Clinical trial NCT06858605: Effect of Neck vs. Combined Neck-Lumbar Mobilization on Pain and Motion in Cervical Disc Herniation
Official title: The Effect of Neck Mobilization vs. Combined Neck and Lumbar Mobilization on Pain and Range of Motion in People With Cervical Disc Herniation: A Randomized Controlled Study
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Cervical Disc Herniation
Keywords: Intervertebral Disc Displacement
Musculoskeletal Manipulations
Range of Motion
Articular
Neck pain
Lead sponsor: Fenerbahce University
Sponsor class: OTHER
First posted: 2025-03-05
Enrollment: 33
Sex: ALL
Minimum age (years): 25
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: After obtaining informed consent forms from the participants who accepted to join the study, participants were randomly assigned to two groups-Group A (cervical-only KEOMT) and Group B (combined cervical and lumbar KEOMT)-using a computer-generated randomization sequence. Block randomization was employed to ensure balanced group sizes.
Primary purpose: TREATMENT

Brief summary: Background To assess the effectiveness of Kaltenborn-Evjenth Orthopedic Manual Therapy (KEOMT) applied to cervical-only mobilization versus both lumbar and cervical regions on pain intensity and range of motion (ROM) in individuals with cervical disc herniation, Methods: Thirty three participants were enrolled in the study. The patients were randomly assigned to two groups. Group A received cervical-only KEOMT while Group B received combined lumbar and cervical KEOMT, Interventions were administered three times a week for four weeks. Pain was measured using the Visual Analog Scale (VAS), ROM was assessed for flexion and lateral flexion, and Neck Pain and Disability Index (NPDI) and Short-Form 36 Health Survey (SF-36) were used for evaluation.


Eligibility criteria: Inclusion Criteria:

* Diagnosed with cervical disc herniation at least 8 weeks but not more than 5 years prior.
* Cervical disc herniation verified by magnetic resonance imaging (MRI) at 1 or 2 segmental levels, consistent with clinical findings.
* Neck Disability Index (NDI) score greater than 5.
* No use of analgesic medication other than the prescribed treatment before or during the study period.

Exclusion Criteria:

* History of myelopathy, whiplash-associated disorder, generalized myalgia, malignant tumor, or inflammatory disease.
* Painful back problems or neurological symptoms within the past year.
* Psychiatric disorders or drug abuse.
* Contraindications to physical therapy or inability to return to work or perform physical therapy due to other diseases or disabilities.
* Inability to communicate effectively.
* Participation in any additional interventions outside the prescribed treatment during the study period.

Primary outcomes:
measure: Visuel Analog Scale
timeFrame: Through study completion, an average of 1 year
measure: Range of motion
timeFrame: Through study completion, an average of 1 year
measure: Neck Pain and Disability Assessment
timeFrame: Through study completion, an average of 1 year
measure: Quality of life scale
timeFrame: Through study completion, an average of 1 year
Secondary outcomes:
Other outcomes:
Locations:
city: İstanbul
country: Turkey
facility: Fenerbahçe University Faculty of Health Sciences Physiotherapy Department
Study officials:
References: