Muscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women

NCT04930575 | Unknown

• 1 other identifier: HElbasiony_MSc
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study will determine the effect of muscle energy technique versus mulligan technique on neck pain in breastfeeding women.

Conditions

Neck Pain; Breast Feeding

Outcome Measures

Primary Outcomes (3)

• Assessing the change in Cervical pain level

  Assessment via using Visual Analogue Scale that continuous data analysis and uses a 10 cm long with 0 (no pain) and 10 (worst pain). Patient will be asked to place a mark along the line to denote their level of pain.

  Baseline and 4 weeks post-intervention

• Assessing the change in Functional disability

  Assessment via using Neck pain disability index questionnaire consists of 10 items each of them is scored from 0 to 5. The total maximum score is therefore 50.The original report provided scoring interval for interpretation, as; (0-4) = no disability, (5-14) mild, (15-24) moderate, (25-34) sever, (above34) complete disability.

  Baseline and 4 weeks post-intervention

• Assessing the change in Cervical Range Of Motion

  Assessment via using Digital goniometer is valid and has good reliability for measuring cervical spine range of motion.

  Baseline and 4 weeks post-intervention

Study Arms (2)

Muscle Energy Technique group

EXPERIMENTAL

Patients in the group (B) will receive muscle energy technique on tonic muscles in the neck (sternocleidomastoid, scalenes, levator scapulae, and upper trapezius) in addition to strengthening exercise for deep cervical flexors and advice to correct positions three times per week for 4 weeks. The aim of the Muscle Energy Technique in the context of NP is to decrease pain, improve movement, motor control, and function and thereby reduce disability. A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body thus alleviating the patient's signs and symptoms.

Other: Muscle Energy Technique

Mulligan Technique group

EXPERIMENTAL

Patient in group A will receive specialized SNAGs technique adapted from Mulligan (2005), in addition to strengthening exercise for DNF muscles and advice to correct position three times per week for 4 weeks.

Other: Mulligan Technique

Interventions

Muscle Energy Technique OTHER

A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body.

Muscle Energy Technique group

Mulligan Technique OTHER

* The patient will be in a supportive low back chair, thus cervical region will be in a vertical position (Weight-bearing position) with the therapist position will be behind the patient. * Then the therapist will move the spinous process up in the direction that must follow the apophyseal joint plane under treatment, that is, toward the eye ball. While sustaining this pain-free accessory glide, the patient will be instructed to actively perform the physiological movement gradually until the end ROM with over pressure at the end of the range.

Mulligan Technique group

Eligibility Criteria

• Age: 25 Years - 35 Years
• Gender Eligibility Details: Breast feeding women
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Patients will be examined by a physician before the study and will be chosen according to the following criteria:
• All patients will be in the breastfeeding period at least 6 weeks after delivery.
• All patients will be clinically diagnosed with neck pain (with no neurological or rheumatological problem).
• Their ages will range from 25-35years.
• Their BMI will be less than 30 kg/m².
• Their parity will not be more than 3 times.

You may not qualify if:

• The patients will be excluded if they have any of the followings:
• Any contraindication to spinal mobilization (e.g., inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities).
• Positive neurological examination (presence of positive motor reflex, or sensory abnormalities indicating spinal root compression).
• Cervical spine surgery or stenosis, metabolic or systemic disorder, or cancer.
• Associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from the costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy Cairo University

Dokki, Egypt

RECRUITING

MeSH Terms

Conditions

Neck Pain; Breast Feeding

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Heba Elbasiony, Physical Therapist

CONTACT

+201007065666; mheba7033@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: June 11, 2021
• First Posted: June 18, 2021
• Study Start: March 1, 2021
• Primary Completion: June 15, 2021
• Study Completion: June 30, 2021
• Last Updated: June 18, 2021

Record last verified: 2021-06

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)