Chronic Neck Pain
Conditions
Keywords
cervical pain, chronic neck pain,, Muscle energy technique,, Facet join mobilization,, cervical lordosis,, cervical curve
Brief summary
The purpose of the study is to compare the muscle energy technique, facet joint mobilization and conventional physical therapy in individuals with chronic neck pain on cervical lordosis, cervical range of motions, numeric pain rating scale and NDI. A randomized control trial was conducted at physiotherapy department of HIT hospital, Taxila Cantt. The sample size was 105 calculated through open-epi tool. The participants were divided into three interventional groups, experimental group (1), experimental group (2), and control group (3) each having 35 participants. The study duration was six months. Sampling technique applied was Purposive sampling for recruitment and group randomization using sealed envelope method. Only 35 to 50 years participants with 4-8 pain intensity on NPRS in cervical region were included in the study. Goniometer, Posterior tangent method on lateral radiographs for cervical curve and Self structured Questionnaire. Data was collected at baseline then 2 and 4 weeks after the application of interventions. Data analyzed through SPSS version 21.
Interventions
OTHERMuscle energy Technique
Muscle Energy technique was used to increase the strength of weak muscles,relaxation of tightened muscles in result mobilizes the restricted joint segments.MET's group received 3-5 repetition of post isometric relaxation (PIR). Treatment through Facet Joint Mobilization based on 3 sets of 15 repetitions of unilateral poster-anterior glide (UPA) using initially grade I & II mobilizations followed by grade III of mitland glides on selected tender segments and 5 repetitions of extension sustained natural apophyseal glides (SNAGs) on hypo mobile segments. Conventional therapy comprising of stretching and isometric strengthening exercises in combination with TENS and heat therapy.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
35 Years to 50 Years
Healthy volunteers
No
Inclusion criteria
* Chronic patients (more than 12 weeks) * Male and female patients * Patients having recurrence of neck pain at least once in the last month. * Patients from the age group of 35-50 years. * Patients having mechanical neck pain ranging from 4-8 on Numeric Pain Rating Scale (NPRS). * Cervical straightening on X-rays. * Limited &painful cervical Rang of motion (ROMs)
Exclusion criteria
* Any recent history of trauma, active inflammation, Tumor, vertebra-basilar insufficiency and cervical myelopathy & radiculopathy. * No history of serious underlying pathology, nerve root compromise, structural changes and deformities, genetic spinal disorders or previous spinal surgery
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cervical Lordosis Measurement (posterior tangent method) | 4 week | measure cervical lordosis by drawing tangent line along posterior border of C2 to C7 vertebra and measuring posterior tangent angle on lateral radio graph of cervical spine.At baseline and 4 weeks after baseline |
| Numeric pain rating scale | 4 week | Will utilize for measurement of neck pain intensity.Minimum pain score is labeled as zero and maximum pain score is labeled as 10.At baseline, 2 and 4 weeks after baseline. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck disability index: | 4 week | Will utilize for measurement of functional disability level among patients with chronic neck pain.At baseline, 2 and 4 weeks after baseline |
| Cervical goniometry: | 4 week | Will utilize to measure range of motions for all movement at cervical spine with the help of valid & reliable tool, goniometer.At baseline, 2 and 4 weeks after baseline |
Countries
Pakistan
Outcome results
None listed