Short and Long Time Effects of IASTM and Myofascial Release Techniques in Chronic Neck Pain

Study Overview
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Brief Summary
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The aim of this study is to determine whether EYYDM and myofascial applications have short and long-term effects on pain and disability in individuals diagnosed with chronic neck pain.

Detailed Description
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Participants will be randomly assigned to IASTM, myofascial release and control groups. In addition to conventional treatment, IASTM and myofascial release groups will be treated twice a week for 4 weeks. Conventional treatment will be applied to the control group for 4 weeks.

Official Title
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Comparison of the Efficiency of Instrument Assisted Soft Tissue Mobilization and Myofascial Release Techniques in Individuals With Chronic Neck Pain

Conditions
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Chronic Neck Pain

Intervention / Treatment
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* Other: IASTM
* Other: Myofascial Release
* Other: 250W infrared application
* Device: TENS
* Other: Home exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: having a diagnosis of chronic neck pain, To have given at least 3 values to the pain with the Numerical Pain Scale having bilateral muscle spasms in the cervical region Exclusion Criteria: those who are taking any analgesic medication, those with acute injury or infection, those with open wounds, osteoporosis, fracture, hematoma, those with acute cardiac, liver and kidney problems, those with connective tissue disease, rheumatoid arthritis, osteoarthritis, cancer, those with circulation problems, those with peripheral vascular disease, epilepsy, history of surgery in the cervical region

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 44 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: IASTM<br>EYYDM will be applied to the upper trapezius and sternocleideomastoid muscles of the participants for 90 seconds, with a frequency of 60 beats per minute. The instruments will be applied to the soft tissue at 30º-60º angles with multidirectional strokes (stroking) movements. | Other: IASTM<br>* IASTM will be applied to the upper trapezius and sternocleidomastoid muscles of the participants for 90 seconds, with a frequency of 60 beats per minute.<br>|
| Experimental: Myofascial Release<br>Basic movements will be used in the rectus capitis, sternocleidomastoideus, hyoid region and upper trapezius regions within the scope of myofascial release application. The application will take 3 minutes for each region. | Other: Myofascial Release<br>* Basic movements will be performed for 3 minutes in the rectus capitis, sternocleidomastoideus, hyoid region and upper trapezius regions.<br>|
| Experimental: Control<br>It will include 250W infrared application on the cervical region from 50cm away for 15 minutes and TENS application for 20 minutes at 80Hz frequency with 150ms current transit time, home exercise program. | Other: 250W infrared application<br>* For 15 minutes, 250W infrared application will be applied on the cervical region from a distance of 50 cm<br>Device: TENS<br>* TENS will be applied for 20 minutes at 80Hz frequency, with a current transit time of 150ms.<br>Other: Home exercise<br>* Cervical strengthening and stretching exercises five days a week will given<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Cervical Pain assessed by Numeric Pain Scale. | Pain will be evaluated with a 10-point Likert Numerical Pain Scale. 0 means no pain, 10 means unbearable pain. | Baseline, 4 weeks | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change from Baseline Cervical Disability assessed by Neck Disability Index | Cervical Disability will be evaluated with Neck Disability Index | Baseline, 4 weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Chronic Neck Pain, Disability, Pain