MANUAL THERAPY ON PAIN, DISABILITY AND QUALITY OF LIFE

Condition(s) studied

Investigational drug(s) / intervention(s)

Physical therapy: Traditional physiotherapy includes transcutaneous electrical nerve stimulation (TENS), infrared device application, and exercise programs.

Physical therapy and manual therapy: Cervical region mobilization techniques include bridging, cervical manual traction, rotation with traction, lateral flexion with traction, antero-posterior sliding and lateral sliding techniques with traction. Prior to joint mobilization techniques, bilaterally, soft tissue techniques including myofascial release techniques and ischemic compression will be applied to the cervical paravertebral muscles, upper and middle trapezius, levator scapula, sternocleidomastoid (SCM), anterior-medius posterior scalene muscles, deep and superficial fascia to reduce muscle spasm in the soft tissues and relax the cervical muscles. Transverse friction massage will be applied to the occipital attachment points of the semispinalis capitis and splenius capitis muscles.

Study summary

The aim of this study is to investigate whether conventional physical therapy combined with manual therapy reduces pain and maintains life support in individuals with chronic mechanical neck pain, compared to conventional physical therapy alone. The study plans to evaluate the combined benefits of both treatment methods and manual therapy. Pain, quality of life, range of motion, and neck injuries will be assessed in the participants. The treatment protocol will be administered twice a week, for a total of 10 sessions over a 5-week period.

Eligibility

Primary outcome measure(s)

• Pain Assessment — Baseline and at the end of treatment (week 5)
  Visual Pain Scale
• Range of motion — Baseline and at the end of treatment (week 5)
  The data will be recorded in the range of motion assessment section of the patient evaluation form. While the participant is in a seated position, the measurement results of active flexion, extension, right and left rotation, right and left lateral flexion movements of the cervical region will be recorded.
• Disability — Baseline and at the end of treatment (week 5)
  Bournemoth Neck :The BDI consists of 10 categories: neck pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleep, and leisure activities. Individuals included in the study were asked to rate each category between 0 (no disability) and 5 (complete disability) (Vernon, 2008). The total score ranged from 0 (no disability) to 50 (complete disability).
• quality of life — Baseline and at the end of treatment (week 5)
  The SF-36 Quality of Life Scale consists of 36 items assessed across 8 separate subscales. Physical function, social function, general health, fitness, mental health, pain, and physical and emotional role limitations are the subscales of the SF-36. Each subscale can be scored between 0 and 100.

Trial sites (1)

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