Effects of Manual Therapy Versus Stretching Exercise Versus Routine Physical Therapy on Work-related Pain, Among Chefs

NCT05261945 | Completed DMC

• 1 other identifier: REC-FSD-00297
• Study Type: interventional
• Target: 90
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this research is to analyze the effect of Mulligan technique versus stretching techniques and versus routine physical therapy on pain, range of motion and functional disability among restaurant chefs presenting with non-specific chronic pain.

Conditions

Neck Pain

Keywords

Manual Therapy; Stretching Exercises; Routine Physical Therapy; Non Specific Chronic Neck Pain; Restaurant Chefs

Outcome Measures

Primary Outcomes (3)

• Visual analog scale

  A Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured.

  12th Week

• Neck disability index

  The Neck Disability Index is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher Neck Disability Index score means the greater a patient's perceived disability due to neck pain

  12th Week

• Bubble inclinometer

  The Bubble Inclinometer precisely measures, tests and evaluates the ranges of motion of neck. While using, place the Inclinometer near the joint to be measured.

  12th Week

Study Arms (3)

Routine Physical Therapy

EXPERIMENTAL

1. Electrotherapy 2. Exercises. * Electrotherapy Hot pack Patients will be in prone position and for relaxation pillow will place beneath the abdomen. Then to reduce muscle spasm and to induce vasodilation hot pack will use for 15 minutes. Treatment with hot pack helps in improving and relaxing the muscle spasm and soft tissue elasticity. TENS TENS will be of 50 Hz, duration of pulse will be\<150 microseconds, for 15 minutes to reduce pain. TENS and Hot Pack will use at the same time for 15 minutes. Ultrasound Ultrasound's gel will be applied on outer surface of skin with 2-3 mm thickness. Then ultrasound which frequency will be 1MHz applied for 5 min. • Exercises Passive Range of Motion exercises for 10 minutes 1. Neck Flexion 2. Neck Side bending 3. Neck Rotation 4. Isometric neck flexion 5. Isometric neck extension 6. Isometric neck side bending These exercises will repeat 3 times within the treatment program.

Other: Routine Physical Therapy

Manual Therapy And Routine Physical Therapy

EXPERIMENTAL

The routine physical therapy will be applied first, in which electrotherapy will applied for 20 mins, TENS and hot pack for 15 mins, ultrasound for 5 mins. Manual therapy Natural Apophyseal Glides The natural apophyseal glides, which will be applied between C2 and C7, will be the Manual Muscle Testings first action. Patients may request to sit and lean on a chair. The oscillatory motions will reapply the mobilization. Sustained Natural Apophyseal Glides Sustained Natural Apophyseal Glides will be a mixture of mobilization and active gestures/movements. 5 repetitions for 10 minutes of each.

Other: Manual Therapy And Routine Physical Therapy

Stretching Exercises And Routine Physical Therapy

EXPERIMENTAL

The routine physical therapy will be applied first, in which electrotherapy will applied for 20 minutes, TENS and hot pack is applied for 15 minutes at the same time, then ultrasound will applied for 5 minutes. Stretching exercises will be done in the following order; For trapezius: Stretching into lateral flexion for the upper part, For scalene: rotation and ipsilateral flexion For the extensor muscles: flexion will be performed. Performing each action for 30 seconds with 5 repetitions for 10 minutes Finally, by retruding the jaw, a neck straightening exercise can be performed.

Other: Stretching Exercises And Routine Physical Therapy

Interventions

Routine Physical Therapy OTHER

Routine Physical Therapy treatment with hot pack, TENS, and ultrasound helps in improving and relaxing the muscle spasm and soft tissue elasticity along pain reduction.

Routine Physical Therapy

Manual Therapy And Routine Physical Therapy OTHER

Mulligan is consider one of the most effective technique of mobilization.it is also important treatment for neck pain so that many physiotherapist used mulligan by including several methods such as Natural Apophyseal Glides or Sustained Natural Apophyseal Glides.

Manual Therapy And Routine Physical Therapy

Stretching Exercises And Routine Physical Therapy OTHER

Regular stretching helps increase your range of motion in the joints, improves blood circulation and posture and alleviates muscular tension throughout the body.

Stretching Exercises And Routine Physical Therapy

Eligibility Criteria

• Age: 18 Years - 60 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• For at least 3 months, you've been suffering from neck pain
• Any Neurological problems
• For the previous three months, the patient has taken some analgesic drug for neck pain.
• Rheumatological issues
• Non-specific neck pain
• Age 18-60 years

You may not qualify if:

• Neck pain due to,
• Tumors
• Ankylosing Spondylitis
• Fracture
• Dislocation
• Cord compression
• Insufficiency of the vertebrobasilar artery
• Osteoprosis
• Anticoagulant or corticosteroid therapy for a long period of time
• Pain due to any congenital deformity, inflammation or any infection
• Carcinoma

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Ripah International University

Faisalabad, Punjab Province, 38000, Pakistan

Location

MeSH Terms

Conditions

Neck Pain

Interventions

Musculoskeletal Manipulations

Condition Hierarchy (Ancestors)

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

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities; Rehabilitation

Study Officials

• Muhammad Kashif

  Riphah International University

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Masking Details: Our study will be double-blinded, outcome assessor-blinded and patient- blinded. The assessor will be blinded to avoid being biased during the outcome assessment. And, participants will be blinded to avoid the their incompliance during sessions.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: February 20, 2022
• First Posted: March 2, 2022
• Study Start: March 1, 2021
• Primary Completion: March 25, 2022
• Study Completion: March 31, 2022
• Last Updated: June 28, 2022

Record last verified: 2022-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)