Cervical Manual Therapy and Vagus Nerve Stimulation in Patients With Nonspecific Neck Pain

Istanbul Medipol University Hospital40 enrolled

Overview

People with chronic neck pain are becoming more and more common in society every day.

In chronic neck pain investigations, it is generally reported that all people experience neck pain once in my life and more than half of the developed societies experience this problem. It has been stated that 48% of these continue as chronic neck pain, which significantly affects the quality of life due to the postponement of treatment due to its cost.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Pain Syndrome

Interventions

Vagus nerve stimilationOTHER

This non-invasive system is activated by the cutaneous distribution of vagus nerve afferents through the external ear. Somatosensory innervation is provided by the auricular branch.

Manual therapyOTHER

Manual therapy is mostly defined by the tissue targeted by the practitioner; it can be joint biased, muscle and connective tissue biased and/or neurovascular system biased techniques.

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion criteria for volunteers and/or study participants; * Presence of neck pain for at least three months * Non-specific neck pain * To have signed the voluntary consent form Exclusion criteria for volunteers and/or participants; * Having undergone surgery for the cervical region * Rehabilitation of the neck area at least three months prior to treatment * Traumatic medulla spinalis injury * Neurological deficit * Rheumatological disease * Structural spinal disorders

Locations (1)

Bahçehir University

Istanbul, Turkey (Türkiye)

Outcomes

Primary Outcomes

Heart rate variability

Heart rate variability (HRV) is an indicator of the effects of these two components on the heart, reflecting the variations in the time intervals between heartbeats. High HRV generally indicates good autonomic balance and a healthy cardiovascular system, while low HRV can be a sign of stress, fatigue, or underlying health issues. When sympathetic nervous system activity increases, heart rate accelerates and HRV decreases; conversely, when parasympathetic nervous system activity increases, heart rate slows and HRV increases. Therefore, HRV is an important biomarker for assessing overall health status and developing stress management strategies.

Time frame: 4 weeks

Neck disability index:

The neck disability index is the most commonly used functional outcome tool for disabilities in the cervical region. This outcome assessment tool was created by modifying the Oswestry Disability Index and is highly reliable (Chad E. Cook, Amy E. Cook 2011). Scoring is given for each question as A: 0 points, B: 1 point, C: 2 points, D: 3 points, E: 4 points, F: 5 points. The total score gives the test score. According to the test result 0-4=No disability 5-14= Mild disability 15-24= Moderate disability 25-34 = Severe disability

Time frame: 4 weeks

Joint Range of Motion

Range of motion is the ability of a joint to go through the full range of motion. The range of motion of a joint can be passive or active. Passive ROM - The maximum range of motion through which the joint can move with the aid of external force. Active ROM - the range of motion achieved by contracting and relaxing opposing muscles

Time frame: 4 weeks

The visual analogue scale (VAS)

The visual analogue scale (VAS) is a validated, subjective measure of acute and chronic pain. Scores are recorded by placing a handwritten mark on a 10 cm line representing the continuum between "no pain" and "worst pain"

Time frame: 4 weeks

Data from ClinicalTrials.gov

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