Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

NCT05557747 | Completed

• 1 other identifier: P.T.REC/012/003839
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

Conditions

Chronic Mechanical Neck Pain

Keywords

chronic mechanical neck pain; cervicothoracic junction mobilization; autogenic muscle energy technique; cervicothoracic junction hypomobility

Outcome Measures

Primary Outcomes (1)

• change in neck pain

  change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment

  Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure

Secondary Outcomes (1)

• cervical ROM and cervical prorprioception

  Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure

Study Arms (3)

Group A:cervicothoracic junction mobilization

EXPERIMENTAL

Group A: patients will receive cervicothoracic junction mobilization and conventional physical therapy program for 3 sessions/week over 4 weeks periods

Other: cervicothoracic junction mobilization in form of Maitland mobilization; Other: conventional physical therapy

Group B:autogenic muscle Energy Technique

EXPERIMENTAL

Group B: will receive autogenic muscle Energy Technique and conventional physical therapy program for 3 sessions/week over 4 weeks periods.

Other: autogenic muscle Energy Technique; Other: conventional physical therapy

Group C:conventional physical therapy

ACTIVE COMPARATOR

Group C: will receive conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods.

Other: conventional physical therapy

Interventions

cervicothoracic junction mobilization in form of Maitland mobilization OTHER

Group A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods.

Group A:cervicothoracic junction mobilization

autogenic muscle Energy Technique OTHER

the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle. The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold

Group B:autogenic muscle Energy Technique

conventional physical therapy OTHER

conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods

Group A:cervicothoracic junction mobilization; Group B:autogenic muscle Energy Technique; Group C:conventional physical therapy

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
• Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
• patients with age range from 18 to 45 years old.
• patients with body mass index less than 30 kg/m2.

You may not qualify if:

• previous spine surgery
• pregnancy.
• Diabetic patients
• Hypertensive patients
• Patients were excluded if neck pain was associated with cervical radiculopathy
• whiplash injuries or severe headaches
• cervical spine fracture
• vertebro-basilar insufficiency.
• red flags suggesting of cancer, infection, vascular insufficiency
• Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

FACULTY OF PHYSICAL THERAPY, cairo university

Giza, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principal investigator

Model Details: 1. mobilization and conventional physical therapy 2. autogenic muscle Energy Technique and conventional physical therapy 3. conventional physical therapy only

Study Record Dates

• First Submitted: September 24, 2022
• First Posted: September 28, 2022
• Study Start: November 1, 2022
• Primary Completion: July 30, 2023
• Study Completion: July 30, 2023
• Last Updated: August 28, 2023

Record last verified: 2023-08

Locations

EG (1)