Scapulo-Thoracic Mobilization Compared to IASTM in Patients With Mechanical Neck Pain

NCT05475405 | Completed DMC

• 1 other identifier: REC/01073 Iqra
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

SCAPULO-THORACIC MOBILIZATION COMPARED TO IASTM IN PATIENTS WITH MECHANICAL NECK PAIN

Conditions

Mechanical Neck Pain

Keywords

IASTM; scapulo-thoracic mobilization; mechanical neck pain

Outcome Measures

Primary Outcomes (3)

• Numeric Pain Rating Scale

  Changes from baseline Numeric pain Rating Scale is used to objectively assess musculoskeletal pain as marked by the patient. It is a 10 point scale from 0 to 10. 0 depicts no pain at all and 10 shows worst pain ever felt. It was measured at baseline, at 3rd session after 6th weeks of the intervention.

  3 weeks

• NDI (neck disability index)

  The questionnaire has 10 items concerning pain and activities of daily living including personal care, lifting, reading, headaches, concentration, work status, driving, sleeping and recreation. The measure is designed to be given to the patient to complete, and can provide useful information for management and prognosis of those with neck pain

  3 weeks

• Goniometer

  goniometer is a device that measures an angle or permits rotation of an object to a definite position

  3 weeks

Study Arms (2)

Scapulothoracic mobilization along with conventional physical therapy for mechanical neck pain.

EXPERIMENTAL

conventional physical therapy: Scapulothoracic mobilization: Patient in prone lying position. The left hand of the physical therapist lifts the scapula to distract from the thoracic wall while the right hand mobilizes and stretches the inferior muscle groups attached to the scapula.

Other: scapulothoracic mobilization

IASTM with conventional physical therapy for mechanical neck pain

ACTIVE COMPARATOR

Conventional Physical Therapy: IASTM (Instrument Assisted Soft Tissue Technique): Patient sitting or prone lying Restrictions and myofascial adhesions assessed prior to treatment fanning strokes at 45 degree angles to skin be applied using the tool

Other: IASTM

Interventions

scapulothoracic mobilization OTHER

Patient in prone lying position. The left hand of the physical therapist lifts the scapula to distract from the thoracic wall while the right hand mobilizes and stretches the inferior muscle groups attached to the scapula.

Scapulothoracic mobilization along with conventional physical therapy for mechanical neck pain.

IASTM OTHER

Restrictions and myofascial adhesions should be assessed prior to treatment along both sides using IASTM tool and a lubricant. Once restrictions are assessed, fanning strokes at 45 degree angles to skin should be applied using the tool. This technique should be performed for 20 seconds parallel to the muscle fibers and 20 seconds perpendicular to the muscle fibers for each muscle group in scapulothoracic region. Total time for IASTM application is 10 mints. Upon completing all this patient should be given a home plan consisting of 2 different self-stretches targeting levator scapulae and upper trapezius

Also known as: Instrument assisted Soft tissue mobilization.

IASTM with conventional physical therapy for mechanical neck pain

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age group 18 to 40 years
• Both gender groups
• Non radiating neck pain

You may not qualify if:

• History of cervical and thoracic spine surgery
• Vertibro-basilar insufficiency
• Sign of serious pathology like malignancy
• Signs of systemic inflammatory disorder
• Patient with diagnosed hypertension
• (scapular area pathology)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Railway General Hospital

Rawalpindi, Punjab Province, 46010, Pakistan

Location

Study Officials

• Muhammad Affan Iqbal, PhD*

  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

Model Details: 32 Participants were recruited in the study and divided into two groups. Group A was given intervention Scapulothoracic mobilization and Group B with IASTM.

Study Record Dates

• First Submitted: July 24, 2022
• First Posted: July 26, 2022
• Study Start: August 1, 2021
• Primary Completion: July 30, 2022
• Study Completion: July 31, 2022
• Last Updated: September 7, 2022

Record last verified: 2022-09

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)