Effect of First and Second Rib Mobilization in Patients With Non-Specific Neck Pain

NCT06796452 | Completed

• 1 other identifier: REC/RCR&AHS/24/0156
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a randomized controlled trial.Non-probability convenient sampling will be used to collect the data. Sample size of 44 subjects with age group between 20-45 years will be taken. Data will be collected from the patients having present complaint of nonspecific Neck pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Neck Disability Index (NDI), Muscle endurance by Muscle endurance test using stopwatch and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random computer generated numbers method. Group A will receive first and second rib mobilization, and Group B will receive conventional treatment. Outcome measures will be measured prior and after 4 weeks. Data will be analyzed by SPSS version 25.

Conditions

Neck Pain; Mobilization

Keywords

Cervical ribs; Endurance

Outcome Measures

Primary Outcomes (2)

• Numerical Pain Rating Scale

  Patient level of pain will be assessed using this scale by interview method. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain".

  4 weeks

• Universal Goniometer

  The range of motion will be measured using universal goniometer

  4 weeks

Secondary Outcomes (2)

• Muscle Endurance Test using Stopwatch

  4 weeks

• Neck Disability Index

  4 weeks

Study Arms (2)

Ribs Mobilization

EXPERIMENTAL

will receive Maitland first and second Rib Mobilization with three sets of 6-8 repetitions in each session and conventional(Baseline) Physical therapy Treatment.

Other: Ribs Mobilization

Conventional Treatment

ACTIVE COMPARATOR

will only receive Baseline Physical therapy treatment

Other: Conventional treatment

Interventions

Ribs Mobilization OTHER

Three sets of 6-8 repetitions in each session and conventional(Baseline) Physical therapy Treatment.

Ribs Mobilization

Conventional treatment OTHER

* Hot pack for 8 min * Maitland Generalized Cervical Mobilizations (6-8 REPS,3 sets) * Isometric Strengthening Exercise

Conventional Treatment

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Neurological tests will be negative
• Both genders having age between 20 to 45 years
• Participants should have primary complaint of neck pain
• Neck Disability Index (NDI) score of 20% or greater (i.e. 10 points or greater on a 0 to 50 scale)
• a pain intensity of ≥4 on the 10-point Numerical Pain Rating Scale (NPRS)

You may not qualify if:

• First and second rib fracture and dislocation
• Past surgical history of cervical and thoracic region
• Thoracic Outlet syndrome and Cervical radiculopathy
• Congenital anomalies of spine and ribs

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Murtaza Rehabilitation center

Lahore, Punjab Province, 54600, Pakistan

Location

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Syed Sramad Hussain Bukhari, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

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: January 22, 2025
• First Posted: January 28, 2025
• Study Start: March 1, 2025
• Primary Completion: July 1, 2025
• Study Completion: July 13, 2025
• Last Updated: July 15, 2025

Record last verified: 2025-07

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)