Effect of Post Isometric Relaxation Versus Myofascial Release Therapy in the Management of Non Specific Neck Pain

NCT04638062 | Completed DMC

• 1 other identifier: DUHS/IPMR/000
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Non-specific neck pain (NS-NP) is the most prevailing musculoskeletal disorder (MSK) which has large socio-economic burden worldwide. It is associated with poor posture and neck strain which may lead to pain and restricted mobility. Post isometric relaxation a form of Muscle energy technique, that works on the principles of restoring biomechanics, reducing the movement restriction and pain. Myofascial release therapy will improve muscle immobility and pain by improving blood circulation lymphatic drainage and relaxing the contracted muscles. The aim of this study is to determine the effect of Post-isometric relaxation Versus Myofascial release therapy on pain, range of motion, disability and quality of life in the management of non-specific neck pain.

Conditions

Neck Pain

Keywords

Non specific neck pain; Post isometric relaxation; Muscle energy techniques; Myofascial Release therapy

Outcome Measures

Primary Outcomes (1)

• Neck Disability Index (NDI)

  NDI is a condition specific or patient completed questionnaire comprising of 10 items to evaluate pain, and functional status which is mostly used for reporting neck pain. Each item on scale is scored from 0-5, where all the scores are added to total points and interpreted as percentages i.e. 0 point or 0% means no activity limitation and 50 points or 100% means complete activity limitation.

  baseline and post intervention 2 weeks

Secondary Outcomes (3)

• Visual Analogue Scale

  baseline and 2 weeks

• Range of Motion

  baseline and 2 weeks

• WHO Quality of life-BREF (WHOQOL BREF)

  baseline and 2 weeks

Study Arms (2)

Post Isometric Relaxation

EXPERIMENTAL

This study ARM will receive following therapies 1. Post isometric relaxation (Upper Trapezius and Levator Scapulae muscles) 2. Isometric neck strengthening exercises 3. Cryotherapy

Other: 1.Post Isometric Relaxation

Myofascial Release Therapy

EXPERIMENTAL

This study ARM will receive following therapies 1. Myofascial release therapy (Upper Trapezius and Levator Scapulae muscles 2. Isometric neck strengthening exercises 3. Cryotherapy

Other: 1.Myofascial Release therapy

Interventions

1.Post Isometric Relaxation OTHER

For Upper Trapezius In supine position Neck flexion, contra-lateral full side bending followed by slight ipsilateral rotation will be provided towards the side being treated. while asking the patient to shrug the stabilized shoulder and contraction will be maintained for 7- 10s. Repeating it 3-5 times. For Levator Scapulae Step One In supine position while lifting the patients neck in full flexion, lateral flexion and rotation with 7-10s isometric contraction away from side to be treated will be provided. Step Two The patient will be instructed to take head backwards to the table while at the same time asking the patient to slightly shrug the shoulder and resistance will be provided. Repeating it 3-5 times. 2.Neck isometric strengthening exercises Intensity 5 reps Frequency at 1st week one set and second week will progress to 2 sets 3.Cryotherapy will be placed on cervical region for 10 min after the treatment.

Post Isometric Relaxation

1.Myofascial Release therapy OTHER

For Upper Trapezius In sitting position Myofascial Release of Trapezius will be performed unilaterally with soft fist or elbow sinking and then taking up the line of tension from mid belly of Trapezius, to the acromion process, while the patient drops the head forward and will slowly rotate the head from side to side. While providing the resistance to contralateral side of rotation. Repeating for 2-3 times. For Levator Scapulae In sitting position applying same unilateral muscle release as Trapezius, but the line of tension will be to the inferior border of Scapulae slightly laterally and will ask the patient to drop the head forward to increase resistance on Levator muscle. Repeating it 2-3 times 2.Neck isometric strengthening exercises Intensity 5 reps Frequency at 1st week one set and second week will progress to 2 sets 3.Cryotherapy will be placed on cervical region for 10 min after the treatment.

Myofascial Release Therapy

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Non-specific neck pain for 2-6 weeks.
• Unilateral neck pain
• Patients' age group between 25 - 40.
• On VAS scale pain intensity \>4.

You may not qualify if:

• Cervicogenic headache.
• Tumor of cervical spine.
• Whiplash injury.
• Cervical Fractures
• Normal ROM of cervical spine.

Sponsors & Collaborators

• Dow University of Health Sciences: lead

Study Sites (1)

Dow university of health sciences & Institute of physical medicine and rehabilitation

Karachi, Sindh, 74200, Pakistan

Location

Related Publications (13)

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  PMID: 28209629 BACKGROUND

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  PMID: 30588067 BACKGROUND

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  PMID: 30135909 BACKGROUND

• Khan ZK, Ahmed SI, Baig AAM, Farooqui WA. Effect of post-isometric relaxation versus myofascial release therapy on pain, functional disability, rom and qol in the management of non-specific neck pain: a randomized controlled trial. BMC Musculoskelet Disord. 2022 Jun 13;23(1):567. doi: 10.1186/s12891-022-05516-1.

  PMID: 35698187 DERIVED

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Zainab K Khan, MSAP

  DUHS

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Physiotherapist

Study Record Dates

• First Submitted: November 16, 2020
• First Posted: November 20, 2020
• Study Start: November 19, 2020
• Primary Completion: November 20, 2021
• Study Completion: November 20, 2021
• Last Updated: July 29, 2022

Record last verified: 2022-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)