Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy

NCT04872335 | Completed

• 1 other identifier: REC/Lhr/20/0104
• Study Type: interventional
• Target: 28
• Locations: 1 country
• Sites: 2

Brief Summary

This project was a Randomized clinical trial conducted to find out the Comparative Effects of Gong's Mobilization with Gradually Graded Exercise Therapy for Chronic Neck Pain among the users of Electronic Gadgets so that we can have best treatment option for patients.

Conditions

Chronic Pain; Neck Pain; Shoulder Syndrome

Keywords

Gong's Mobilization; Gradually graded exercise therapy

Outcome Measures

Primary Outcomes (2)

• Change in Pain Intensity by 'Numeric Pain Rating Scale'

  Change in pain from baseline was measured at 12th session. The Numerical Pain Rating Scale (NPRS) is an 11 point pain scale that is completed by subject himself, under the supervision of researcher.

  Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

• Change in Neck disability Index 'NDI' score

  Change in Neck disability Index score 'NDI' from baseline was measured at 12th session. This questionnaire or tool has been designed to give us information as to how neck pain of the subject has affected his/her ability to manage in everyday life.

  Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

Secondary Outcomes (2)

• Change in Cervical Range of Motion (ROM) measured by Universal Goniometer.

  Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

• Change in Craniovertebral angle CVA measured from a digitized, lateral-view photograph of each subject.

  Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

Study Arms (2)

Gong's Mobilization

EXPERIMENTAL

Subjects received gong's mobilization three times in a week for 4 weeks.

Other: Gong's Mobilization

Gradually Graded Exercise Therapy

EXPERIMENTAL

Subjects received gradually graded exercise therapy three times in a week for 4 weeks.

Other: Gradually Graded Exercise Therapy

Interventions

Gong's Mobilization OTHER

Group A received Gong's mobilization and common treatnent (TENs,Hot pack and cervical stretches). Gong's mobilization which is concurrent application of Apophyseal joint gliding and end range passive physiological movements while the subject's cervical postures are passively Neutral in order to induce Normal Cervical Extension. The Subjects in Group A were treated three times in a week for 4 weeks.

Gong's Mobilization

Gradually Graded Exercise Therapy OTHER

The Subjects in Group B were received Exercise Therapy and common treatment (TENs, Hot pack and cervical stretches) three times in a week continue for 4 weeks . Each exercise session will take 30 min. It will be consisted of 5 min warm-up exercises, 20 min stabilization exercises, 5 min cool-down, and stretching exercises including neck and shoulder girdle muscles. The aim of Exercise program was to create a neutral spine and activate deep muscles of the cervical spine. The patients were educated to maintain neutral spine during the exercises and throughout the day as much as possible. Scapulothoracic stabilization exercises were included\_ specific exercises for the muscles affecting scapular orientation related to neck pain. The subjects were educated to maintain the positions and contractions during the exercises including scapular retraction, eccentric scapular retraction, and combined scapular retraction with shoulder lateral rotation, forward punch, and dynamic hug.

Gradually Graded Exercise Therapy

Eligibility Criteria

• Age: 15 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may not qualify if:

• Cervical stenosis
• History of traumatic Injury
• Previous surgery related to cervical spine
• Hypermobility
• Cancer
• Inflammatory rheumatologic diseases
• Severe psychological disorders
• Being pregnant and
• Intervention including exercise or physical therapy in the last 3 months.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (2)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

Riphah IU

Lahore, 54000, Pakistan

Location

Related Publications (4)

• Celenay ST, Kaya DO, Akbayrak T. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Man Ther. 2016 Feb;21:144-50. doi: 10.1016/j.math.2015.07.003. Epub 2015 Jul 15.

  PMID: 26211422 BACKGROUND

• Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26.

  PMID: 26157273 BACKGROUND

• McLean SM, Klaber Moffett JA, Sharp DM, Gardiner E. A randomised controlled trial comparing graded exercise treatment and usual physiotherapy for patients with non-specific neck pain (the GET UP neck pain trial). Man Ther. 2013 Jun;18(3):199-205. doi: 10.1016/j.math.2012.09.005. Epub 2012 Oct 22.

  PMID: 23085116 BACKGROUND

• Kim DH, Kim CJ, Son SM. Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion. Osong Public Health Res Perspect. 2018 Dec;9(6):309-313. doi: 10.24171/j.phrp.2018.9.6.04.

  PMID: 30584494 BACKGROUND

MeSH Terms

Conditions

Chronic Pain; Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Rabiya Noor, PhD

  Riphah International University

  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: Associate Professor

Study Record Dates

• First Submitted: March 26, 2021
• First Posted: May 4, 2021
• Study Start: October 15, 2020
• Primary Completion: April 30, 2021
• Study Completion: June 30, 2021
• Last Updated: July 14, 2021

Record last verified: 2021-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (2)