Neck PainNCT06957639
Physiotherapy in Chronic Neck Pain
A study testing Standard physiotherapy intervention and home exercises, Trigger point therapy and home exercises and Kinesiology Taping therapy and home exercises in people with Neck Pain, run by Uşak University at 1 site in Turkey (Türkiye).
Trial summary
In this randomized controlled experimental study design, it was aimed to examine whether different treatment approaches frequently applied in physical therapy clinics have an effect on pain, hand grip strength and hand skills by applying them to individuals with CNNP. Read more about this study
- Who is it for?
- Ages 18 to 64 years
- Conditions the study is for
- Neck Pain
- What is being tested?
- Standard physiotherapy intervention and home exercises, Trigger point therapy and home exercises and Kinesiology Taping therapy and home exercises
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 80 participants
- Where
- 1 siteTurkey (Türkiye)
- Study dates
- 25 Apr 2025to 25 Jul 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 64 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Being 18-64 years old,
- Having neck pain for 3 months or more,
- being literate, being a volunteer
Who cannot join
- having musculoskeletal injuries in the neck-shoulder area,
- having neurological or orthopedic problems,
- having cancer, having musculoskeletal malformations,
- having had head and neck surgery,
- having received physical therapy due to neck pain in the last 6 months
- not accepting to participate in the study,
- being pregnant,
- individuals with hearing and visual impairments
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Turkey (Türkiye)1 site
Yozgat Bozok University Health Application and Research Center
Yozgat, Yozgat, 66000
About this study
Official title: Investigation of the Effects of Different Physiotherapy Approaches Applied to Patients With Chronic Non-Specific Neck Pain on Pain Level, Grip Strength and Manual Dexterity: A Randomized Controlled Trial
In this randomized controlled experimental study design, it was aimed to examine whether different treatment approaches frequently applied in physical therapy clinics have an effect on pain, hand grip strength and hand skills by applying them to individuals with CNNP. For this purpose, the following hypotheses were created.
H1: Standard physiotherapy intervention and home exercises have an effect on reducing the pain intensity of individuals with CNNP H2: Standard physiotherapy intervention and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
Read more
H3: Standard physiotherapy intervention and home exercises have an effect on increasing the hand skills of individuals with CNNP.
H4: Trigger point therapy and home exercises have an effect on reducing the pain intensity of individuals with CNNP.
H5: Trigger point therapy and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
H6: Trigger point therapy and home exercises have an effect on increasing the hand skills of individuals with CNNP.
H7: Kinesiology Taping treatment and home exercises have an effect on reducing the pain intensity of individuals with CNNP.
H8: Kinesiology Taping treatment and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
H9: Kinesiology Taping treatment and home exercises have an effect on increasing the manual skills of individuals with CNNP.
H10: Cervical - Scapular Mobilization and home exercises have an effect on reducing the pain intensity of individuals with CNNP.
H11: Cervical - Scapular Mobilization and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
H12: Cervical - Scapular Mobilization and home exercises have an effect on increasing the manual skills of individuals with CNNP.
4 different groups will be created in this study. These are Group 1: Standard physiotherapy intervention and home exercises Group 2: Trigger point therapy and home exercises Group 3: Kinesiology Taping therapy and home exercises Group 4: Cervical - Scapular Mobilization and home exercises
Read the detailed description
Neck pain is one of the musculoskeletal disorders with a high prevalence in the adult population. Its prevalence in the world varies between 16.7% and 75.1% and is generally more common in women than in men. Neck pain is a public health problem that should be considered in terms of individual health and general well-being as well as health expenditures. As a result of ignoring neck pain, neck pain becomes chronic. Neck pain, which significantly affects the quality of life of individuals with chronic neck pain (CNP), causes restrictions in movement and decreases in upper extremity functions. In particular, the functions of the hand, which are indicators of upper extremity functions frequently used in daily life activities, are the functions of the hand. Studies have found that individuals with chronic neck pain have decreased grip strength and psychomotor skills compared to healthy individuals. Based on this, various treatment methods have been applied to individuals with CNP in many similar studies in the literature to reduce the level of pain, prevent disability, increase performance in daily life activities and increase joint range of motion. There is no study that examines whether the various physical therapy methods frequently applied in this clinic have an effect on the grip strength and manual dexterity of individuals with CNNP by applying them together comparatively. In this context, four different groups will be formed for the research. The first group will receive standard physiotherapy intervention, the second group will receive trigger point therapy for the neck region, the third group will receive kinesiology taping, and the fourth group will receive cervical and scapular mobilization treatment methods. Individuals in all four groups will be advised to do daily home exercise programs and told to apply them. The applications will be applied four times a week for four weeks, for a total of 16 sessions. Then, before and after the application, neck pain levels of individuals with CNNP, fine hand skills evaluation, and grip strength measurements will be made. Thus, it will be found out whether these different treatment approaches will reduce the pain intensity of individuals with CNNP, whether grip strength, which is an important indicator of upper extremity performance, is increased, and whether fine hand skills will be improved. The purpose of this study; It will be determined whether different physiotherapy approaches applied to individuals with chronic nonspecific neck pain have an effect on the individuals' pain level, grip strength and manual skills. The results will reveal how different physiotherapy interventions can play a role in pain management and improving upper extremity performance in individuals with CNNP. Similar studies conducted today will be examined with the results we obtain and various solution suggestions will be presented.
