Efficacy of Mobilization With Post- Isometric Relaxation in Neck Pain Associated With Myofascial Trigger Points
Efficacy of Cervical Mobilization With Post Isometric Relaxation in Managing Mechanical Neck Pain Associated With Myofascial Trigger Points: a Randomized Comparative Study
1 other identifier
interventional
33
1 country
2
Brief Summary
purpose of the study: to determine the effectiveness of cervical mobilization with PIR in reducing pain and improving neck ROM and function in people with mechanical neck pain associated with MTrPs
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable
Started Oct 2022
Shorter than P25 for not_applicable
2 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
Study Start
First participant enrolled
October 30, 2022
CompletedFirst Submitted
Initial submission to the registry
January 5, 2023
CompletedFirst Posted
Study publicly available on registry
January 13, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 28, 2023
CompletedStudy Completion
Last participant's last visit for all outcomes
February 15, 2023
CompletedMarch 24, 2023
March 1, 2023
3 months
January 5, 2023
March 23, 2023
Conditions
Outcome Measures
Primary Outcomes (4)
Pain intensity
The pain intensity was assessed Using a numeric pain rating scale (NPRS), Its a 11 point scale, where zero indicates no pain and 10 indicates severe pain
3 Weeks
Neck Disability Index
The Neck Disability was assessed using a neck disability index (NDI) questionnaire, the minimum value 0- and the maximum value is 50
3 Weeks
Range of Motion
The Neck Side Flexion range of motion was assessed using cervical range of motion(CROM) device
3 Weeks
Pain Pressure Threshold
The Pain Pressure Threshold (PPT) was assessed using an algometer algometer
3 Weeks
Study Arms (2)
Group A
EXPERIMENTALin addition to Conventional treatment, PIR and cervical mobilization were given
Group B
ACTIVE COMPARATORin addition to Conventional treatment, PIR were given
Interventions
In PIR intervention, the patients were requested to lie down in a supine position and their neck was in a lateral flexion to the opposite side so that the target upper Trapezius muscle fibers would be in a lengthened position. The therapist performed a moderate isometric contraction (approximately 75% of maximal) of upper Trapezius muscles, held it for 5 seconds, then relaxed for 3 seconds before moving the cervical spine into the new barrier. In each session, this technique was repeated for four times, on alternate days for three weeks.
Cervical Mobilization was delivered in prone lying with their foreheads resting comfortably on his hands, and the chin was tucked in.The treatment session was done on alternate days (3 days a week) for 3 weeks, hence the total number of sessions were 9.
Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10-second relaxation) were given, and isometric exercise of the neck((10 repetitions of two sets with 10 seconds hold) alternate days for three weeks.
Eligibility Criteria
You may qualify if:
- age 20-40 years,
- having mechanical neck pain located in the neck or scapular regions along with 1-2 MTrPs which,
- on palpation replicated their chief complaints in the upper Trapezius muscle (unilateral).
You may not qualify if:
- known cases of fibromyalgia syndrome,
- cervical radiculopathy or myelopathy,
- history of cervical spine surgery,
- congenital or acquired postural deformity, presence of MTrPs in bilateral upper Trapezius muscles,
- patients who received any treatment for their pain one month prior to the study.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (2)
Hashim Ahmed
Najrān, Najran Region, 1988, Saudi Arabia
Hashim Ahmed
Najrān, Najran Region, 66262, Saudi Arabia
Study Officials
- PRINCIPAL INVESTIGATOR
Hashim Ahmed, PhD
Najran University
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
- Assistant Professor
Study Record Dates
First Submitted
January 5, 2023
First Posted
January 13, 2023
Study Start
October 30, 2022
Primary Completion
January 28, 2023
Study Completion
February 15, 2023
Last Updated
March 24, 2023
Record last verified: 2023-03
Data Sharing
- IPD Sharing
- Will not share