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CompletedNCT03622944Updated Aug 9, 2018

Effect of Exercise and Manuel Therapy Methods on Pain, Posture, Daily Living in People With Cervical Pathologies

An interventional study of Muscle Energy Technic and Deep Friction Massage in Musculoskeletal Disorder of the Neck, sponsored by Hacettepe University. Completed. Open to participants aged 25 Years to 65 Years. Per ClinicalTrials.gov, last updated 2018-08-09.

Sponsored by Hacettepe University · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 2 years 9 months after the study started (first participant enrolled Oct 2015, registered Jul 2018).
Phase
Not applicable
Study type
Interventional
Enrollment
45
Allocation
Randomized
Ages
25 Years to 65 Years
Sex
All
01

Study summary

The aim of the study is to determine the effect of exercise and two different manual therapy methods on pain, quality of life and posture in people with neck pain.

Read the detailed description

Deep friction massage will use on cervical regions in first group, muscle energy technic will use second group and cervical stabilization exercise will use as an third group. For all groups, pain intensity, Quality of life and posture will assess.

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Conditions studied

  • Musculoskeletal Disorder of the Neck

Keywords

  • neck pain
  • physiotherapy
  • rehabilitation
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In context

Musculoskeletal Diseases

657 studies on the registry are indexed under Musculoskeletal Diseases; 160 are open to participants now.

This study's enrollment of 45 is below the median of 73 across 438 interventional studies indexed under Musculoskeletal Diseases.

Browse Musculoskeletal Diseases studies →

Lead sponsor

Hacettepe University is the lead sponsor of 983 studies on the registry; 212 are open to participants now.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
25 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • clinical diagnosis of cervical disorder (for example; chronic neck pain, cervical disc herniation)
  • must have pain at least three months.

Exclusion criteria

Exclusion Criteria:

  • History of structural scoliosis
  • History of surgery
  • History of metabolic, neurologic and metastatic diseases.
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Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
45 participants (actual)

Study arms

  • Active comparator
    Muscle energy technic

    post isometric relaxation technics were used as muscle energy technics.

    Procedure: Muscle Energy Technic · Procedure: Exercise

  • Active comparator
    Deep Friction Massage

    Painful areas palpated and deep friction massage was applied.

    Procedure: Deep Friction Massage · Procedure: Exercise

  • Active comparator
    exercise

    Physiotherapist guided Spinal stabilization exercises were applied.

    Procedure: Exercise

Interventions

  • ProcedureMuscle Energy Technic

    post isometric relaxation technics were applied to levator scapulae, trapezius, pectoralis muscles three sessions per week, totally six weeks.

  • ProcedureDeep Friction Massage

    deep friction massage was applied to cervical region included tendons, muscles and soft tissue.

  • ProcedureExercise

    spinal stabilization exercise were applied three sessions in a week totally six weeks.

06

What researchers measure

Primary outcomes

  1. change in pain sensitivity

    pressure pain threshold (PPT) was measured with digital algometer. Pressure pain threshold which identifies minimum levels increasing mechanical stimulus is gold standard method for measuring pain sensitivity. PPT was measured from cervical vertebrae's spinous process and muscle belly's. Algometer range was set 0 kgF to 12kgF. Higher values represent increased pressure sensation.

    Time frame: change from baseline PPT at six weeks

Secondary outcomes

  1. change in Light touch sensation

    Semmes weinstein monofilaments were used to determine light touch sensation. It has twenty different evaluator size. Evaluator size was started 2.83 point and higher values represent worse outcome. Upper extremity dermatomes were tested.

    Time frame: change from baseline light touch sensation at six weeks

  2. change in upper extremity disability

    The Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was used.The questionnaire has 34 item which each item scored 1 to 5 points. All responses summed and averaged.This value is then transformed to a score out of 100 by subtracting one and multiplying by 25. This transformation is done to make the score easier to compare to other measures scaled on a 100 scale. Minimum score is "0" and total score is "100". higher values represent a worse outcome.

    Time frame: Change from baseline disability at six weeks .

  3. change in posture

    Posture was assessed with global postural system. This computer generated system has two cameras and lets three different plane postural assessment. the assessments and postural deviation calculate with computer programme.

    Time frame: change from baseline posture at six weeks

  4. change in perceived life quality

    perceived quality of life was assessed with nottingham health profile. the questionnaire has 38 questions in 6 subareas, with each question assigned a weighted value; the sum of all weighted values in a given subarea adds up to 100. higher values represent better life quality.

    Time frame: change from baseline life quality at six weeks

  5. change in functional disability

    Neck Disability Index (NDI) was used.NDI total scores ranged from 0 (no disability) to 50 (severe disability) which have ten items assessing perceived neck pain during daily living activities such as lifting, reading, driving, sleeping and recreational activities.

    Time frame: change from baseline functional disability at six weeks

07

Study locations

No study locations are listed for this record.

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References and documents

Publications

  • Rihn JA, Radcliff K, Hipp J, Vaccaro AR, Hilibrand AS, Anderson DG, Albert TJ. Radiographic variables that may predict clinical outcomes in cervical disk replacement surgery. J Spinal Disord Tech. 2015 Apr;28(3):106-13. doi: 10.1097/BSD.0b013e31826a0c84. PubMed 24694684 ↗
  • Carreon LY, Glassman SD, Campbell MJ, Anderson PA. Neck Disability Index, short form-36 physical component summary, and pain scales for neck and arm pain: the minimum clinically important difference and substantial clinical benefit after cervical spine fusion. Spine J. 2010 Jun;10(6):469-74. doi: 10.1016/j.spinee.2010.02.007. Epub 2010 Apr 1. PubMed 20359958 ↗
  • Persson LC, Lilja A. Pain, coping, emotional state and physical function in patients with chronic radicular neck pain. A comparison between patients treated with surgery, physiotherapy or neck collar--a blinded, prospective randomized study. Disabil Rehabil. 2001 May 20;23(8):325-35. doi: 10.1080/09638280010005567. PubMed 11374522 ↗
  • Boyles R, Toy P, Mellon J Jr, Hayes M, Hammer B. Effectiveness of manual physical therapy in the treatment of cervical radiculopathy: a systematic review. J Man Manip Ther. 2011 Aug;19(3):135-42. doi: 10.1179/2042618611Y.0000000011. PubMed 22851876 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 9, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03622944
Lead sponsor
Hacettepe University
Responsible party
Aynur Demirel (Principal Investigator, Hacettepe University) — Principal investigator
First posted
Aug 9, 2018
Start date
Oct 1, 2015
Primary completion
Mar 1, 2016
Completion
Oct 1, 2016
Last update
Aug 9, 2018

Study contacts

Aynur Demirel, PhD
principal investigator · Hacettepe University

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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