- Conditions
- Neck Pain
- Being tested
- Standard physiotherapy intervention and home exercises, Trigger point therapy and home exercises, Kinesiology Taping therapy and home exercises, Cervical - Scapular Mobilization and home exercises
- Keywords
- neck pain, physiotherapy, manual dexterity, grip strenght
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Standard physiotherapy intervention and home exercisesOther
Various physical agents such as electrotherapy, hotpack (warm compress) and ultrasound therapy will be used within the standard physiotherapy intervention. These approaches are effective methods to reduce pain, relax muscles and accelerate healing. Home exercises are daily neck exercises recommended by a specialist physiotherapist.
Trigger point therapy and home exercisesOther
Trigger point therapy is a common method used in patients with myofascial pain syndrome. This method involves manually releasing trigger points. Approaches such as pressure applications and stretching techniques are used. Muscle functions are improved by loosening painful muscle knots. Muscle flexibility and endurance are increased with home exercises.
Kinesiology Taping therapy and home exercisesOther
Kinesiology taping is an elastic band technique used for pain management and muscle activity support. It accelerates healing by increasing blood circulation. It supports and protects the muscles in the neck and shoulder area.
It provides supportive stabilization without restricting joint movements. It facilitates movement by reducing pain. It targets muscle strengthening and mobilization with home exercises
Cervical - Scapular Mobilization and home exercisesOther
Cervical and scapular mobilization includes manual therapy techniques aimed at increasing the range of motion of the joints in the spine and shoulder area. Mobilization is applied to the cervical spine and shoulder joints. Relaxation is provided in the muscles around the shoulder and neck. Cervical and scapular stability is improved. Postural disorders are corrected and range of motion is increased. Sustainability of mobilization is ensured with home exercises.
| Study group | Role | What they receive |
|---|---|---|
| Group 1 | Other | Group 1: Standard physiotherapy intervention and home exercises Receives: Other: Standard physiotherapy intervention and home exercises |
| Group 2 | Experimental | Group 2: Trigger point therapy and home exercises Receives: Other: Trigger point therapy and home exercises |
| Group 3 | Experimental | Group 3: Kinesiology Taping therapy and home exercises Receives: Other: Kinesiology Taping therapy and home exercises |
| Group 4 | Experimental | Group 4: Cervical - Scapular Mobilization and home exercises: Receives: Other: Cervical - Scapular Mobilization and home exercises |
What is being measured
The primary outcome is the main question the study is designed to answer.
Pain assessment
Pain assessment will be made with Visual Analog Scale (VAS). VAS was developed by Price et al. in 1983 for the assessment of subjective pain and is a reliable and easy-to-apply scale that has been accepted in the world literature. VAS is a scale with two different names on the vertical or horizontal line, 10 cm long (0=I have no pain - I am very comfortable and 10=The most unbearable pain).
Measured: Four weeks
Secondary outcomes (2)
Grip Strength Assessment
Grip strength assessment will be done with Jamar hand dinanometer. Measurements will be made 3 times with the Hand Dynamometer and the average will be taken. Hand Dynamometer is accepted as the gold standard for measuring grip strength. Measurement will be made for both hands (right and left).
Measured: Four weeks
Fine motor skills assessment
Fine manual dexterity assessment will be done with the Nine-Hole Peg Test. NHPT consists of a 9-hole platform and 9 rods. The platform will be placed directly in front of the individuals and the rods will be adjusted so that the holes are on the dominant hand side of the individuals and the holes are on the non-dominant hand side. After the test rules are explained to the individuals, they will be given the opportunity to practice before the application. Individuals will be asked to insert the rods into the board as quickly as possible. Test results will be recorded by measuring the time from the moment the individuals touch the first rod until the last rod is inserted into the platform with a stopwatch. Then, they will be asked to remove the 9 rods one by one with the same hand and the removal time will be recorded. The test will be applied to the non-dominant hand using the same method; this time, the platform will be rotated in front of the non-dominant hand.
