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Enrolling by Invitation

NCT Number: NCT07494734

MANUAL THERAPY ON PAIN, DISABILITY AND QUALITY OF LIFE

The aim of this study is to investigate whether conventional physical therapy combined with manual therapy reduces pain and maintains life support in individuals with chronic mechanical neck pain, compared to conventional physical therapy alone. The study plans to evaluate the combined benefits of both treatment methods and manual therapy. Pain, quality of life, range of motion, and neck injuries will be assessed in the participants. The treatment protocol will be administered twice a week, for a total of 10 sessions over a 5-week period.

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Key information

Conditions

Neck Pain Neck Pain Musculoskeletal 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

Physiotherapy center

Kocaeli, Gebze, Turkey (Türkiye)

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • • Being between 18-65 years of age
  • Having neck pain that has lasted for at least three months
  • Having a Visual Analog Scale (VAS) score of at least 3

Exclusion criteria

  • Patients not aged 18-60 years
  • Pregnant women or those suspected of being pregnant
  • Individuals with acute inflammatory diseases
  • Individuals with neurological deficits
  • Individuals with a positive vertebrobasilar artery test
  • Individuals with advanced osteoporosis
  • Individuals who have undergone spinal surgery
  • Individuals who have received an injection in the cervical region within the last 3 months
  • Individuals with any neurological or psychiatric disorders

Treatment and study plan

Physical Therapy

Other

Traditional physiotherapy includes transcutaneous electrical nerve stimulation (TENS), infrared device application, and exercise programs.

Physical therapy and manual therapy

Other

Cervical region mobilization techniques include bridging, cervical manual traction, rotation with traction, lateral flexion with traction, antero-posterior sliding and lateral sliding techniques with traction. Prior to joint mobilization techniques, bilaterally, soft tissue techniques including myofascial release techniques and ischemic compression will be applied to the cervical paravertebral muscles, upper and middle trapezius, levator scapula, sternocleidomastoid (SCM), anterior-medius posterior scalene muscles, deep and superficial fascia to reduce muscle spasm in the soft tissues and relax the cervical muscles. Transverse friction massage will be applied to the occipital attachment points of the semispinalis capitis and splenius capitis muscles.

Primary outcomes

  1. Pain Assessment

    Time frame: Baseline and at the end of treatment (week 5)

    Visual Pain Scale

  2. Range of motion

    Time frame: Baseline and at the end of treatment (week 5)

    The data will be recorded in the range of motion assessment section of the patient evaluation form. While the participant is in a seated position, the measurement results of active flexion, extension, right and left rotation, right and left lateral flexion movements of the cervical region will be recorded.

  3. Disability

    Time frame: Baseline and at the end of treatment (week 5)

    Bournemoth Neck :The BDI consists of 10 categories: neck pain intensity, personal care, lifting, reading, headache, concentration, work, driving, sleep, and leisure activities. Individuals included in the study were asked to rate each category between 0 (no disability) and 5 (complete disability) (Vernon, 2008). The total score ranged from 0 (no disability) to 50 (complete disability).

  4. quality of life

    Time frame: Baseline and at the end of treatment (week 5)

    The SF-36 Quality of Life Scale consists of 36 items assessed across 8 separate subscales.

    Physical function, social function, general health, fitness, mental health, pain, and physical and emotional role limitations are the subscales of the SF-36.

    Each subscale can be scored between 0 and 100.

Sponsors and collaborators

Lead sponsor

Istanbul Rumeli University

Other

Registry information

Official study title

THE EFFECT OF MANUAL THERAPY ON PAIN, DISABILITY AND QUALITY OF LIFE IN PATIENTS WITH CHRONIC MECHANICAL NECK PAIN

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
Mar 27, 2026
Registry last updated
Jul 24, 2026

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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