The Effects Of Instrument Cervical Manual Therapy Methods And Proprioceptive Neuromuscular Facilitation Techniques

Study Overview
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Brief Summary
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The location of neck pain is usually shown as pain occurring between the occiput and the third thoracic vertebra. The annual incidence of mechanical neck pain is 12/1000 patients and is one of the most common reasons for visiting physicians. Neck pain usually lasts longer than 3 months and results in a high cost to society

Detailed Description
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Movement in one plane in the cervical spine is due to the contribution of vertebrae from other planes. This complicates the kinematics and injury mechanism of the cervical region. Considering the mechanism of injury, demographic information to be obtained from the person is very important.

Official Title
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The Effects Of Instrument-Supported Cervical Manual Therapy Methods And Proprioceptive Neuromuscular Facilitation Techniques

Conditions
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Neck Pain

Intervention / Treatment
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* Other: Manual therapy application
* Other: Proprioceptive Neuromuscular Facilitation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Those with neck pain Being between 20-60 years old Exclusion Criteria: High blood pressure Cardiopulmonary disease Malignant Operation, injection, etc. for the neck in the last 3 months. those with a history of treatment Spine surgery Psychological disturbance Neurological and orthopedic deficits

Ages Eligible for Study
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Minimum Age: 18 Months
Maximum Age: 60 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: Manual therapy applications:<br>In lower cervical lateral flexion problems, pushing technique will be applied with instrument support from the articular pillar part of the superior vertebra on the side where the limitation is present | Other: Manual therapy application<br>* In lower cervical lateral flexion problems, pushing technique will be applied with instrument support from the articular pillar part of the superior vertebra on the side where the limitation is present. In lower cervical lateral flexion problems, instrument-assisted pushing technique will be applied from the articular pillar part of the superior vertebra on the side where the limitation is present.<br>|
| Experimental: Proprioceptive Neuromuscular Facilitation<br>Proprioceptive Neuromuscular Facilitation (PNF) techniques will be applied to the second group. | Other: Proprioceptive Neuromuscular Facilitation<br>* With the rhythmic initiation technique, it is to teach the movement to the person, to improve the feeling of movement, coordination and to help relaxation. With rhythmic initiation, we want the patient's initial passive and then active participation to understand the movement, the direction and rhythm of the movement. After people actively participate, they can use active joint movement.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neck Disability Index | The Neck Disability Index (NDI) measures acute and chronic neck pain or disability due to neck injury. It is the most common assessment tool used in the neck. It consists of 10 items. These; intensity of pain, personal care, lifting, reading, headaches, concentration, work, driving, sleep and leisure activities. There are 6 options in each item and the patient will mark one of these options and be evaluated accordingly. | one day | 
| Visual Analogue Scale | In the measurement of neck pain severity, it was planned to use a standard, proven 10 mm VAS. The severity of pain felt by the patient; It is a scale used to mark 0 = no pain and 10 = the most severe pain, thus determining the patient's pain intensity subjectively. | one day | 
| Algometer | It can be used to measure the sensitivity of tissues. The pressure is gradually increased and people must report the feeling of pressure applied. It has been shown that pressure algometry is a highly valid and reliable measurement of cranio-cervical muscles. | one day | 
| Pinchmeter | It will be used to assess finger grip strengths. Measurements will be evaluated on both hands. Before the measurements, the participants will be informed verbally and they will be allowed to experiment. When the participants are ready, they are asked to squeeze the dynamometer with all their strength for 3 seconds and then release it. Participants will rest for 1 minute between measurements. | one day | 
| Jamar Hand Dynomometer | The patients were placed in the sitting position with the wrist in 90° flexion and the forearm in the neutral position. Before the measurements, the participants will be informed verbally. Participants will then be asked to squeeze with all their strength for 3 seconds and then release. Participants will rest for 1 minute between measurements | one day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pain