Measured: Four weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted4 May 2025
- Study start25 Apr 2025
- Primary completion25 Jul 2025 (estimated)
- Study completion25 Jul 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Neck PainStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- parallel single-blind randomized study
- Masking
- Single blind
- Who is masked
- Outcomes assessor
- Enrolment
- 80 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Uşak University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Kevser Gürsan, Uşak University
- Investigators
- Kevser Gursan, Dr., Principal investigator, Uşak University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06957639
- Sponsor's protocol ID
- 585-585-07
- Status last verified
- May 2025
- First submitted
- 26 Apr 2025
- Last updated
- 7 May 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No: In order to protect participant confidentiality and comply with the confidentiality commitment approved by the ethics committee, no sharing of individual-level data is planned. In addition, the ethics committee decision that approved the study covers data use with limited access only. Therefore, it may not be possible to share IPD data publicly.
Study at a glance
From the registry record, last updated by the sponsor on 7 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Investigation of the Effects of Different Physiotherapy Approaches Applied to Patients With Chronic Non-Specific Neck Pain on Pain Level, Grip Strength and Manual Dexterity: A Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06957639
- Acronym / sponsor ID
- 585-585-07
- Conditions
- Neck Pain
- Keywords
- neck pain, physiotherapy, manual dexterity, grip strenght
- Study type
- Interventional
- Recruitment status
- Enrolling by invitation
- Enrolment
- 80 participants (estimated)
- Lead sponsor
- Uşak UniversityUniversity, hospital or other
- Study start
- 25 Apr 2025 (actual)
- Primary completion
- 25 Jul 2025 (estimated)
- Study completion
- 25 Jul 2025 (estimated)
- First posted
- 4 May 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In this randomized controlled experimental study design, it was aimed to examine whether different treatment approaches frequently applied in physical therapy clinics have an effect on pain, hand grip strength and hand skills by applying them to individuals with CNNP. For this purpose, the following hypotheses were created.
H1: Standard physiotherapy intervention and home exercises have an effect on reducing the pain intensity of individuals with CNNP H2: Standard physiotherapy intervention and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
H3: Standard physiotherapy intervention and home exercises have an effect on increasing the hand skills of individuals with CNNP.
H4: Trigger point therapy and home exercises have an effect on reducing the pain intensity of individuals with CNNP.
H5: Trigger point therapy and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
H6: Trigger point therapy and home exercises have an effect on increasing the hand skills of individuals with CNNP.
H7: Kinesiology Taping treatment and home exercises have an effect on reducing the pain intensity of individuals with CNNP.
H8: Kinesiology Taping treatment and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
H9: Kinesiology Taping treatment and home exercises have an effect on increasing the manual skills of individuals with CNNP.
H10: Cervical - Scapular Mobilization and home exercises have an effect on reducing the pain intensity of individuals with CNNP.
H11: Cervical - Scapular Mobilization and home exercises have an effect on increasing the hand grip strength of individuals with CNNP.
H12: Cervical - Scapular Mobilization and home exercises have an effect on increasing the manual skills of individuals with CNNP.
4 different groups will be created in this study. These are Group 1: Standard physiotherapy intervention and home exercises Group 2: Trigger point therapy and home exercises Group 3: Kinesiology Taping therapy and home exercises Group 4: Cervical - Scapular Mobilization and home exercises
Detailed description
Neck pain is one of the musculoskeletal disorders with a high prevalence in the adult population. Its prevalence in the world varies between 16.7% and 75.1% and is generally more common in women than in men. Neck pain is a public health problem that should be considered in terms of individual health and general well-being as well as health expenditures. As a result of ignoring neck pain, neck pain becomes chronic. Neck pain, which significantly affects the quality of life of individuals with chronic neck pain (CNP), causes restrictions in movement and decreases in upper extremity functions. In particular, the functions of the hand, which are indicators of upper extremity functions frequently used in daily life activities, are the functions of the hand. Studies have found that individuals with chronic neck pain have decreased grip strength and psychomotor skills compared to healthy individuals. Based on this, various treatment methods have been applied to individuals with CNP in many similar studies in the literature to reduce the level of pain, prevent disability, increase performance in daily life activities and increase joint range of motion. There is no study that examines whether the various physical therapy methods frequently applied in this clinic have an effect on the grip strength and manual dexterity of individuals with CNNP by applying them together comparatively. In this context, four different groups will be formed for the research. The first group will receive standard physiotherapy intervention, the second group will receive trigger point therapy for the neck region, the third group will receive kinesiology taping, and the fourth group will receive cervical and scapular mobilization treatment methods. Individuals in all four groups will be advised to do daily home exercise programs and told to apply them. The applications will be applied four times a week for four weeks, for a total of 16 sessions. Then, before and after the application, neck pain levels of individuals with CNNP, fine hand skills evaluation, and grip strength measurements will be made. Thus, it will be found out whether these different treatment approaches will reduce the pain intensity of individuals with CNNP, whether grip strength, which is an important indicator of upper extremity performance, is increased, and whether fine hand skills will be improved. The purpose of this study; It will be determined whether different physiotherapy approaches applied to individuals with chronic nonspecific neck pain have an effect on the individuals' pain level, grip strength and manual skills. The results will reveal how different physiotherapy interventions can play a role in pain management and improving upper extremity performance in individuals with CNNP. Similar studies conducted today will be examined with the results we obtain and various solution suggestions will be presented.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (outcomes assessor)
