NCT04852913

Brief Summary

No previous randomized control trial has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck Neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on Neck pain. Thus, this study aims to answer the question: bowmen's technique is effective for improving Neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
58

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Oct 2020

Shorter than P25 for not_applicable

Geographic Reach
1 country

4 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

October 17, 2020

Completed
6 months until next milestone

First Submitted

Initial submission to the registry

April 20, 2021

Completed
1 day until next milestone

First Posted

Study publicly available on registry

April 21, 2021

Completed
2 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

June 15, 2021

Completed
25 days until next milestone

Study Completion

Last participant's last visit for all outcomes

July 10, 2021

Completed
Last Updated

August 6, 2021

Status Verified

August 1, 2021

Enrollment Period

8 months

First QC Date

April 20, 2021

Last Update Submit

August 5, 2021

Conditions

Neck Pain

Keywords

PainDentistNeckBowen technique

Outcome Measures

Primary Outcomes (3)

  • Modified Goniometer

    Modified goniometer can be used to measure craniovertebral angle which is helpful to assess the level of postural disability like forward head posture. It provides an estimation of head on neck angle and position of upper cervical spine.

    6th week

  • Numerical Rating Scale

    In a Numerical Rating Scale (NRS), patients circle the number between 0 and 10, 0 and 20 or 0 and 100 according to their pain intensity. It is numeric version of visual analog scale.

    6th week

  • Neck Disability Index

    This is a standard instrument for measuring disability due to neck pain and it's a self-reported questionnaire. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score.

    6th week

Study Arms (2)

Bowen's Technique

EXPERIMENTAL

Bowen's Technique The session lasted for 20 minutes, 3 sessions/week 6th week

Other: Bowen's Technique

Conventional Physical Therapy

ACTIVE COMPARATOR

Conventional Physical Therapy with myofascial release The session lasted for 20 minutes, 3 sessions/week 6th week

Other: Convention Physical Therapy

Interventions

Bowen's TechniqueOTHER

The thumb of the therapist was placed on the top of the targeted muscle (upper trapezius, levator scapulae, tight pectoralis and sternocleidomastoid, longissimus capitis, splenius capitis cervical multifidus). The skin was carried away gently from the spine without disturbing the muscle. The thumb was then hooked into the lateral aspect of the muscle to form a pressure on the muscle. Then the thumb was flattened in the medial direction, when this happened the muscle would plop or 15 respond in some way. Heating pad + TENS will be given The session lasted for 20 minutes 3sessions/week for 6th week

Bowen's Technique
Convention Physical TherapyOTHER

Myofascial Release + Active Range of Motion Deep transverse friction was given for 10 minutes followed by myofascial stretching of muscle for 3 times, each holding for 90 seconds. Then myofascial release was given using ulnar border of both palms of the therapist. Active range of motion exercises will be given 10 reps with 5 seconds hold. Heating pad + Transcutaneous Electrical Nerve Stimulator (TENS) will be given The session lasted for 20 minutes 3sessions/week for 6th week

Conventional Physical Therapy

Eligibility Criteria

Age25 Years - 50 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Both male and females
  • Age between 25-50 years. ( House officers and Assistant professor)
  • Working hours \>5 hours.
  • History of cervical pain \>2 months.
  • Year of practice =\<1 year
  • Treated more than 5 patient a day

You may not qualify if:

  • Cervical fracture
  • Cervical radiculopathy
  • Any surgery to neck and shoulder
  • Rheumatoid arthritis
  • Sever pain according to Numeric pain rating scale (NPRS)
  • Long term anticoagulant or corticosteroid therapy

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (4)

Bakhtawar Amin Physiotherapy and Rehabilitation Center

Multan Khurd, Punjab Province, Pakistan

Location

Ibn e Sina hospital

Multan Khurd, Punjab Province, Pakistan

Location

Nishtar Medical Hospital

Multan Khurd, Punjab Province, Pakistan

Location

Salma Medical Center

Multan Khurd, Punjab Province, Pakistan

Location

Related Publications (7)

  • Dalal P, Kage V. Comparison Of Ischaemic Compression, Myofascial Release And BowenS Technique In Non Specific Neck Pain-A Randomized Clinical Trial. Indian Journal of Applied Research. 2020;10(1).

    BACKGROUND

  • Nitsure P, Kothari N. THE EFFECTIVENESS OF BOWEN TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL OUTCOMES IN SUBJECT WITH ACUTE TRAPEZITIS-A PILOT STUDY. Romanian Journal of Physical Therapy/Revista Romana de Kinetoterapie. 2015;21(36).

    BACKGROUND

  • Al Wazzan KA, Almas K, Al Shethri SE, Al-Qahtani MQ. Back & neck problems among dentists and dental auxiliaries. J Contemp Dent Pract. 2001 Aug 15;2(3):17-30.

    PMID: 12167924BACKGROUND

  • Gupta BD, Aggarwal S, Gupta B, Gupta M, Gupta N. Effect of Deep Cervical Flexor Training vs. Conventional Isometric Training on Forward Head Posture, Pain, Neck Disability Index In Dentists Suffering from Chronic Neck Pain. J Clin Diagn Res. 2013 Oct;7(10):2261-4. doi: 10.7860/JCDR/2013/6072.3487. Epub 2013 Oct 5.

    PMID: 24298492BACKGROUND

  • Abiodun-Solanke IM, Agbaje JO, Ajayi DM, Arotiba JT. Prevalence of neck and back pain among dentists and dental auxiliaries in South-western Nigeria. Afr J Med Med Sci. 2010 Jun;39(2):137-42.

    PMID: 21117410BACKGROUND

  • Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr;93(3):281-290. doi: 10.1007/s00420-019-01480-x. Epub 2019 Oct 25.

    PMID: 31654125BACKGROUND

  • Pargali N, Jowkar N. Prevalence of musculoskeletal pain among dentists in Shiraz, Southern Iran. Int J Occup Environ Med. 2010 Apr;1(2):69-74.

    PMID: 23022788BACKGROUND

MeSH Terms

Conditions

Neck PainPain

Condition Hierarchy (Ancestors)

Neurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Study Officials

  • Nazish Rafique, MSPT

    Riphah International University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
DOUBLE
Who Masked
PARTICIPANT, INVESTIGATOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

April 20, 2021

First Posted

April 21, 2021

Study Start

October 17, 2020

Primary Completion

June 15, 2021

Study Completion

July 10, 2021

Last Updated

August 6, 2021

Record last verified: 2021-08

Data Sharing

IPD Sharing
Will not share

Locations

PA(4)