Comparison of Weight Bearing Thrust Manipulation With Non Weightbearing Thrust Manipulation in Patients With Forward Head Posture

NCT05762289 | Completed

• 1 other identifier: YusraMDC
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

This randomized controlled trial was performed in MMRC (Majestic medicine rehabilitation Sciences) Islamabad in February 2023 and consisted of patients having neck pain and forward head posture. 30 Patients were divided into two groups of 15 each by sealed envelope method . Treatment group was given weight bearing thrust manipulation in sitting and control was given non weight bearing thrust manipulation in supine lying. Pain was calculated through NPRS and Cervical ranges were calculated by Inclinometer before and immediately after treatment.

Conditions

Cervical Pain

Keywords

forward head posture, cervical thrust manipulation

Outcome Measures

Primary Outcomes (2)

• Change in Neck pain before and after thrust manipulation

  pain will be calculated using Numeric pain rating scale(NPRS) before and after manipulation

  As immediate effects are measured pain before giving manipulation and 10minutes after session is measured

• Change in Cervical Range of motion before and after thrust manipulation

  Range Of Motion will be measured using inclinometer before and after manipulation

  As immediate effects are measured ranges of motion before giving manipulation and 10minutes after session is meas

Study Arms (2)

Change in range of motion and within the weight bearing group

EXPERIMENTAL

. Subjects in Group A or treatment group were seated and given thrust manipulation using belt. Cervical spine was placed in neutral position and belt was stabilized on C4-C5 which is the part that causes most stiffness and pain and lost of range. Patient placed belt in left hand for left sided thrust and caudal force was applied , therapist held other end of the belt and applied stretch in the line of eye ball. The cervical spine of patient was guided in left rotation until resistance was felt and than thrust of high velocity low amplitude was given by therapist . This was done for both sides if the cavitation sound was not heard manipulation was tried for a second time after 10 minutes by repositioning the patient but no more than two times in a day. Therapist performing manipulation was skilled in giving belt thrust manipulation.

Other: Thrust Manipulation (in weight bearing and non weight bearing)

Control

ACTIVE COMPARATOR

While Group B received manipulation in supine position by maitland's traditional thrust. Where the neck is slightly flexed by therapist hand on the occipit where therapist is standing behind the head. Neck is guided in right side flexion and opposite rotation and at the end of rang high velocity low amplitude thrust is applied. This was done for both sides if the cavitation sound was not heard manipulation was tried for a second time after 10 minutes by repositioning the patient but no more than two times in a day

Other: Thrust Manipulation (in weight bearing and non weight bearing)

Interventions

Thrust Manipulation (in weight bearing and non weight bearing) OTHER

Pain and Range of cervical motion was assessed before and after manipulation in both groups.

Change in range of motion and within the weight bearing group; Control

Eligibility Criteria

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

You may qualify if:

• Forward head posture
• Patients who had complain of neck pain
• Decrease range of flexion, extension, rotation and side flexion of cervical spine
• Craniovertebral angle below 48 were included

You may not qualify if:

• Patients with structural or anatomical deformity,
• recent surgical history , degenerative changes ,
• cervical instability,
• malignancy
• radiculopathy

Sponsors & Collaborators

• Yusra Medical and Dental College: lead

Study Sites (1)

MMRC

Islamabad, 44000, Pakistan

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Maham Nasir, DPT

  Yusra institute of Rehabilitation sciences

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Masking Details: Patients were randomized using sealed envelope method where all the participants selected their envelopes which were opaque and placed in a container . All the patients who were willing after informing all the risk and procedures were then selected in two groups Group A (treatment group) or weight bearing group and Group B (Control group)non weight bearing group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Head Of Physical Therapy Department

Study Record Dates

• First Submitted: February 23, 2023
• First Posted: March 9, 2023
• Study Start: February 1, 2023
• Primary Completion: February 15, 2023
• Study Completion: February 15, 2023
• Last Updated: March 9, 2023

Record last verified: 2023-03

Locations

PA (1)