- Number of arms
- 4
- Model description
- parallel single-blind randomized study
| Arm | Type | Receives |
|---|---|---|
| Group 1 | Other | Other: Standard physiotherapy intervention and home exercisesGroup 1: Standard physiotherapy intervention and home exercises |
| Group 2 | Experimental | Other: Trigger point therapy and home exercisesGroup 2: Trigger point therapy and home exercises |
| Group 3 | Experimental | Other: Kinesiology Taping therapy and home exercisesGroup 3: Kinesiology Taping therapy and home exercises |
| Group 4 | Experimental | Other: Cervical - Scapular Mobilization and home exercisesGroup 4: Cervical - Scapular Mobilization and home exercises: |
Who may qualify
- Ages
- 18 to 64 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (3 listed)
- Being 18-64 years old,
- Having neck pain for 3 months or more,
- being literate, being a volunteer
Key exclusion criteria (8 listed)
- having musculoskeletal injuries in the neck-shoulder area,
- having neurological or orthopedic problems,
- having cancer, having musculoskeletal malformations,
- having had head and neck surgery,
- having received physical therapy due to neck pain in the last 6 months
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Standard physiotherapy intervention and home exercisesVarious physical agents such as electrotherapy, hotpack (warm compress) and ultrasound therapy will be used within the standard physiotherapy intervention. These approaches are effective methods to reduce pain, relax muscles and accelerate healing. Home exercises are daily neck exercises recommended by a specialist physiotherapist. | Other | Group 1 |
| Trigger point therapy and home exercisesTrigger point therapy is a common method used in patients with myofascial pain syndrome. This method involves manually releasing trigger points. Approaches such as pressure applications and stretching techniques are used. Muscle functions are improved by loosening painful muscle knots. Muscle flexibility and endurance are increased with home exercises. | Other | Group 2 |
| Kinesiology Taping therapy and home exercisesKinesiology taping is an elastic band technique used for pain management and muscle activity support. It accelerates healing by increasing blood circulation. It supports and protects the muscles in the neck and shoulder area. It provides supportive stabilization without restricting joint movements. It facilitates movement by reducing pain. It targets muscle strengthening and mobilization with home exercises | Other | Group 3 |
| Cervical - Scapular Mobilization and home exercisesCervical and scapular mobilization includes manual therapy techniques aimed at increasing the range of motion of the joints in the spine and shoulder area. Mobilization is applied to the cervical spine and shoulder joints. Relaxation is provided in the muscles around the shoulder and neck. Cervical and scapular stability is improved. Postural disorders are corrected and range of motion is increased. Sustainability of mobilization is ensured with home exercises. | Other | Group 4 |
Primary outcome
Pain assessment
Time frame: Four weeks
Pain assessment will be made with Visual Analog Scale (VAS). VAS was developed by Price et al. in 1983 for the assessment of subjective pain and is a reliable and easy-to-apply scale that has been accepted in the world literature. VAS is a scale with two different names on the vertical or horizontal line, 10 cm long (0=I have no pain - I am very comfortable and 10=The most unbearable pain).
2 secondary outcomes
Grip Strength Assessment
Time frame: Four weeks
Fine motor skills assessment
Time frame: Four weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 7 May 2025.
- Individual participant dataSharing planned: No. In order to protect participant confidentiality and comply with the confidentiality commitment approved by the ethics committee, no sharing of individual-level data is planned. In addition, the ethics committee decision that approved the study covers data use with limited access only. Therefore, it may not be possible to share IPD data publicly.
Related trials for Neck Pain
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Effect of Excercises on Pain , Disability and Craniovertebral Angle in Patients With Forward Head Posture.
Farward Head Posture
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Agreement Between CSI and IASP Pain Classification in Chronic Cervical Myofascial Pain
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Upper Extremity Exercise Capacity in Chronic Non-specific Neck Pain
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The Association Between Smartphone Overuse and Mechanical Neck Pain Among Galala University Students
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Kevser Gursan, Dr. principal investigator
Uşak University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Standard physiotherapy intervention and home exercises, Trigger point therapy and home exercises and Kinesiology Taping therapy and home exercises in people with Neck Pain, run by Uşak University at 1 site in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: enrolling by invitation, as of the sponsor's last update on 7 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain assessment (time frame: Four weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 May 2025.