McKenzie and ELDOA Comparison in Non-Specific Neck Pain Teachers

NCT06936722 | Completed DMC

• 1 other identifier: REC/ Umul Baneen 02003
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study is to compare the effectiveness of McKenzie Protocol and ELDOA on severity of pain, on the range of motion and disability level of teachers with Non-Specific neck pain.

Conditions

Non Specific Neck Pain

Keywords

McKenzie Protocol for Neck Pain; ELDOA for Neck Pain; Pain; disability

Outcome Measures

Primary Outcomes (3)

• Range of motion (Goniometer)

  It is the most common instrument used to measure the range of motion of joints across the whole body. Normal ranges of cervical spine are Flexion approximately 80°, Extension 50°, Lateral bending 45° on either side and Rotation approximately 80°. Its Reliability (ICC = 0.82) and Validity (Correlations 0.97-0.98)

  3 weeks

• Numeric Pain Rating Scale NPRS

  The NPRS is an eleven-point pain impression scale: the patient rates pain from 0 (no aggravation) to 10 (most exceedingly terrible possible pain). Mild 1-3, Moderate 4-6, Severe 7-10. Numeric Pain Rating Scale (NPRS), which was used to survey respondents' impression of the degree of pain that they felt. It is an outcome measure that is a unidimensional measure of pain intensity in adults. It is considered a more objective and Numeric version of Visual Analogue Scale.

  3 weeks

• Neck Disability Index or NDI

  It has sufficient support and usefulness to retain its status as the most used self-report disability measure for neck pain. 0 to 4 = no disability, 5 to 14 = mild, 15 to 24 = moderate, 25 to 34 = severe, above 34 = complete. It has ten sections with each section carrying 5 marks.

  3 weeks

Study Arms (2)

ELDOA + Conventional PT

EXPERIMENTAL

ELDOA, the protocol consists of 4 positions. Each position is maintained for 1 min with constant correction of posture throughout with 2 to 4 min rest within each position. The Exercise was performed in 10 to 25 mins. 4 positions of ELDOA are Decoarctation of C0/C1/C2, Decoarctation of C4/C5, Decoarctation of C5/C6, Decoarctation of C6/C7. All positions are attained in lying. Hot pack 2. isometric strengthening exercises (Neck Flexion, Extension and Lateral Flexion) in 3x5 sets with 5 sec hold.

Other: ELDOA + Conventional PT

McKenzie Protocol + Conventional PT

ACTIVE COMPARATOR

Extension Dysfunction Retraction Retraction with patient overpressure Retraction with therapist overpressure Retraction with extension Lateral Flexion Dysfunction Lateral flexion: Lateral flexion with patient overpressure Lateral flexion therapist overpressure Rotation Dysfunction Rotation Rotation with patient overpressure Hot pack, isometric strengthening exercises (Neck Flexion, Extension and Lateral Flexion) in 3x5 sets with 5 sec hold Rotation with therapist overpressure

Other: McKenzie Protocol + Conventional PT

Interventions

ELDOA + Conventional PT OTHER

ELDOA, the protocol consists of 4 positions. Each position is maintained for 1 min with constant correction of posture throughout with 2 to 4 min rest within each position. The Exercise was performed in 10 to 25 mins. 4 positions of ELDOA are Decoarctation of C0/C1/C2, Decoarctation of C4/C5, Decoarctation of C5/C6, Decoarctation of C6/C7. All positions are attained in lying. Hot pack 2. isometric strengthening exercises (Neck Flexion, Extension and Lateral Flexion) in 3x5 sets with 5 sec hold.

ELDOA + Conventional PT

McKenzie Protocol + Conventional PT OTHER

Extension Dysfunction Retraction Retraction with patient overpressure Retraction with therapist overpressure Retraction with extension Lateral Flexion Dysfunction Lateral flexion: Lateral flexion with patient overpressure Lateral flexion therapist overpressure Rotation Dysfunction Rotation Rotation with patient overpressure Hot pack, isometric strengthening exercises (Neck Flexion, Extension and Lateral Flexion) in 3x5 sets with 5 sec hold Rotation with therapist overpressure

McKenzie Protocol + Conventional PT

Eligibility Criteria

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

You may qualify if:

• Normal BMI
• Neck Pain on NPRS (Mild 1-3, Moderate 4-6, Severe 7-10)
• Working Hour: At least 30 hrs. per week.
• Teaching Experience: More than 12 months

You may not qualify if:

• No Neurological Condition (+ve Spurling Test, +ve Compression test, +ve Distraction Test)
• No Other Musculoskeletal Condition. (Osteoporosis, Arthritis, TrPs)
• No Spinal Deformity. (Scoliosis, Forward Head)
• No Surgery (Spinal Surgery, Fracture)
• No Cervical Tumor
• No complaints about Dizziness, Migraine, Cervicogenic headache (+ve Flexion Rotation test)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Yusra Medical and Dental College

Islamabad, Punjab Province, 46000, Pakistan

Location

MeSH Terms

Conditions

Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Maria khalid, MSOMPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: April 14, 2025
• First Posted: April 20, 2025
• Study Start: April 24, 2025
• Primary Completion: June 2, 2025
• Study Completion: June 10, 2025
• Last Updated: August 19, 2025

Record last verified: 2025-08

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)