Chronic Mechanical Neck Pain
Conditions
Keywords
chronic mechanical neck pain, cervicothoracic junction mobilization, autogenic muscle energy technique, cervicothoracic junction hypomobility
Brief summary
This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.
Interventions
OTHERcervicothoracic junction mobilization in form of Maitland mobilization
Group A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods.
OTHERautogenic muscle Energy Technique
the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle. The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold
OTHERconventional physical therapy
conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Intervention model description
1. mobilization and conventional physical therapy 2. autogenic muscle Energy Technique and conventional physical therapy 3. conventional physical therapy only
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
* Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months * Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device. * patients with age range from 18 to 45 years old. * patients with body mass index less than 30 kg/m2. *
Exclusion criteria
* previous spine surgery * pregnancy. * Diabetic patients * Hypertensive patients * Patients were excluded if neck pain was associated with cervical radiculopathy * whiplash injuries or severe headaches * cervical spine fracture * vertebro-basilar insufficiency. * red flags suggesting of cancer, infection, vascular insufficiency * Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| change in neck pain | Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure | change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| cervical ROM and cervical prorprioception | Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure | cervical ROM and cervical prorprioception will be measured by cervical ROM device pre treatment and post treatment |
Countries
Egypt
Outcome results
None listed