Thermotherapy in Acute Nonspecific Neck Pain
NCT Number: NCT06507761
Status: RECRUITING
Study Type: INTERVENTIONAL
Phases: NA
Conditions: Neck Pain|Cold
Interventions: OTHER: Sham|OTHER: Hot Pack|OTHER: Cold Pack
Sponsor: Acibadem University
Sex: ALL
Age: ADULT, OLDER_ADULT
Enrollment: 60
Study Design: Allocation: RANDOMIZED|Intervention Model: PARALLEL|Masking: DOUBLE (PARTICIPANT, OUTCOMES_ASSESSOR)|Primary Purpose: TREATMENT
Start Date: 2024-07-10
Completion Date: 2025-07-10
Locations: Nuray ALACA, Istanbul, +90, Turkey|Acibadem University, Istanbul, 34752, Turkey

Summary:
Neck pain is one of the most common musculoskeletal pain disorders secondary to low back pain. Medical and non-medical treatments such as physiotherapy are applied in its treatment. Patients with nonspecific neck pain (NBA) can be treated with various interventions such as drug therapy, manual therapy, heat and exercise. Although it is frequently used in clinical practice, there is no evidence that superficial thermotherapy (hot or cold) methods effectively relieve neck pain. Therefore, this study aims to compare the short-term effects of superficial hot or cold applications on pain, range of motion and functional status in patients with NBA.

Primary Outcome Measures: The Numerical Rating Scale (NPRS-11), The Numerical Rating Scale (NPRS-11) is an 11-point scale for self-report of pain. It is the most commonly used unidimensional pain scale. The respondent selects a whole number (integers 0-10) that best reflects the intensity (or other quality if requested of his/her pain.0 point is the minimum and 10 point is the maximum. The higher the score, the more severe the pain., Change from baseline pain score at 3th day|Range of Motion, CROM device will be used. The active range of motion of each individual will be measured and measured in accordance with the manufacturer's procedures, Change from baseline range of motion at 3th day|Global Rating of Change scale (Patient Satisfaction), Patient satisfaction regarding improvement in shoulder function will be evaluated by the Global Rating of Change scale. All participants will be asked to rate their condition after a six-week intervention period compared to baseline by indicating whether they have improved significantly, improved slightly, unchanged, deteriorated slightly, or deteriorated significantly between -3 to +3, with a higher value indicating better condition in this study., Change from baseline Global Rating of Change scale at 3th day
Secondary Outcome Measures: Neck disability index, Since some parts of the 10-item questionnaire could not be answered by the patients (driving, working life), the average neck disability index score will be calculated by dividing the total score by the number of questions answered. The scoring is between 0 and 50. 0 points means the best result, 50 points means the worst result. 0 - 4 points; no disability, 5 - 14 points; mild disability, 15 - 24 points; moderate disability, 25 - 34 points; severe disability, \> 35 points; complete disability, Change from baseline disability scale at 3th day|Pressure Pain Threshold, A digital pressure algometer will be applied to the web space of the foot opposite the trigger point. Participants are instructed to say "stop" or "pain" so the stimulus can be terminated "when the sensation first transitions from pressure to pain" (pain threshold)., Change from baseline Pressure Pain Threshold at 3th day