Muscle Energy Technique and Facet Joint Mobilization in Chronic Neck Pain.

NCT05040477 | Completed DMC

• 1 other identifier: REC/00868 Huma Tabassum
• Study Type: interventional
• Target: 105
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to compare the muscle energy technique, facet joint mobilization and conventional physical therapy in individuals with chronic neck pain on cervical lordosis, cervical range of motions, numeric pain rating scale and NDI. A randomized control trial was conducted at physiotherapy department of HIT hospital, Taxila Cantt. The sample size was 105 calculated through open-epi tool. The participants were divided into three interventional groups, experimental group (1), experimental group (2), and control group (3) each having 35 participants. The study duration was six months. Sampling technique applied was Purposive sampling for recruitment and group randomization using sealed envelope method. Only 35 to 50 years participants with 4-8 pain intensity on NPRS in cervical region were included in the study. Goniometer, Posterior tangent method on lateral radiographs for cervical curve and Self structured Questionnaire. Data was collected at baseline then 2 and 4 weeks after the application of interventions. Data analyzed through SPSS version 21.

Conditions

Chronic Neck Pain

Keywords

cervical pain; chronic neck pain,; Muscle energy technique,; Facet join mobilization,; cervical lordosis,; cervical curve

Outcome Measures

Primary Outcomes (2)

• Cervical Lordosis Measurement (posterior tangent method)

  measure cervical lordosis by drawing tangent line along posterior border of C2 to C7 vertebra and measuring posterior tangent angle on lateral radio graph of cervical spine.At baseline and 4 weeks after baseline

  4 week

• Numeric pain rating scale

  Will utilize for measurement of neck pain intensity.Minimum pain score is labeled as "zero" and maximum pain score is labeled as "10".At baseline, 2 and 4 weeks after baseline.

  4 week

Secondary Outcomes (2)

• Neck disability index:

  4 week

• Cervical goniometry:

  4 week

Study Arms (3)

Experimental Group (1): Muscle energy techniques,Moist Hot pack and TENS.

EXPERIMENTAL

Experimental group included Moist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45C.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle.These pre and post intervention values were mentioned in questionnaire. The participants were administered with muscle energy technique (PIR) and data was collected again 2 and 4 weeks after the interventions.

Other: Muscle energy Technique

Experimental Group (2): Facets joint mobilizations, Moist Hot pack and TENS.

EXPERIMENTAL

Experimental group includedMoist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45οC.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle. These pre and post intervention values were mentioned in questionnaire. The participants were administered with Facet joint mobilization (UPA \& SNAGS) and data was collected again 2 and 4 weeks after the interventions.

Other: Muscle energy Technique

Control Group:Conventional Therapy (Stretching, strengthening , Moist Hot pack and TENS)

ACTIVE COMPARATOR

Control group includedMoist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45οC.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle. These pre and post intervention values were mentioned in questionnaire. The participants were administered with Conventional (sustained stretching and isometric strengthening) physical therapy and data was collected again 2 and 4 weeks after the interventions.

Other: Muscle energy Technique

Interventions

Muscle energy Technique OTHER

Muscle Energy technique was used to increase the strength of weak muscles,relaxation of tightened muscles in result mobilizes the restricted joint segments.MET's group received 3-5 repetition of post isometric relaxation (PIR). Treatment through Facet Joint Mobilization based on 3 sets of 15 repetitions of unilateral poster-anterior glide (UPA) using initially grade I \& II mobilizations followed by grade III of mitland glides on selected tender segments and 5 repetitions of extension sustained natural apophyseal glides (SNAGs) on hypo mobile segments. Conventional therapy comprising of stretching and isometric strengthening exercises in combination with TENS and heat therapy.

Also known as: Facet Joint Mobilization, Conventional Therapy

Control Group:Conventional Therapy (Stretching, strengthening , Moist Hot pack and TENS); Experimental Group (1): Muscle energy techniques,Moist Hot pack and TENS.; Experimental Group (2): Facets joint mobilizations, Moist Hot pack and TENS.

