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IRCT20171111037368N2 IRCT 2018-03-11 Iran University of Medical Sciences Effect of Iranian traditional massage on chronic neck pains Evaluation of effectiveness of one type of Iranian traditional massage (Dalk and Ghamz) On chronic neck pains 2018-03-21 anticipated 32 Complete https://irct.ir/trial/27664 interventional Randomization: N/A, Blinding: Not blinded, Placebo: Not used, Assignment: Single, Purpose: Treatment. N/A Condition 1: Neck Pain With Mobility Deficits. Condition 2: Neck Pain With Mobility Deficits. Condition 3: Neck Pain With Headache. Condition 4: Neck Pain With Movement Coordination Impairment. Condition 5: Neck Pain With Radiating Pain. The selection of the patient to enter the study is among the patients with neck pain that has criteria for entry. Initially, the individual patient information and disease characteristics (duration, symptoms, accompanying illnesses, treatments, medications, etc.) and patient records are reviewed. The procedure for entering patients is twofold: the first group of patients who have already been fully evaluated by the specialist for reasons of cervical pain and who do not have exclusion criteria and who do not need a re-examination by a physician. And will be directly included in the study by the researcher himself. The second group of patients who do not have the necessary examinations should first be examined by a physical therapist and then enter the study. After describing the goals and method of work and signing the written consent of the patient, the intervention on the patient is done as follows: 1. Preparation: The patient is sitting at the edge of the bed (hanging legs) and the massager stays in front of the patient and The head, neck and shoulders are covered with scarves or thin linen. 2. Determining the location of massage : Locating spasms by the patient, showing the patient's location of pain and spasm to the massager . Determine the location of spasms by the massager: Massage areas can be identified by seeing more prominent areas or the amount of movement restrictions in the neck and shoulders area or touching the painful areas and more prominent (with disposable gloves and without using oil at the tip of the first, second and third fingers). 3. The release of spasms with the help of technique "Ghamz and Dalk" . Ghamz techniques : At this stage, we stimulate the location of spasms with the help of fingertips in a transverse direction relative to the muscle path, from 5 to 10 times depending on the patient's tolerance. Dalk Technique: At this stage, massage is done with the help of finger tips in the longitudinal direction of the muscle, 5 to 10 times from the top down and from the posterior to the front. The duration of massage per session is ten minutes. The number of sessions, four sessions, and intervals of one week. The limitation of movement in the neck area will be evaluated before and after each intervention by a digital goniometer . Also, the rate of neck disability and quality of life of the patient will be evaluated before the intervention, the end of the intervention and one month after the last intervention.. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is No more information
public Mansour Khoramizadeh
No. 847 , Behesht Street Beginning, the south side of City Park, Vahdat-e-Islami St, Hassan Abad Square, School of persian medicine
Tehran Iran (Islamic Republic of) ۱۱۱۴۷۳۳۳۱۱ +98 21 5563 9667 khoramizadeh.m@tak.iums.ac.ir Iran University of Medical Sciences scientific Hoorieh Mohammadi Kenari
No. 847 , Behesht Street Beginning , the south side of City Park, Vahdat-e-Islami St, Hassan Abad Square, School of Persian Medicine
Tehran Iran (Islamic Republic of) ۱۱۱۴۷۳۳۳۱۱ +98 21 5563 9667 hmk1358@gmail.com Iran University of Medical Sciences Iran (Islamic Republic of) Informed consent Age of 18 to 70 years Pain in the neck More than three months from the onset of pain in the neck (continuous or alternating) Disrupting some routine tasks 18 years 70 years Both Upper limb neurological symptoms Severe psychiatric illnesses Pregnancy Any damage to the nerves or under the pressure of the spinal cord A report on pathology and neck surgery and cancer History of fracture and dislocation on the neck region History of severe cervical disorder such as a herniated disc Hemophilia Diabetic neuropathy Epilepsy Deep venus thrombosis Anaphylaxis Taking anticoagulants such as Warfarin There is a scar on the neck Peripheral nerve lesions and malignancy and cancer in the neck area Fever and severe headache and meningitis symptoms Patients who have not completed their treatment sessions Patient dissatisfaction M54.2 M54.6 R51 S13.4 M50.1 Cervicalgia Pain in thoracic spine Headache Sprain of ligaments of cervical spine Cervical disc disorder with radiculopathy Treatment - Other The selection of the patient to enter the study is among the patients with neck pain that has criteria for entry. Initially, the individual patient information and disease characteristics (duration, symptoms, accompanying illnesses, treatments, medications, etc.) and patient records are reviewed. The procedure for entering patients is twofold: the first group of patients who have already been fully evaluated by the specialist for reasons of cervical pain and who do not have exclusion criteria and who do not need a re-examination by a physician. And will be directly included in the study by the researcher himself. The second group of patients who do not have the necessary examinations should first be examined by a physical therapist and then enter the study. After describing the goals and method of work and signing the written consent of the patient, the intervention on the patient is done as follows: 1. Preparation: The patient is sitting at the edge of the bed (hanging legs) and the massager stays in front of the patient and The head, neck and shoulders are covered with scarves or thin linen. 2. Determining the location of massage : Locating spasms by the patient, showing the patient's location of pain and spasm to the massager . Determine the location of spasms by the massager: Massage areas can be identified by seeing more prominent areas or the amount of movement restrictions in the neck and shoulders area or touching the painful areas and more prominent (with disposable gloves and without using oil at the tip of the first, second and third fingers). 3. The release of spasms with the help of technique "Ghamz and Dalk" . Ghamz techniques : At this stage, we stimulate the location of spasms with the help of fingertips in a transverse direction relative to the muscle path, from 5 to 10 times depending on the patient's tolerance. Dalk Technique: At this stage, massage is done with the help of finger tips in the longitudinal direction of the muscle, 5 to 10 times from the top down and from the posterior to the front. The duration of massage per session is ten minutes. The number of sessions, four sessions, and intervals of one week. The limitation of movement in the neck area will be evaluated before and after each intervention by a digital goniometer . Also, the rate of neck disability and quality of life of the patient will be evaluated before the intervention, the end of the intervention and one month after the last intervention. Neck Pain. Timepoint: Before and after each intervention (first, one, two, three weeks later), one month after the last intervention. Method of measurement: Visual Analogue Scale. The range of motion in the neck and shoulders. Timepoint: Before and after each intervention (first, one, two, three weeks later), one month after the last intervention. Method of measurement: Goniometer. Neck Disability. Timepoint: Start of intervention, at the end of the intervention (fourth session), one month after the end of the intervention. Method of measurement: Neck disability index questionnaire & neck pain and disability scale scoring questionnaire. Quality of life score. Timepoint: Start of intervention, at the end of the intervention (fourth session), one month after the end of the intervention. Method of measurement: Quality of life questionnaire SF-36. Iran University of Medical Sciences Approved 2017-10-28 Ethics committee of Iran University of Medical Sciences No.1, Mansouri alley, prayer street, Sattar Khan street Tehran Tehran Iran (Islamic Republic of)