The Effect of Tendon Release Techniques in Patients With Cervical Disc Herniation
ConditionCervical Disc Herniation
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-65
SponsorIstanbul Arel University
About this trial
The goal of this clinical trial is to investigate the effect of using enhanced golgi tendon organ stimulation on symptoms in patients with cervical disc herniation. The main question\[s\] it aims to answer are:
* Enhanced Golgi tendon organ stimulation is effective in reducing symptoms in patients with cervical disc herniation. * Enhanced golgi tendon organ stimulation is not effective in reducing symptoms in patients with cervical disc herniation.
Participants will receive enhanced golgi tendon organ stimulation to the Sternocleidomastoideus, platysma, longus colli, longus capitis, scalene, rhomboid major \& minor, levator scapulae and trapezius muscles for 3 weeks, 2 sessions per week for 45 minutes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Being diagnosed with cervical disc herniation
Volunteering for the research
Disqualifiers
Chronic bone disease
Have had surgery for a cervical disc herniation
Have a structural abnormality
Trial design
Design model
Single group
Treatments tested in this trial
Enhanced golgi tendon organ stimulation
DeviceEnhanced Golgi Tendon Organ Stimulation is a method that can be used by physiotherapists and doctors. The Golgi tendon organ is the proprioceptors located in the tendon adjacent to the myotendinous junction. It is applied using two separate heads, the stimulator and the algometer. The sternocleidomastoideus, platysma, colli longus, capitis longus, scalene, rhomboid major and minor, levator scapulae and trapezius muscles and their tendons will be vibrated with a stimulator for 30 seconds, then 0.5 kilograms of pressure will be applied with an algometer from the origin to the insertion of the muscle in the region at 0.5 centimetre intervals at an angle of 90 degrees.
Treatment groups
51 Participants
are divided into 1 treatment groupGroup A: Application of enhanced Golgi tendon organ stimulation to patientsExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Pain assessment with algometer
The sternocleidomastoid, platysma, longus colli, longus capitis, scalene, rhomboid major and minor, levator scapulae and trapezius muscles and their tendons are compressed to 0.5 kg using an algometer. The patient's response is used to determine whether or not there is pain.
Time frame
baseline, immediately after the 6 weeks intervention2
SF-36 (short form-36)
The Short Form-36 (SF-36) is a self-assessment scale and analyses 8 dimensions of health including physical function, social function, role limitations (due to physical and emotional reasons), mental health, vitality (energy), pain and general perception of health with 36 items. In scoring the scale, each sub-dimension is given a score between 0 and 100 points, where 0 points indicate that the quality of life dimension is poor and 100 points indicate that it is good.
Time frame
baseline, immediately after the 6 weeks interventionSecondary outcomes
1
visual analogue scale (VAS)
For pain intensity according to VAS, "no pain" is usually graded as 0 points and "worst imaginable pain" as 10 points (10 cm scale). The ranges for pain intensity are \<3 mild pain, 3-6 moderate pain, \>6 severe pain.
Time frame
baseline, immediately after the 6 weeks intervention2
assessment of joint range of motion
Range of motion of the cervical spine will be assessed with a goniometer.
Time frame
baseline, immediately after the 6 weeks intervention3
Spurling Test
With the patient in an upright sitting position, the clinician flexes and laterally flexes the patient's head and applies cranial to caudal compression. The test is considered positive if there is pain, numbness and tingling. A positive spurling test indicates that there may be a problem such as a possible nerve root compression in this area. If the test is negative, it is said that nerve root compression is less likely.
Time frame
baseline, immediately after the 6 weeks intervention4
Endurance Test
The patient performs flexion, extension, right lateral flexion, left lateral flexion, right rotation and left rotation. Meanwhile, the clinician maintains the position by applying the same force in the opposite direction of movement. A stopwatch is used to time the onset of pain. The longer the time, the better the outcome. A shorter time indicates a poor clinical prognosis.
Time frame
baseline, immediately after the 6 weeks interventionSponsors and contacts
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Source ClinicalTrials.gov