Clinical trial NCT06485921: Comparison of Two Treatments on Nonspecific Neck Pain
Official title: Comparison of the Effectiveness of Ischemic Compression and Instrument Assisted Soft Tissue Mobilization on Pain and Function in Patients With Nonspecific Neck Pain
Study type: INTERVENTIONAL
Overall status: ACTIVE_NOT_RECRUITING
Phase: NA
Conditions: Neck Pain
Keywords: Neck pain
Trigger point
Exercise
Physical therapy
Manual therapy
Lead sponsor: Istanbul University - Cerrahpasa
Sponsor class: OTHER
First posted: 2024-07-03
Enrollment: 48
Sex: ALL
Minimum age (years): 18
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: Three groups with conventional therapy control group
Primary purpose: TREATMENT

Brief summary: The purpose of this study was to evaluate the impact of Ischemic Compression (IC) and Instrument Assisted Soft Tissue Mobilization (IASTM) on pain, functionality, cervical range of motion, pressure pain threshold, and quality of life in patients suffering from nonspecific neck pain.

Detailed description: Chronic nonspecific neck pain affects approximately 67% of the global population at least once in their lifetime. This type of neck pain, which is not linked to any specific cause or disease but often associated with the musculoskeletal system, can result from muscle strain or spasms in the neck. It causes functional limitations and decreases quality of life for those affected. Individuals frequently turn to healthcare services and pain-relieving medications in their efforts to manage this discomfort. Chronic nonspecific neck pain is recognized as a significant public health challenge due to its considerable socioeconomic impact. Several studies have indicated that myofascial trigger points in the neck region are associated with nonspecific neck pain and that myofascial trigger point therapy can reduce pain. Therefore, the role of myofascial trigger point therapy in the treatment of nonspecific neck pain has been emphasized in studies.

Eligibility criteria: Inclusion Criteria:

1. Having nonspecific neck pain and at least 3 myofascial trigger points in the back and neck muscles,
2. Pain duration exceeding 3 months,
3. Working with a computer for at least 20 hours per week for at least 1 year,
4. Pain intensity rated as at least 3 on the Visual Analog Scale (VAS),
5. Age between 18 and 50 years

Exclusion Criteria:

1. Use of anti-inflammatory, analgesic, anticoagulant, muscle relaxant, or antidepressant medications at the start of the study or within 1 week prior to the study,
2. History of cervical spine surgery or trauma,
3. Neck pain, including inflammatory rheumatic diseases,
4. Malignancy or structural deformity,
5. Coagulation disorders,
6. Presence of cervical radiculopathy or myelopathy,
7. Individuals who have undergone any physical therapy and rehabilitation interventions to the neck and back regions in the last three months

Primary outcomes:
measure: Visual Analog Scale(VAS)
timeFrame: Six weeks
measure: Neck Disability Index (NDI)
timeFrame: Six weeks
Secondary outcomes:
measure: The Work Role Functioning Questionnaire (WRFQ)
timeFrame: Six weeks
measure: Cervical range of motion
timeFrame: Six weeks
measure: Pain pressure threshold
timeFrame: Six weeks
measure: SF- 12 quality of life
timeFrame: Six weeks
measure: Global Rating of Change (GROC)
timeFrame: Six weeks
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Faculty of Health Sciences, Istanbul University-Cerrahpasa
state: Büyükçekmece
Study officials:
affiliation: aculty of Health Sciences, Istanbul University-Cerrahpasa, Büyükçekmece/Istanbul, Turkey
name: Mouna Khosravi, MSc
role: PRINCIPAL_INVESTIGATOR
References: