Comparison Of Direct Myofascial Release And Bowen's Technique For Non-Specific Neck Pain

NCT05074641 | Completed DMC

• 1 other identifier: REC-00942 Shahzana khalid
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain is described as pain in the neck region that may or may not radiate to both the upper limbs and that will last for at least one day. Non-specific neck pain is the common cause of neck symptoms that is mainly due to mechanical causes, postural problem, depression, anxiety or occupational activities. Poor posture causes abnormal muscle loading and muscle injury

Conditions

Neck Pain

Keywords

Pain; Range of motion; Myofascial release; Bowen therapy; Anxiety

Outcome Measures

Primary Outcomes (4)

• Numeric pain rating scale

  The Numeric pain rating scale is an 11-point numeric scale, it is the segmented numeric version of the visual analog scale. Subjects will be asked to mark/select a whole number for 0-10 that best describes their perceived pain intensity of the last 24 hours. zero indicates no pain and 10 is worst possible pain. assessment to be done at base line and after 2 weeks

  for two weeks

• Goniometer for Cervical Range of Motion

  The active cervical range of motion (CROM) will be measured in sitting posture by using a universal goniometer, which consists of two arms; one that is stationary and one that is moveable. assessment to be done at base line and after 2 weeks

  for two weeks

• Neck Disability Index

  it is a 10-item self-report questionnaire that measures the patient's disability related to his/her neck pain. It is the most commonly used questionnaire for neck disability; its reliability and validity has been demonstrated in many literatures and languages.its minimum score is zero no disability and 50 is maximum disability. Assessment to be done at base line and after 2 weeks

  for two weeks

• Depression Anxiety Stress Scale (DASS)

  DASS is a reliable and validated tool commonly administered to measure the level of stress, depression and anxiety of the respondent. It is 42-item questionnaire that focuses on low mood, motivation, self-esteem, physiological arousal, perceived panic, fear, tension and irritability. Respondent answer each question by indicating the extent on a 4-point scale. In this study Urdu version of DASS is used which has concurrent validity of .87 for normal subjects and .84 for clinical population and .89 reliability. its minimum value is zero which is normal and maximum is 34 plus which is stress. Assessment to be done at base line and after 2 weeks

  for two weeks

Study Arms (2)

Direct myofascial release treatment

EXPERIMENTAL

Myofascial Release will be applied with Forearm and/or ulnar border of the palm. Deep Pressure will be applied and glided medially towards the base of the neck and/ or towards the upper scapular region

Other: Direct myofascial release treatment

Bowen therapy

ACTIVE COMPARATOR

Thumb of the therapist will be placed on the top of the targeted muscle. The skin will be 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 will be flattened in the medial direction, when this happened the muscle would plop or respond in some way.

Other: Bowen therapy

Interventions

Direct myofascial release treatment OTHER

Myofascial Release will be applied with Forearm and/or ulnar border of the palm. Deep Pressure will be applied and glided medially towards the base of the neck and/ or towards the upper scapular region

Direct myofascial release treatment

Bowen therapy OTHER

Thumb of the therapist will be placed on the top of the targeted muscle. The skin will be 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 will be flattened in the medial direction, when this happened the muscle would plop or respond in some way.

Bowen therapy

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Chronic non-specific neck pain ≥ 3 months without symptoms radiating to the upper limbs
• Presence of a maximum of 1-2 active Myofascial Trigger Points
• Pain of more than 3 on a NPRS
• For the diagnosis of a Trigger Point, compliance with the following criteria:
• (1) A hypersensitive spot in a palpable taut band,
• (2) Palpable or visible local twitch on pincer palpation
• (3) Reproduction of referred pain elicited by palpation of the sensitive spot.

You may not qualify if:

• Diagnosed with cervical radiculopathy or myelopathy
• Neck Pain due to trauma, fractures, or whiplash; neoplasia, severe osteoporosis, infectious, or inflammatory processes;
• Patients with pacemakers, congenital anomalies, previous neck surgery
• Patients diagnosed with fibromyalgia syndrome according to the American College of Rheumatology criteria

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Railway General Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Neck Pain; Pain; Anxiety Disorders

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Mental Disorders

Study Officials

• Maria Khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 29, 2021
• First Posted: October 12, 2021
• Study Start: February 15, 2021
• Primary Completion: January 20, 2022
• Study Completion: January 20, 2022
• Last Updated: February 2, 2022

Record last verified: 2022-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)