Comparison of Thoracic Manipulation and Muscle Energy Technique in Non-specific Mechanical Neck Pain

NCT05315076 | Completed DMC

• 1 other identifier: REC 01211 Muhammad Saad Hassan
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effects of Thoracic manipulation and MET in relieving pain.in improving Range of motion and in improving functional disability.

Conditions

Neck Pain

Keywords

Pain; thoracic manipulation; muscle energy technique; disability; range of motion

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale

  The Numeric Pain Rating Scale (NPRS) measures the subjective intensity of pain. The NPRS is an eleven-point scale from 0 to 10. "0" = no pain and "10" = the most intense pain imaginable.Assesment to be done at baseline,1st session,3rd session and 6th session.

  three weeks

• Inclinometer

  it is used for measurements of cervical flexion, extension, lateral flexion, and rotation.Assesment to be done at baseline,1st session,3rd session and 6th session.

  three weeks

• Neck Disability Index

  The neck disability index is a ten-item self-reported questionnaire that assesses pain and associated disability, with a total max score of 50 points. .Assessment to be done at baseline,1st session,3rd session and 6th session.

  three weeks

Study Arms (2)

Thoracic Manipulation Posterior anterior and conventional therapy

EXPERIMENTAL

Thoracic Manipulation Posterior anterior and conventional therapy

Other: thoracic Manipulation Posterior anterior and conventional therapy; Other: Muscle Energy Technique (PIR) and conventional treatment

Muscle Energy Technique (PIR) and conventional treatment

EXPERIMENTAL

Muscle Energy Technique (PIR) and conventional treatment

Other: thoracic Manipulation Posterior anterior and conventional therapy; Other: Muscle Energy Technique (PIR) and conventional treatment

Interventions

thoracic Manipulation Posterior anterior and conventional therapy OTHER

A high-velocity, end range force directed to both sides of the respective zygapophyseal joint as indicated by the segmental examination. This procedure will be performed for a maximum of two attempts. When a cracking sound occurred, the therapist will move on to the next segmental restriction from an upper level to a lower level.

Muscle Energy Technique (PIR) and conventional treatment; Thoracic Manipulation Posterior anterior and conventional therapy

Muscle Energy Technique (PIR) and conventional treatment OTHER

sustain the Isometric contraction for 7-10 and hold the breath. Then the patient will be asked to breathe out and relax while the therapist stretches further up to the neck barrier and hold this for 30 seconds.3 to 5 repetition

Muscle Energy Technique (PIR) and conventional treatment; Thoracic Manipulation Posterior anterior and conventional therapy

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients who present with a primary complaint of mechanical neck pain (defined as pain in the region between the superior nuchal line and first thoracic spinous process) with limited Range of motion.
• Patients with non-radiating neck pain of moderate intensity scoring 4-8 on the numeric pain rating scale (NPRS).
• Subacute or chronic cases (4 -12 weeks)
• Have a Neck Disability Index (NDI) score of 20% or greater (10 points or greater on a 0-to-50 scale)
• Dull aching neck pain increased by sustained postures, neck movement

You may not qualify if:

• Patients with a positive history of trauma, fracture or surgery of the cervical spine.
• Neck pain with radiation to the arm and upper extremity
• Diagnosed cases of torticollis, and scoliosis
• History of osteoporosis, Any heart disease
• Taken previous physiotherapy session.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rawal dental and general hospital,

Islamabad, Punjab Province, Pakistan

Location

MeSH Terms

Conditions

Neck Pain; Pain

Condition Hierarchy (Ancestors)

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

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: March 30, 2022
• First Posted: April 7, 2022
• Study Start: April 1, 2022
• Primary Completion: February 1, 2023
• Study Completion: February 5, 2023
• Last Updated: February 21, 2023

Record last verified: 2023-02

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)