Skip to main content
OpenTrials
Completed

NCT Number: NCT04597112

Effect of Myofascial Release Technique in Patients with Unilateral Cervical Radiculopathy

The aim of the study is to investigate the effectiveness of myofascial release technique on pain, range of motion, muscle strength, functionality and quality of life in individuals diagnosed with cervical radiculopathy with unilateral arm involvement and compare this with exercise. The individuals included in the study will be randomized into two groups, 17 control and 17 study groups. Sessions will be 3 days a week for 4 weeks. Conventional physiotherapy and exercise program will be applied to the control group, conventional physiotherapy and myofascial release technique will be applied in the intervention group. Conventional physiotherapy methods; It will include Transcutaneous Electrical Nerve Stimulation (TENS), Ultrasound (US), hotpack agents. Exercise program; extension, right and left lateral flexion, right and left rotation exercises, chin-tuck, right and left upper trapezius muscle group stretching, neck extensor muscle group isometric strengthening exercises. Myofascial release will be applied to the fingers, wrist flexor-extensor muscle groups, elbow flexor-extensor muscle groups, pectoral muscles and rotator cuff muscle groups. Patients will be evaluated before and after treatment with Visual Analogue Scale (VAS), Goniometric measurements, algometer, myometer, Neck Disability Scale, "Disability of Arm, Shoulder and Hand" Questionnaire (DASH).

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Cervical Radiculopathy Behavior Cervical Disc Disease Cervical Disc Herniation Cervical Radicular Pain Cervical; Hernia Hernia Motor Activity Nervous System Diseases Neurologic Manifestations Neuromuscular Diseases Pain Pathological Conditions, Anatomical Pathological Conditions, Signs and Symptoms Peripheral Nervous System Diseases Radiculopathy Signs and Symptoms

Age range

30 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Fatih Bali

Istanbul, Kucukcekmece, 34173, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Getting a diagnosis of cervical radiculopathy
  • Unilateral upper extremity symptoms at least for a month
  • The diagnosis is confirmed by the medical board report
  • Being between the ages of 30-65
  • Voluntary acceptance to participate in the study

Exclusion criteria

  • Previous cervical surgery
  • Previous cervical trauma
  • Have had myofascial therapy or conventional therapy for cervical radiculopathy
  • Long-term use of corticosteroids
  • Congenital torticollis history
  • Using nonsteroidal anti-inflammatory drugs for long time
  • Migraine
  • Cancer
  • Tumor
  • Osteoporosis
  • Pregnancy

Treatment and study plan

Myofascial Release Technique

Other

Myofascial release focuses on reducing pain by easing the tension and tightness in the trigger points. Therapist will gently massage the myofascia and feel for stiff or tightened areas. Normal myofascia should feel pliable and elastic. The therapist will begin massaging and stretching the areas that feel rigid with light manual pressure. The therapist then aids the tissue and supportive sheath in releasing pressure and tightness. The process is repeated multiple times on the same trigger point and on other trigger points until the therapist feels the tension is fully released.

Exercise

Other

Exercise is recommended by physical therapists for most cervical radiculopathy patients.

In this study, a customized exercise program will be applied for patients with cervical radiculopathy.

Primary outcomes

  1. Algometer

    Time frame: 10 minutes

    It is a device used to evaluate the sensitivity to pain and to determine the perception of pressure. The pressure algometer has proven useful in evaluating fibrositis and hypersensitive spots, trigger points, arthritis activation, and visceral pain-pressure sensitivity.

  2. Myometer

    Time frame: 10 minutes

    Hand myometer is a means of expressing force quantitatively. It is preferred over other dynamometers because of its ease of use and portability.

  3. Electrogoniometer

    Time frame: 10 minutes

    It is an evaluation tool used to record the objective measurement of joint range of motion.

  4. Visual Analog Scale

    Time frame: 1 minutes

    Visual Analog Scale (VAS) is used to convert some values that cannot be measured numerically into digital. Two end definitions of the parameter to be evaluated are written on both ends of a 100 mm line and the patient is asked to indicate where his / her condition is appropriate by drawing a line or by placing a dot or marking.

Secondary outcomes

  1. Neck Disability Index

    Time frame: 10 minutes

    It is a test consisting of ten parts that determines to what extent neck pain affects daily life activities. The questions are of a nature that includes the intensity of pain and the effect of pain on occupational and social activity and its relationship with emotional factors. 10 cm visual analogue scale (VAS) is used for each question. High scores indicate the severity of the disease.

  2. Disability of Arm Shoulder and Hand Test

    Time frame: 10 minutes

    This questionnaire evaluates the disability and activity limitations resulting from upper extremity injury, as well as the restriction of leisure activities and work participation. The DASH questionnaire consists of three parts. According to the survey results; A result of 0-100 is obtained from each section. (0 = no apology, 100 = maximum apology).

Sponsors and collaborators

Lead sponsor

Istanbul Medipol University Hospital

Other

Registry information

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Oct 22, 2020
Registry last updated
Nov 15, 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.

Related clinical trials

Published trials that share one or more normalized conditions with this study.