Clinical trial NCT06003907: Comparison of Conservative Treatment and Graston and Cup Applications in Patients With Cervical Disc Herniation
Official title: Effectiveness of Graston and Cupping Applications in Individuals With Cervical Disc Herniation: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Cervical Disc Herniation
Keywords: graston technique
cupping therapy
Lead sponsor: Uskudar University
Sponsor class: OTHER
First posted: 2023-08-22
Enrollment: 27
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: conservative and traditional physiotherapy
Primary purpose: TREATMENT

Brief summary: The aim of the study is to examine the effects of graston and dry cupping techniques applied in addition to the conservative treatment program on neck awareness, grip strength, balance and sleep quality in patients with cervical disc herniation between the ages of 18-65.

Detailed description: The research will be carried out on 30 cases diagnosed with cervical disc herniation between the ages of 18-65. The patients will be divided into 2 groups as control and experimental groups by simple randomization method. While the conservative physical therapy program is applied to the control group, the patients in the experimental group will be applied 1 day graston and 1 day dry cup technique in addition to the ones in the experimental group. All patients will be treated for 20 sessions, 5 days / 4 weeks. Fremantle Neck Awareness Questionnaire to assess neck awareness, hand dynamometer to assess grip strength, Berg Balance Scale to assess balance and Jenkins Sleep Scale to assess sleep quality will be used. All tests will be measured at the start of treatment and after 4 weeks of intervention. Pre- and post-intervention data were statistically analyzed and compared.

Eligibility criteria: Inclusion Criteria:

* Being between the ages of 18-65
* Being diagnosed with cervical disc herniation
* Being diagnosed with cervical disc herniation at the level of bulging or protrusion according to MRI results

Exclusion Criteria:

* Presence of cervical spine surgery history
* Presence of primary or spinal metastatic malignancy
* Having vascular problems
* Individuals with sleep apnea
* Those who use psychiatric drugs
* Presence of various pathologies in the upper extremity (fracture, ganglion cyst, etc.)

Primary outcomes:
measure: The Fremantle Neck Awareness Questionnaire
timeFrame: 6 weeks
measure: Berg Balance Scale
timeFrame: 6 weeks
measure: Jenkins Sleep Scale
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Üsküdar
country: Turkey
facility: Üsküdar Unıversıty
state: İstanbul
Study officials:
affiliation: Uskudar University
name: Beste İNCEKULAK
role: STUDY_CHAIR
References:
citation: Keramat KU, Gaughran A. Safe physiotherapy interventions in large cervical disc herniations. BMJ Case Rep. 2012 Aug 18;2012:bcr2012006864. doi: 10.1136/bcr-2012-006864.
citation: Crothers A, Walker B, French SD. Spinal manipulative therapy versus Graston Technique in the treatment of non-specific thoracic spine pain: design of a randomised controlled trial. Chiropr Osteopat. 2008 Oct 30;16:12. doi: 10.1186/1746-1340-16-12.
citation: Choi TY, Ang L, Ku B, Jun JH, Lee MS. Evidence Map of Cupping Therapy. J Clin Med. 2021 Apr 17;10(8):1750. doi: 10.3390/jcm10081750.
citation: Kim S, Lee SH, Kim MR, Kim EJ, Hwang DS, Lee J, Shin JS, Ha IH, Lee YJ. Is cupping therapy effective in patients with neck pain? A systematic review and meta-analysis. BMJ Open. 2018 Nov 5;8(11):e021070. doi: 10.1136/bmjopen-2017-021070.
citation: Abdel-Aal NM, Elsayyad MM, Megahed AA. Short-term effect of adding Graston technique to exercise program in treatment of patients with cervicogenic headache: a single-blinded, randomized controlled trial. Eur J Phys Rehabil Med. 2021 Oct;57(5):758-766. doi: 10.23736/S1973-9087.21.06595-3. Epub 2021 May 5.