Clinical trial NCT04696341: The Effect of Matrix Rhythm Therapy in Patients With Chronic Neck Pain
Official title: The Effectiveness of a Novel Massage Method Matrix Rhythm Therapy in Chronic Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Pain
Physical Disability
Keywords: Matrix Rhythm Therapy
Massage
Physical Therapy
Neck Pain
Lead sponsor: Pamukkale University
Sponsor class: OTHER
First posted: 2021-01-06
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Thirty individuals with chronic neck pain randomised into two groups. Group I (15 subjects) received a total of 10 sessions as 5 sessions a week.Hot pack to cervical and upper thoracic regions (20 minutes), conventional Transcutaneous Electrical Nerve Stimulation (TENS) (100 Hz for 40 μsec), therapeutic ultrasound (1 Megahertz (MHz) for 5 minutes) and conventional massage were applied. Five sessions of Matrix Rhythm Therapy (2., 5., 6., 8., 10. sessions of combined physiotherapy programme) was added at combined physiotherapy Group II. Matrix Rhythm Therapy was applied to cervical and thoracic regions using 10 Hz frequency for 30 minutes.

Pain intensity was measured using by a Visual Analogue Scale (VAS) measuring 10 cm. Muscle spasm in cervical region was assessed by using a VAS measuring 10 cm. Turkish version of Neck Disability Index (NDI) was used to assess the disability caused by neck pain. Turkish version of Beck Depression Inventory was used to assess emotional status of participants.

Detailed description: The study included patients aged between 25-65 years who had neck pain for at least 3 months. Patients with radiculopathy who had motor findings, who underwent any operations due to neck problems, who had systemic, neurologic and psychiatric diseases, inflammatory or infectious diseases, history of malignity, congenital anomalies, who benefited from another therapy modality and the ones in whom physical therapy modalities could not be used due to contraindications (individuals with sensory disorders, who use cardiac pace maker) were excluded from the study.

A total of 36 individuals were randomly assigned into 2 groups. Randomization was allocated by numbered envelopes method. A total of 30 subjects (15 in Matrix Rhythm Therapy (MRT) group and 15 in CG) with neck pain due to mechanic causes like cervical discopathy, cervical arthrosis or myofascial pain syndrome were participated in this study.

All assessments were done by the same physiotherapist (FU) before therapy and at the end of treatment sessions. The physiotherapist who did the assessments did not know to which group the subjects were belonged. Another physiotherapist who was not informed about the results of the evaluation treated the patients.

Home-based exercise programs and recommendations were also given to patients. Matrix Rhythm Therapy is developed by Dr. Ulrich G. Randall at the university of Erlangen/Nuremberg. Longitudinal stroking, compression and spooning techniques are specific methods of MRT. Therapies of the patients were done by the physiotherapist who had certificate of MRT application.

Eligibility criteria: Inclusion Criteria:

* Having neck pain for at least 3 months

Exclusion Criteria:

* radiculopathy with motor findings
* undergoing surgical operation for neck pathologies
* having a systemic , neurologic, psychiatric diseases
* inflammatory or infectious diseases targeting this region
* physical therapy modalities could not be used due to contraindications (individuals with sensory disorders, who use cardiac pace maker)
* pregnancy
* malignancy

Primary outcomes:
measure: Pain intensity
timeFrame: Baseline
measure: Muscle spasm
timeFrame: Baseline
measure: Disability
timeFrame: Baseline
measure: Emotional status
timeFrame: Baseline
Secondary outcomes:
measure: Pain intensity
timeFrame: 2 weeks
measure: Muscle spasm
timeFrame: 2 weeks
measure: Disability
timeFrame: 2 weeks
measure: Emotional status
timeFrame: 2 weeks
Other outcomes:
Locations:
city: Denizli
country: Turkey
facility: Sarayköy Vocational School
Study officials:
affiliation: Pamukkale University
name: Emine ASLAN TELCİ, Professor
role: STUDY_CHAIR
affiliation: Private Denizli Tekden Hospital
name: Erhan ÖZFİDAN, Dr
role: STUDY_CHAIR
References:
citation: Taspinar F, Aslan UB, Sabir N, Cavlak U. Implementation of matrix rhythm therapy and conventional massage in young females and comparison of their acute effects on circulation. J Altern Complement Med. 2013 Oct;19(10):826-32. doi: 10.1089/acm.2012.0932. Epub 2013 Apr 26.
citation: Smidt N, de Vet HC, Bouter LM, Dekker J, Arendzen JH, de Bie RA, Bierma-Zeinstra SM, Helders PJ, Keus SH, Kwakkel G, Lenssen T, Oostendorp RA, Ostelo RW, Reijman M, Terwee CB, Theunissen C, Thomas S, van Baar ME, van 't Hul A, van Peppen RP, Verhagen A, van der Windt DA; Exercise Therapy Group. Effectiveness of exercise therapy: a best-evidence summary of systematic reviews. Aust J Physiother. 2005;51(2):71-85. doi: 10.1016/s0004-9514(05)70036-2.
citation: Ylinen J. Physical exercises and functional rehabilitation for the management of chronic neck pain. Eura Medicophys. 2007 Mar;43(1):119-32.