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The study will include 45 people between the ages of 25-55 with non-specific neck pain. The patients will be randomly divided into three groups. Group 1 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application. Group 2 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application in addition to the Mulligan mobilization technique. Group 3 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application in addition to graston treatment for 5 minutes to the upper and lower trapezius, rhomboid major and minor muscles.
The study will include 45 people between the ages of 25-55 with non-specific neck pain. The patients will be randomly divided into three groups. Group 1 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application. Group 2 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application in addition to the Mulligan mobilization technique. Group 3 will receive 5 minutes of ultrasound, 20 minutes of transcutaneous electrical nerve stimulation (TENS), and hot pack application in addition to graston treatment for 5 minutes to the upper and lower trapezius, rhomboid major and minor muscles. The patients will receive treatments 3-4 times a week for 4 weeks, for a total of 10 sessions. VAS, neck joint range of motion, functional status and disability level neck pain and disability scale and SF-36 will be used as evaluation measurements.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| First Intervention | Experimental | 5 minutes of Ultrasound, 20 minutes of Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application will be applied. |
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| Second Intervention | Experimental | In addition to 5 minutes of Ultrasound, 20 minutes of Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application, Mulligan mobilization technique will be applied. Continuous apophyseal shifting technique will be applied as mobilization. Mobilization will be applied in 3 sets of 4-5 repetitions. |
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| Third Intervention | Experimental | In addition to 5 minutes of Ultrasound, 20 minutes of Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application, Graston treatment will be applied to the upper and lower trapezius, rhomboid major and minor muscles for 5 minutes. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Conventional therapy | Other | Ultrasound, Transcutaneous Electrical Nerve Stimulation (TENS) and hot pack application |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visucal Analog scale | The Visual Analog Scale (VAS) (0-10 cm), which is found to be valid, reliable and sensitive in patients with neck pain, will be used to assess pain. O means no pain; 10 means severe pain. | 10 minutes |
| Joint range of motion | The patients' neck joint range of motion will be measured with a standard goniometer. | 20 minutes |
| Quality of life (SF-36) | SF-36 will be used to assess the participants' quality of life. The 36-question questionnaire is divided into 8 groups: physical role functioning, emotional role functioning, bodily pain, energy, social role functioning, mental health and general health perception. Each category is scored between 0-100 and higher scores indicate better quality of life | 15 minutes |
| The neck disability scale | Functional status and disability level will be assessed with the neck pain and disability scale.The neck disability scale will be used to assess how the participants' daily lives are affected by neck pain. The total score of the scale ranges from 0 to 35, with higher scores indicating higher levels of disability | 15 minutes |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| MERVE YILMAZ MENEK, Assoc. Prof. | Medipol University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Medipol University | Istanbul | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 34974559 | Result | Mahmood T, Afzal W, Ahmad U, Arif MA, Ahmad A. Comparative effectiveness of routine physical therapy with and without instrument assisted soft tissue mobilization in patients with neck pain due to upper crossed syndrome. J Pak Med Assoc. 2021 Oct;71(10):2304-2308. doi: 10.47391/JPMA.03-415. |
| Label | URL |
|---|---|
| Comparative effectiveness of routine physical therapy with and without instrument assisted soft tissue mobilization in patients with neck pain due to upper crossed syndrome. | View source |
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We can share IPD if it is need.
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| D010146 | Pain |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Participants will be masked
| Conventional therapy+ Mulligan mobilization | Other | Conventional therapy+ Mulligan mobilization |
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| Conventional therapy+ Graston | Other | Conventional therapy+ Graston application |
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