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Completed

NCT Number: NCT06003907

Comparison of Conservative Treatment and Graston and Cup Applications in Patients With Cervical Disc Herniation

The aim of the study is to examine the effects of graston and dry cupping techniques applied in addition to the conservative treatment program on neck awareness, grip strength, balance and sleep quality in patients with cervical disc herniation between the ages of 18-65.

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Key information

Conditions

Neck Pain Cervical Disc Herniation Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

18 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Üsküdar Unıversıty

Üsküdar, Istanbul, Turkey (Türkiye)

About this study

The research will be carried out on 30 cases diagnosed with cervical disc herniation between the ages of 18-65. The patients will be divided into 2 groups as control and experimental groups by simple randomization method. While the conservative physical therapy program is applied to the control group, the patients in the experimental group will be applied 1 day graston and 1 day dry cup technique in addition to the ones in the experimental group. All patients will be treated for 20 sessions, 5 days / 4 weeks. Fremantle Neck Awareness Questionnaire to assess neck awareness, hand dynamometer to assess grip strength, Berg Balance Scale to assess balance and Jenkins Sleep Scale to assess sleep quality will be used. All tests will be measured at the start of treatment and after 4 weeks of intervention. Pre- and post-intervention data were statistically analyzed and compared.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Being between the ages of 18-65
  • Being diagnosed with cervical disc herniation
  • Being diagnosed with cervical disc herniation at the level of bulging or protrusion according to MRI results

Exclusion criteria

  • Presence of cervical spine surgery history
  • Presence of primary or spinal metastatic malignancy
  • Having vascular problems
  • Individuals with sleep apnea
  • Those who use psychiatric drugs
  • Presence of various pathologies in the upper extremity (fracture, ganglion cyst, etc.)

Treatment and study plan

Conventional

Other

hot application electrotherapy ultrasound mobilization joint range of motion exercises stretching exercises balance exercises posture exercises

traditional and complementary medicine methods

Other

The Graston Technique is a form of manual therapy known as instrument assisted soft tissue mobilization. Graston massage is performed using titanium-coated metal rods specially designed for different parts of the body.

Cupping therapy is a treatment method that creates a regional vacuum to increase the blood circulation of the person and provide healing.

Primary outcomes

  1. The Fremantle Neck Awareness Questionnaire

    Time frame: 6 weeks

    It is a 9-question questionnaire that evaluates the way people perceive the communication between their neck and their body, and the way they perceive their body position. Evaluates the perception that differs according to the individual. It is a Likert-type questionnaire (0 = Never/Never feel this way, 1= I rarely feel this way, 2 = Sometimes, or sometimes I feel this way, 3 = I feel this way often, 4 = I feel this way all or most of the time)

  2. Berg Balance Scale

    Time frame: 6 weeks

    The Berg Balance Scale is a scale developed for the assessment of postural control in adults and is easily used in many areas of rehabilitation. It consists of 14 items in total. Scoring evaluates whether the patient can safely perform a task in a given amount of time. High fall risk and balance disorder between 0-20 points; A score of 21-40 indicates moderate risk of falling and an acceptable balance; A score of 41 and above indicates good balance and minimal risk of falling.

  3. Jenkins Sleep Scale

    Time frame: 6 weeks

    The Jenkins Sleep Scale is used in clinical studies to evaluate the sleep problems of patients. Patients are asked 4 questions about sleep problems in the last month and are asked to answer them. 0 (hardly), 1 (1-3 days per month), 2 (4-7 days per month), 3 (8-14 days per month), 4 (15-21 days per month), 5 (23-31 days per month)

Sponsors and collaborators

Lead sponsor

Uskudar University

Other

Registry information

Official study title

Effectiveness of Graston and Cupping Applications in Individuals With Cervical Disc Herniation: A Randomized Controlled Trial

Important dates

Study start
2023
Primary completion
2023
Study completion
2024
First posted
Aug 22, 2023
Registry last updated
Oct 18, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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