The Effect Of Myofascial Release Techniques On Functionality And Pain İn Violinists With Non-Specific Neck Pain

NCT07661394 — Not applicable, Active not recruiting, 24 participants, Uskudar University

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Registry	NCT07661394
Status	Active not recruiting
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: double, treatment
Enrollment	24 (Actual)
Sponsor	Uskudar University (Other)
Conditions	Non-specific Neck Pain, Physical Therapy
Interventions	Myofascial Release Technique (Other)
Dates	start 2026-04-24, primary completion 2026-05-06, completion 2026-07-10 (estimated), first posted 2026-06-22, last updated 2026-06-22
Locations	1 site in Turkey (Türkiye)

-Summary

Participants will undergo an 8-week myofascial release (MFR) program consisting of therapist-administered MFR sessions (45 minutes, twice weekly) and self-myofascial release exercises (20 minutes, three times weekly). The interventions will target myofascial restrictions in the neck, shoulder, and related fascial structures to reduce pain and improve mobility.

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+Arms and interventions

Arm	Type	Interventions	Description
Myofascial Release Techniques Group	Experimental	Other: Myofascial Release Technique	Participants will receive a 8-week myofascial release (MFR) program consisting of therapist-applied sessions twice weekly (45 minutes) targeting cervical and shoulder fascia, combined with a self-MFR home program three times per week (20 minutes) using massage balls. The aim is to reduce fascial restrictions and neck pain in violinists with non-specific neck pain.
Control Group	No intervention		Participants will be young adult violinists aged 18-25 with similar professional violin experience and non-specific neck pain related to instrument playing. During the 8-week study period, they will not receive any manual therapy, exercise program, or specific neck treatment. They will be instructed to maintain their usual practice routines, ergonomics, and daily activities without modification and to avoid any additional physiotherapy interventions. Outcome assessments will be performed at baseline and at the end of the study.

Myofascial Release Technique (Other): Participants will receive a 8-week myofascial release (MFR) program consisting of therapist-applied sessions twice weekly (45 minutes) targeting cervical and shoulder fascia, combined with a self-MFR home program three times per week (20 minutes) using massage balls. The aim is to reduce fascial restrictions and neck pain in violinists with non-specific neck pain.

+Outcome measures

Primary outcomes

Visual Analog Scale [Baseline and 8 weeks post-intervention]: Visual Analog Scale (VAS) is a patient-reported outcome measure used to assess pain intensity. It is typically a 10 cm line anchored with "no pain" at one end and "worst imaginable pain" at the other. Patients mark a point on the line that represents their current pain level. The score is determined by measuring the distance from the "no pain" anchor, with higher scores indicating greater pain intensity. It is widely used due to its simplicity, sensitivity, and reliability.
Neck Disability Index [Baseline and 8 weeks post-intervention]: Neck Disability Index (NDI) is a patient-reported outcome measure used to assess disability and functional limitations in individuals with neck pain. It consists of 10 items related to daily activities (e.g., pain intensity, personal care, lifting, reading, work, sleeping). Each item is scored from 0 to 5, with a total score ranging from 0 to 50; higher scores indicate greater disability. It is widely used in clinical and research settings due to its good reliability and validity.

+Eligibility

Sex: All, ages: 18 Years to 25 Years, accepts healthy volunteers

Inclusion Criteria:

* Individuals who have been playing the violin professionally for at least 2 years
* Individuals with non-specific neck pain for the last 3 months
* Individuals who practice the violin for more than 10 hours per week on average

Exclusion Criteria:

* Individuals with signs of spinal stenosis or radiculopathy in the cervical region
* Individuals with a history of surgery or serious trauma to the neck, shoulder, or back within the past 1 year
* Individuals diagnosed with inflammatory rheumatic diseases (e.g., Ankylosing Spondylitis, Rheumatoid Arthritis) or with a history of active malignancy Individuals with contraindications to myofascial release (MFR), including active skin infection, open wounds, or severe osteoporosis
* Individuals using non-routine analgesic medications during the study period or participating in any concurrent physical therapy program

+Locations (1)

Facility	City	Country	Status
Uskudar University	Ümraniye, Istanbul	Turkey (Türkiye)