevalence of neck pain, the search for new
      treatment methods is increasing.

      It includes manual therapy, manipulation, acupuncture, and soft tissue therapy for chronic
      neck pain. Neck pain results from deep muscle dysfunctions and altered fascia structures. In
      this case, it may cause the disruption of the continuous musculofacial corset-like system. In
      addition, changes in the fascia (increased fascial thickness and disruption of fascial
      alignment) may affect this system more. Myofascial release is one of the soft tissue
      treatment applications. Although there are studies reporting that myofascial release is a
      method that can achieve positive effects such as reducing pain intensity and improving muscle
      function, there are few studies on this subject in the literature and sufficient evidence has
      not been reached.
    

Intervention name(s): Manual therapy; myofascial release
Intervention type(s): Other; Other
Intervention description(s): In lower cervical lateral flexion problems, manipulative correction technique will be applied from the articular pillar part of the superior vertebra on the side where the limitation is present.
In lower cervical lateral flexion problems, manipulative correction technique will be applied from the articular pillar part of the superior vertebra on the side where the limitation is present.
A rotational maneuver will be performed from the posterior side of the articular pillar part of the superior vertebra, on the opposite side of the side where the movement restriction is present.; The soft tissue is palpated by the physiotherapist and pressure is applied directly to the skin until the tissue barrier is felt in the direction of restriction. Once the tissue barrier is present, it is applied for 90-120 seconds, without slipping on the skin or forcing the tissue, until the fascia complex begins to loosen and a softening sensation is achieved.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: manuel therapy; neck