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Chronic neck pain is a common musculoskeletal disorder that negatively affects daily life and quality of life. Exercise and manual therapy are widely used treatment strategies, but there is limited evidence comparing different rehabilitation approaches. This randomized controlled trial aims to compare the effects of instrument-assisted soft tissue mobilization and manual therapy on pain, functional status, cervical muscle endurance, and range of motion in individuals with chronic neck pain. Twenty-four participants will be randomly assigned to two groups and receive treatment three times per week for four weeks. Assessments will include the Visual Analog Scale, Neck Disability Index, cervical muscle endurance tests, and goniometric range of motion. The results are expected to support evidence-based strategies for managing chronic neck pain.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Manual Therapy Group | Experimental | Participants receive manual therapy interventions, including posterior-anterior mobilizations, lateral glides, suboccipital release, and traction techniques based on Maitland principles. |
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| Instrument-Assisted Soft Tissue Mobilization Group | Experimental | Participants receive instrument-assisted soft tissue mobilization using specialized tools on the cervical and upper thoracic regions. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Manual Therapy | Other | Manual mobilization techniques applied to the cervical and upper thoracic regions, 3 sessions/week for 4 weeks. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analog Scale (VAS), 0-10 cm (0 = no pain, 10 = worst pain imaginable) | The VAS will be used to assess the intensity of neck pain. A higher score indicates greater pain intensity. | Change from baseline to 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Istanbul Atlas University | Kâğıthane | Istanbul | 34408 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 33612123 | Result | Mylonas K, Angelopoulos P, Billis E, Tsepis E, Fousekis K. Combining targeted instrument-assisted soft tissue mobilization applications and neuromuscular exercises can correct forward head posture and improve the functionality of patients with mechanical neck pain: a randomized control study. BMC Musculoskelet Disord. 2021 Feb 21;22(1):212. doi: 10.1186/s12891-021-04080-4. | |
| 28807894 |
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
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| ID | Term |
|---|---|
| D026201 | Musculoskeletal Manipulations |
| ID | Term |
|---|---|
| D000529 | Complementary Therapies |
| D013812 | Therapeutics |
| D026741 | Physical Therapy Modalities |
| D012046 | Rehabilitation |
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| Instrument-Assisted Soft Tissue Mobilization (IASTM) | Other | Mobilization applied with instruments to cervical and upper thoracic muscles, 3 sessions/week for 4 weeks. |
|
| Result |
| Cohen SP, Hooten WM. Advances in the diagnosis and management of neck pain. BMJ. 2017 Aug 14;358:j3221. doi: 10.1136/bmj.j3221. |
| 25780258 | Result | Tunwattanapong P, Kongkasuwan R, Kuptniratsaikul V. The effectiveness of a neck and shoulder stretching exercise program among office workers with neck pain: a randomized controlled trial. Clin Rehabil. 2016 Jan;30(1):64-72. doi: 10.1177/0269215515575747. Epub 2015 Mar 16. |