Clinical trial NCT06526325: The Effect of Tendon Release Techniques in Patients With Cervical Disc Herniation
Official title: The Effect of Improved Golgi Tendon Organ Stimulation From Tendon Relaxation Techniques on Pain, Range of Motion, Functionality, Endurance and Quality of Life in Patients With Cervical Disc Herniation
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Cervical Disc Herniation
Keywords: disc herniation
enhanced golgi tendon organ stimulation
pain
cervical
Lead sponsor: Istanbul Arel University
Sponsor class: OTHER
First posted: 2024-07-29
Enrollment: 51
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: TREATMENT

Brief summary: The goal of this clinical trial is to investigate the effect of using enhanced golgi tendon organ stimulation on symptoms in patients with cervical disc herniation. The main question\[s\] it aims to answer are:

* Enhanced Golgi tendon organ stimulation is effective in reducing symptoms in patients with cervical disc herniation.
* Enhanced golgi tendon organ stimulation is not effective in reducing symptoms in patients with cervical disc herniation.

Participants will receive enhanced golgi tendon organ stimulation to the Sternocleidomastoideus, platysma, longus colli, longus capitis, scalene, rhomboid major \& minor, levator scapulae and trapezius muscles for 3 weeks, 2 sessions per week for 45 minutes.

Detailed description: Participants diagnosed with cervical disc herniation will be included. Participants will receive 6 sessions of 45 minutes each, 2 sessions per week for 3 weeks. Sternocleidomastoideus, platysma, longus colli, longus capitis, scalene muscles, rhomboid major \& minor, levator scapulae and trapezius muscles and tendons of these muscles will be applied.

Two separate applications are performed with the stimulator and the algometer. After increasing the blood flow in the area for 30 seconds with the vibration of the stimulator up to the point of attachment of the tendon, a pressure of 0.5 kilograms is applied at an angle of 90 degrees at 0.5 cm intervals from the origin to the insertion of the muscle in the area with an algometer made of special steel. The aim of this treatment is to stabilise the contraction and relaxation mechanism by stimulating the Golgi tendon organ and to eliminate pain by relieving spasms.

Eligibility criteria: Inclusion Criteria:

* Being diagnosed with cervical disc herniation
* Volunteering for the research

Exclusion Criteria:

* Chronic bone disease
* Have had surgery for a cervical disc herniation
* Have a structural abnormality

Primary outcomes:
measure: Pain assessment with algometer
timeFrame: baseline, immediately after the 6 weeks intervention
measure: SF-36 (short form-36)
timeFrame: baseline, immediately after the 6 weeks intervention
Secondary outcomes:
measure: visual analogue scale (VAS)
timeFrame: baseline, immediately after the 6 weeks intervention
measure: assessment of joint range of motion
timeFrame: baseline, immediately after the 6 weeks intervention
measure: Spurling Test
timeFrame: baseline, immediately after the 6 weeks intervention
measure: Endurance Test
timeFrame: baseline, immediately after the 6 weeks intervention
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: AS Physiotherapy Services centre
Study officials:
affiliation: AS Physiotherapy Services centre
name: hasan aslan
role: PRINCIPAL_INVESTIGATOR
References:
citation: Yilmaz M, Tarakci D, Tarakci E. Comparison of high-intensity laser therapy and combination of ultrasound treatment and transcutaneous nerve stimulation on cervical pain associated with cervical disc herniation: A randomized trial. Complement Ther Med. 2020 Mar;49:102295. doi: 10.1016/j.ctim.2019.102295. Epub 2020 Jan 3.
citation: Yang X, Arts MP, Bartels RHMA, Vleggeert-Lankamp CLA. The type of cervical disc herniation on MRI does not correlate to clinical outcomes. Bone Joint J. 2022 Nov;104-B(11):1242-1248. doi: 10.1302/0301-620X.104B11.BJJ-2022-0657.R2.