Effect of MET With and Without MCTE in Mechanical Neck Pain

NCT06750211 | Recruiting

• 1 other identifier: REC/RCR & AHS/24/0115
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Work had to be done previously on METs and MCTE techniques, but no study has compared both techniques together to make it more comprehensible. The rationale of this will be to find out the combined effect of motor control therapeutic exercises and muscle energy technique for the treatment of pain, range of motion and disability associated with mechanical neck pain. This study will be effective for the clinicians to treat patients of mechanical neck pain.

Conditions

Mechanical Neck Pain

Keywords

Neck pain; Range of motion; Muscle energy technique; Motor control therapeutic exercise

Outcome Measures

Primary Outcomes (1)

• Numeric pain scale rating

  Changes from base line Pain intensity was assessed by Numeric Rating Scale (NRS). NRPS has fair to moderate reliability of test-retest in patients with Mechanical Neck Pain. The patient was required to indicate the number that represent his intensity of pain, in which 0 represents "no pain" and 10 represents "the worst pain imaginable". Numeric Pain Rating Scale is widely used subjective pain measure that has good test-retest reliability r = 0.79 - 0.96

  4th week

Secondary Outcomes (4)

• Neck disability index

  4th week

• ROM cervical spine (flexion)

  4th week

• ROM cervical spine (Extension)

  4th week

• ROM cervical spine (Side flexion)

  4th week

Study Arms (2)

METs

ACTIVE COMPARATOR

Hot pack along with Neck isometrics and muscle energy technique protocol

Other: METs

MCTE along with METs

EXPERIMENTAL

MCTE included cranio-cervical flexion, cranio-cervical extension, co-contraction of flexion and extension and synergistic exercise of neck flexor along with hot pack, neck isometrics and muscle energy technique protocol

Other: MCTE along with METs

Interventions

METs OTHER

* Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * Muscle energy technique protocol: The individual was in a position of supine. The therapist was at the edge of bed, near the participants head. the therapist positioned the joint at the point of beginning range of motion resistance when performing a given movement. When the therapist felt restriction, positioned the cervical spine in that region and apply the resistive force. Patient was instructed to contract isometrically for five seconds without exceeding the therapist force. thereafter, therapist counterforce gradually reduced and patient was asked to relaxed. Therapist move the joint into new point of barrier and same protocol repeated three times. Patient came thrice per week for a total of 4 weeks.

METs

MCTE along with METs OTHER

▪ Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * After it was treated with motor control therapeutic exercises together with muscle energy technique. Motor control therapeutic exercises included cranio-cervical flexor exercises, cranio-cervical extensor exercises, co contraction of flexor and extensor and synergy exercise for strengthening deep neck flexor. Exercises were performed in three sets with 10 repetitions with an approximate duration of 10 to 20 minutes. They were advised to perform at home once in a day, five times in a week for a duration of 4 weeks. All exercises were performed three times per week for total of 4 weeks.

MCTE along with METs

Eligibility Criteria

• Age: 20 Years - 50 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Subjects were between 20 and 50 years old.
• Pain in cervical or neck region with no radiating pain in one or both upper limbs.
• Pain minimum of 3 months.
• Neck disability index (NDI) score of should be at least 10%.
• Forward head posture.

You may not qualify if:

• Neck pain associated with vertigo.
• Irradiated neck pain.
• Vertebral fracture.
• Osteoporosis.
• Previous neck injury.
• Red flags (night pain, severe muscle loss, loss of involuntary control.
• Subjects with difficulty in communication or understanding.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah college of rehabilitation and allied health sciences

Lahore, 54660, Pakistan

RECRUITING

Related Publications (5)

• Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr;93(3):281-290. doi: 10.1007/s00420-019-01480-x. Epub 2019 Oct 25.

  PMID: 31654125 BACKGROUND

• Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.

  PMID: 32723399 BACKGROUND

• Martin-Gomez C, Sestelo-Diaz R, Carrillo-Sanjuan V, Navarro-Santana MJ, Bardon-Romero J, Plaza-Manzano G. Motor control using cranio-cervical flexion exercises versus other treatments for non-specific chronic neck pain: A systematic review and meta-analysis. Musculoskelet Sci Pract. 2019 Jul;42:52-59. doi: 10.1016/j.msksp.2019.04.010. Epub 2019 Apr 20.

  PMID: 31030111 BACKGROUND

• Parikh P, Santaguida P, Macdermid J, Gross A, Eshtiaghi A. Comparison of CPG's for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2019 Feb 14;20(1):81. doi: 10.1186/s12891-019-2441-3.

  PMID: 30764789 BACKGROUND

• Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.

  PMID: 28826164 BACKGROUND

MeSH Terms

Conditions

Neck Pain

Interventions

ETV3 protein, human

Condition Hierarchy (Ancestors)

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

Study Officials

• Saba Rafique, phd

  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: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 20, 2024
• First Posted: December 27, 2024
• Study Start: July 4, 2024
• Primary Completion: January 7, 2025
• Study Completion: January 8, 2025
• Last Updated: December 27, 2024

Record last verified: 2024-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)