Physiotherapy in Chronic Neck Pain

Condition(s) studied

Investigational drug(s) / intervention(s)

Standard physiotherapy intervention and home exercises: Various physical agents such as electrotherapy, hotpack (warm compress) and ultrasound therapy will be used within the standard physiotherapy intervention. These approaches are effective methods to reduce pain, relax muscles and accelerate healing. Home exercises are daily neck exercises recommended by a specialist physiotherapist.

Trigger point therapy and home exercises: Trigger point therapy is a common method used in patients with myofascial pain syndrome. This method involves manually releasing trigger points. Approaches such as pressure applications and stretching techniques are used. Muscle functions are improved by loosening painful muscle knots. Muscle flexibility and endurance are increased with home exercises.

Kinesiology Taping therapy and home exercises: Kinesiology taping is an elastic band technique used for pain management and muscle activity support. It accelerates healing by increasing blood circulation. It supports and protects the muscles in the neck and shoulder area. It provides supportive stabilization without restricting joint movements. It facilitates movement by reducing pain. It targets muscle strengthening and mobilization with home exercises

Cervical - Scapular Mobilization and home exercises: Cervical and scapular mobilization includes manual therapy techniques aimed at increasing the range of motion of the joints in the spine and shoulder area. Mobilization is applied to the cervical spine and shoulder joints. Relaxation is provided in the muscles around the shoulder and neck. Cervical and scapular stability is improved. Postural disorders are corrected and range of motion is increased. Sustainability of mobilization is ensured with home exercises.

Study summary

In this randomized controlled experimental study design, it was aimed to examine whether different treatment approaches frequently applied in physical therapy clinics have an effect on pain, hand grip strength and hand skills by applying them to individuals with CNNP. For this purpose, the following hypotheses were created.

H1: Standard physiotherapy intervention and home exercises have an effect on reducing the pain intensity of individuals with CNNP H2: Standard physiotherapy intervention and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.

H3: Standard physiotherapy intervention and home exercises have an effect on increasing the hand skills of individuals with CNNP.

H4: Trigger point therapy and home exercises have an effect on reducing the pain intensity of individuals with CNNP.

H5: Trigger point therapy and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.

H6: Trigger point therapy and home exercises have an effect on increasing the hand skills of individuals with CNNP.

H7: Kinesiology Taping treatment and home exercises have an effect on reducing the pain intensity of individuals with CNNP.

H8: Kinesiology Taping treatment and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.

H9: Kinesiology Taping treatment and home exercises have an effect on increasing the manual skills of individuals with CNNP.

H10: Cervical - Scapular Mobilization and home exercises have an effect on reducing the pain intensity of individuals with CNNP.

H11: Cervical - Scapular Mobilization and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.

H12: Cervical - Scapular Mobilization and home exercises have an effect on increasing the manual skills of individuals with CNNP.

4 different groups will be created in this study. These are Group 1: Standard physiotherapy intervention and home exercises Group 2: Trigger point therapy and home exercises Group 3: Kinesiology Taping therapy and home exercises Group 4: Cervical - Scapular Mobilization and home exercises

Eligibility

Primary outcome measure(s)

• Pain assessment — Four weeks
  Pain assessment will be made with Visual Analog Scale (VAS). VAS was developed by Price et al. in 1983 for the assessment of subjective pain and is a reliable and easy-to-apply scale that has been accepted in the world literature. VAS is a scale with two different names on the vertical or horizontal line, 10 cm long (0=I have no pain - I am very comfortable and 10=The most unbearable pain).

Trial sites (1)

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