Effects of Manual IC With and Without SCS on SCM Tightness With FHP

NCT06108882 | Unknown

• 1 other identifier: REC/RCR & AHS/23/0147
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effects of Manual Ischemic Compression with and without Strain Counterstrain technique on CVA, ROM, pain and disability among FHP individuals with SCM tightness.

Conditions

Neck Pain

Keywords

Disability; Forward head posture; Pain; ROM; Sternocleidomastoid

Outcome Measures

Primary Outcomes (6)

• Numeric pain rating scale (NPRS)

  Changes from baseline Numeric pain rating scale is The 11-point scale used to capture the patient's level of pain. The scale is anchored on the left with the phrase ''no pain'' and on the right with the phrase ''worst imaginable pain.'' Patients rate their current level of pain and their worst and least amount of pain in the last 24 hours.

  6 weeks

• Neck disability index (NDI)

  Changes from baseline the NDI is a self-report questionnaire with 10 items: Pain intensity, personal care, lifting, work, headaches, concentration, sleeping, driving, reading and recreation. The response to each item is rated on a six-point scale from 0 (no disability) to 5 (complete disability). The numeric responses for each item are summed for a total score ranging between 0 and 50; however, some evaluators have chosen to multiply the raw score by 2 and then report the NDI on a 0-100% scale. Higher scores represent increased levels of related disability among the participants The maximum score is 50. In which 0 to 4 indicates no disability 5 to 14 = mild, 15 to 24 = moderate, 25 to 34 = severe and Above 34 = complete disability(57).

  6 weeks

• The bubble inclinometer

  Changes from baseline bubble inclinometer is a gravity-based tool used to measure the cervical range of motion and to assess SCM muscle length based on Kendall's description of muscle length testing principles in which the therapist maximally lengthens the muscle from origin to insertion by stabilizing one end, then slowly elongate the muscle, and then assess the end feel.

  6 weeks

• Craniovertebral angle (CVA)

  Changes from baseline To assess the head position of the subjects, the craniovertebral angle (CVA) was measured. The craniovertebral angle is identified as the intersection of a horizontal line passing through the C7 spinous process and a line joining the midpoint of the tragus of the ear to the skin overlying the C7 spinous process. CVA angle less than 51 is considered as FHP.

  6 weeks

• Modified goniometer

  Changes from baseline the measurement of craniovertebral angle is from C7 spinous process to tragus of ear by modified goniometer. The craniovertebral angle can be assessed by using modified goniometer to get an accurate estimation of head posture. The modified goniometer was constructed by attaching a perpendicular rod at the fulcrum of half circle universal goniometer, posteriorly. .

  6 weeks

• Neck ROM

  Changes from baseline, neck ROM will be taken with the help of goniometer.

  6 weeks

Study Arms (2)

Manual Ischemic Compression with Strain Counter Strain technique

EXPERIMENTAL

Participants in this group will receive Manual Ischemic Compression with Strain Counter Strain technique.

Other: Experimental: Manual Ischemic Compression with Strain Counter Strain technique

Manual Ischemic Compression

ACTIVE COMPARATOR

Participants in this group will receive only Manual Ischemic Compression

Other: Active Comparator: Manual Ischemic Compression

Interventions

Experimental: Manual Ischemic Compression with Strain Counter Strain technique OTHER

The duration of intervention will be 6 weeks, 3 sessions a week, a total of 18 sessions will be given to the study participants. Each session will last for 30 to 45 minutes.

Manual Ischemic Compression with Strain Counter Strain technique

Active Comparator: Manual Ischemic Compression OTHER

The duration of intervention will be 6 weeks, 3 sessions a week, a total of 18 sessions will be given to the study participants. Each session will last for 30 to 45 minutes.

Manual Ischemic Compression

Eligibility Criteria

• Age: 25 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Neck pain (Numeric Pain Rating Scale \>3)
• Craniovertebral angle (CVA) less than 51
• Shortened SCM muscle

You may not qualify if:

• Neck pain with whiplash or headache, neurological disorder
• History of previous head, neck, cervical spine or shoulder surgery
• Infection or inflammatory arthritis in the cervical spine
• History of cervical radiculopathy
• Diagnosed fibromyalgia and myopathy
• History of cancer

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Amina Physiotherapy and Rehab Center, Nusrat Rashid Medical Complex

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (28)

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MeSH Terms

Conditions

Neck Pain; Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Saba Rafique, Masters

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, Phd

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 25, 2023
• First Posted: October 31, 2023
• Study Start: May 8, 2023
• Primary Completion: December 8, 2023
• Study Completion: January 8, 2024
• Last Updated: October 31, 2023

Record last verified: 2023-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)