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Идёт набор NCT07685418

Ischemic Compression and Home Exercise in Non-Specific Neck Pain

Без фазы С лечением Myofascial Trigger Points Musculoskeletal Pain Non-specific Neck Pain Neck Pain

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: Ischemic Compression, Home Exercise Program.
Кому может быть актуально
Состояния в реестре: Myofascial Trigger Points, Musculoskeletal Pain, Non-specific Neck Pain, Neck Pain. Базовые параметры: 17 лет — 65 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Turkey (Türkiye)
Следующий шаг
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Официальное название

Evaluation of the Effects of Ischemic Compression Combined With Home Exercise on Pain Intensity and Quality of Life in Individuals With Chronic Non-Specific Neck Pain

Обзор

The purpose of this study is to investigate the effects of ischemic compression combined with home exercise on pain, cervical range of motion, neck disability level, and quality of life in individuals with non-specific neck pain. Participants will be divided into two groups: a treatment group receiving ischemic compression plus home exercises, and a control group receiving only home exercises. The study aims to provide clinical evidence regarding the effectiveness of combined treatment approaches for non-specific neck pain.

Подробное описание

A total of 52 individuals, aged 18-65, with non-specific neck pain for at least 3 months, will be included in the study. Participants will be randomly assigned to either the treatment group (n=26) or the control group (n=26). Both groups will be prescribed a home exercise program. The treatment group will additionally receive ischemic compression sessions twice a week for 4 weeks.

Ischemic compression will be applied by the therapist using the thumb or a suitable contact surface, exerting controlled and gradually increasing pressure directly on the trigger point. The pressure will be maintained at the participant's pain tolerance limit (uncomfortable but bearable) and will last approximately 90 seconds for each trigger point. Participant feedback will be continuously monitored; pressure will be reduced or terminated in case of excessive pain or discomfort.

Evaluations will include the Numeric Pain Rating Scale (NPRS) for pain, the Neck Disability Index (NDI) for neck disability level, the SF-12 for quality of life, and goniometric measurements for cervical range of motion. Data will be analyzed using SPSS software.

Вмешательства

  • Другое Ischemic Compression
    The intervention group will receive ischemic compression applied to palpable trigger points in the upper trapezius, middle trapezius, levator scapulae, suboccipital muscles (rectus capitis posterior major/minor, obliquus capitis), and splenius capitis muscles for 90 seconds with gradually increasing pressure at the individual's pain tolerance threshold. Ischemic compression will be performed by the therapist applying perpendicular, controlled, and gradually increasing pressure to the trigger poi
  • Другое Home Exercise Program
    Participants will perform a structured program consisting of stretching and strengthening exercises for the cervical region. The program will be performed twice daily for the duration of the study.

Первичные конечные точки

  • Pain Intensity [Срок оценки: Baseline and post-treatment (week 4)]
Вторичные конечные точки (4)
  • Pressure Pain Threshold (PPT) as measured by Baseline Analog Pressure Algometer [Срок оценки: Baseline and Post-treatment (Week 4)]
  • Neck Disability [Срок оценки: Baseline and Post-treatment (Week 4)]
  • Quality of Life as measured by SF-12 Health Survey [Срок оценки: Baseline and Post-treatment (Week 4)]
  • Cervical Range of Motion as measured by Universal Goniometer [Срок оценки: Baseline and Post-treatment (Week 4)]

Критерии участия

Критерии включения

  • Individuals aged between 18 and 65 years.
  • Diagnosis of non-specific neck pain for at least 3 months.
  • Diagnosis of non-specific neck pain for at least 3 months.
  • Voluntarily agreeing to participate and signing the informed consent form.

Критерии исключения

  • Presence of specific causes of neck pain (cervical disc herniation, radiculopathy, spinal stenosis, tumor, infection, rheumatic diseases, etc.).
  • Having undergone surgical intervention in the neck region within the last 6 months.
  • History of neurological disease.
  • History of surgery in the cervical or thoracic vertebrae.
  • Presence of impaired skin integrity in the application area.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение
Рандомизированное
Модель
Параллельные группы
Маскирование
Простое слепое
Основная цель
Лечение

Центры проведения

Turkey (Türkiye) · 1 центр
  • SZ Clinic Physical Therapy, Dietetics and Health Services Center — Istanbul

Идентификаторы

NCT: NCT07685418 · E-53938333-050.04-69819

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