Comparison of Cervical Retraction Exercise and Facet Oscillatory Mobilization in Chronic Mechanical Neck Pain

NCT06707870 | Recruiting

• 1 other identifier: Riphah/RCRAHS/REC/MS-PT/01931
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

To compare the effects of Cervical Retraction Exercise and Facet Oscillatory Mobilization in chronic Mechanical Neck pain. To compare the effects of Cervical Retraction Exercise and Facet Oscillatory Mobilization in chronic Mechanical Neck pain at improving Neck Disability. To compare the effects of Cervical Retraction Exercise and Facet Oscillatory Mobilization in chronic Mechanical Neck pain at Improving Range of Motion The study design used for this literature would be Randomized Control Trial This study would include total 32 participants which would be divided into two groups, 16 each.

Conditions

Chronic Neck Pain

Keywords

Chronic neck pain; Facet oscillatory mobilization; Cervical retraction exercise

Outcome Measures

Primary Outcomes (3)

• Neck disability index

  This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Score: /50 Transform to percentage score x 100 = %points. It has 7 items for daily living, 2 for pain and 1 for concentration. Each item is rated from 0 to 5. Total score is presented in percentage. Higher score tells greater disability while 0 means no disability. Total score is 50. In cervical radiculopathy patients it has moderate test retest reliability ICC= 0.68 .The NDI has a fair to moderate test-retest reliability in patients with mechanical neck pain but also for patients with cervical radiculopathy. The NDI has a good construct validity.

  6 weeks

• Numerical pain rating scale

  The NPRS is a segmented numeric version of the visual analog scale (VAS) in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable") High test-retest reliability has been observed in both literate and illiterate patients with rheumatoid arthritis (r = 0.96 and 0.95, respectively) before and after medical consultation.

  6 weeks

• Inclinometer

  An inclinometer is a device used to measure angles. It is commonly used in physiotherapy to measure the range of motion (ROM) of joints and very similar to a goniometer. The digital inclinometer demonstrated excellent reliability (ICC=0.75-0.86), except for the right lateral flexion (ICC=0.74) and left rotation (ICC=0.72).

  6 weeks

Study Arms (2)

Cervical retraction exercise

EXPERIMENTAL

Cervical retraction exercise

Other: Cervical retraction exercise

Facet oscillatory mobilization

EXPERIMENTAL

Facet oscillatory mobilization

Other: Facet oscillatory mobilization

Interventions

Cervical retraction exercise OTHER

Neck retraction exercises are performed on patients either in sitting or standing in an upright position while pushing their chin backward and simultaneously raising their head within the pain-free range (3 seconds hold)of 10 repetitions in each session at sitting position. Conventional treatment (TENS (2 to 10 Hz),10 mints, Heating pad, stretching of tight muscles Trapezius and SCM)should be included. The patients will received 20-30-minute sessions on 3 alternate days for two consecutive weeks, making it a total of 6 sessions. Patients were advised to revisit after 4 weeks (1 month from the baseline) for follow-up.

Cervical retraction exercise

Facet oscillatory mobilization OTHER

Facet joint oscillatory mobilization on the cervical spine C2-C7(6 to 10 repetitions in each session) in the sitting position. Conventional treatment (TENS (2 to 10 Hz) 10 mints, Heating pad, stretching of tight muscles Trapezius and SCM) should be included. The patients will received 20-30-minute sessions on 3 alternate days for two consecutive weeks, making it a total of 6 sessions. Patients were advised to revisit after 4 weeks (1 month from the baseline) for follow-up.

Facet oscillatory mobilization

Eligibility Criteria

• Age: 35 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Participants falling in this category would be recruited into the study.
• Participants were patients with a complaint of Chronic Mechanical neck pain (\> 6 weeks).
• Neck Disability Index (NDI) score \> 16%
• Age between 35-50 years, Both Male and Female
• NPRS score \>3-6.
• Recurrent neck pain aggravated at least once in the month.
• Painful Cervical ROM (Flexion \<80 Extension\<70 rotation\<90 to both sides and lateral flexion \<35 degree.
• Spurling test negative
• Patients willing to participates in the study after filling the consent form.
• Upper Limb Nerve tension test (Median, Radial, and Ulnar negative).

You may not qualify if:

• Participant failing to fall in this category would be excluded of the study.
• Cervical radiculopathy
• Cervical canal stenosis
• Severe neurological disorder
• Previous cervical surgery
• Recent history of fall/trauma to the cervical spine.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Khyber Teaching hospital

Peshawar, KPK, 25000, Pakistan

RECRUITING

Related Publications (2)

• Alansari SM, Youssef EF, Shanb AA. Efficacy of manual therapy on psychological status and pain in patients with neck pain. A randomized clinical trial. Saudi Med J. 2021 Jan;42(1):82-90. doi: 10.15537/smj.2021.1.25589.

  PMID: 33399175 BACKGROUND

• Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiother J. 2016 Apr 14;35:5-11. doi: 10.1016/j.hkpj.2015.12.002. eCollection 2016 Dec.

  PMID: 30931028 BACKGROUND

Study Officials

• Faheem Ullah Jan, MS-OMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Dr Aman Ullah Nazir, PhD*

CONTACT

03335330065; aman.nazir@riphah.edu.pk

Imran Amjad, PhD

CONTACT

0515481826; imran.amjad@riphah.edu.pk

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: SPONSOR

Study Record Dates

• First Submitted: November 25, 2024
• First Posted: November 27, 2024
• Study Start: May 1, 2024
• Primary Completion: December 13, 2024
• Study Completion: December 13, 2024
• Last Updated: November 27, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)