Eligibility Criteria

• Age: 35 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Chronic patients (more than 12 weeks)
• Male and female patients
• Patients having recurrence of neck pain at least once in the last month.
• Patients from the age group of 35-50 years.
• Patients having mechanical neck pain ranging from 4-8 on Numeric Pain Rating Scale (NPRS).
• Cervical straightening on X-rays.
• Limited \&painful cervical Rang of motion (ROMs)

You may not qualify if:

• Any recent history of trauma, active inflammation, Tumor, vertebra-basilar insufficiency and cervical myelopathy \& radiculopathy.
• No history of serious underlying pathology, nerve root compromise, structural changes and deformities, genetic spinal disorders or previous spinal surgery

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

HIT Taxila Cantt Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Location

Related Publications (23)

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  PMID: 24259936 BACKGROUND

• Akhter S, Khan M, Ali SS, Soomro RR. Role of manual therapy with exercise regime versus exercise regime alone in the management of non-specific chronic neck pain. Pak J Pharm Sci. 2014 Nov;27(6 Suppl):2125-8.

  PMID: 25410083 BACKGROUND

• 3. Gautam R, Dhamija JK, Puri A, Trivedi P, Sathiyavani D, Nambi G. Comparison of Maitland and Mulligan mobilization in improving neck pain, ROM and disability. Int J Physiother Res. 2014;2(3):561-6.

  BACKGROUND

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  BACKGROUND

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  BACKGROUND

• 10. Kage V, Bootwala F, Kudchadkar G. Effect of Bowen Technique versus Muscle Energy Technique on Asymptomatic Subjects with Hamstring Tightness: A Randomized Clinical Trial. International Journal of Medical Research & Health Sciences. 2017;6(4):102-8.

  BACKGROUND

• Peng B, Pang X, Li D, Yang H. Cervical spondylosis and hypertension: a clinical study of 2 cases. Medicine (Baltimore). 2015 Mar;94(10):e618. doi: 10.1097/MD.0000000000000618.

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  BACKGROUND

• 14. Maitland G, Bank K. Vertebral manipulation 2002. Butterworth Heinemann, Oxford

  BACKGROUND

• Osama M, Tassadaq N, Malik RJ. Effect of muscle energy techniques and facet joint mobilization on spinal curvature in patients with mechanical neck pain: A pilot study. J Pak Med Assoc. 2020 Feb;70(2):344-347. doi: 10.5455/JPMA.14189.

  PMID: 32063632 BACKGROUND

• 16. Gupta S, Jaiswal P, Chhabra D. A comparative study between postisometric relaxation and isometric exercises in non-specific neck pain. Journal of exercise science and physiotherapy. 2008;4(2):88-94.

  BACKGROUND

• 17. Sharma A, Angusamy R, Kalra S, Singh S. Efficacy of post-isometric relaxation versus integrated neuromuscular ischaemic technique in the treatment of upper trapezius trigger points. Indian Journal of Physiotherapy and Occupational Therapy. 2010;4(3):1-5.

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• 18. Sharmila B. Isometric muscle energy technique and non-specific neck pain in secondary school teachers-results of an experimental study. Indian Journal of Physiotherapy and Occupational Therapy. 2014;8(2):58.

  BACKGROUND

• 19. Mahajan R, Kataria C, Bansal K. Comparative effectiveness of muscle energy technique and static stretching for treatment of subacute mechanical neck pain. Int J Health Rehabil Sci. 2012;1(1):16-21.

  BACKGROUND

• 20. Rana AA, Ahmad A, Gillani SA, Idrees MQ, Awan I. Effects of conventional physical therapy with and without muscle energy techniques for treatment of Upper Cross Syndrome. Rawal Medical Journal. 2020;45(1):127-32

  BACKGROUND

• 21. Pragassame SA, Kurup VM, Kour J. Efficacy of sustained natural apophyseal glides mulligan technique on mobility and function in patients with cervical spondylosis: An experimental study. Journal of Natural Science, Biology and Medicine. 2020;11(2):128

  BACKGROUND

• 22. Al Shehri A, Khan S, Shamsi S, Almureef SS. COMPARATIVE STUDY OF MULLIGAN (SNAGS) AND MAITLAND MOBILIZATION IN NECK PAIN. European Journal of Physical Education and Sport Science. 2018

  BACKGROUND

• Tabassum H, Mariam M, Gondal KS. Comparison of muscle energy technique and facet joint mobilisation in the patient with chronic neck pain: A randomized controlled trial. J Pak Med Assoc. 2024 Jan;74(1):10-15. doi: 10.47391/JPMA.9206.

  PMID: 38219157 DERIVED

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Lal Gul Khan, MS

  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: SPONSOR

Study Record Dates

• First Submitted: August 5, 2021
• First Posted: September 10, 2021
• Study Start: August 30, 2020
• Primary Completion: May 15, 2021
• Study Completion: July 31, 2021
• Last Updated: July 10, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)