Neck Pain
Conditions
Brief summary
The goal of this clinical trial is to compare between applying deep dry needling and muscle energy technique in chronic non-specific neck pain patients. Researchers will compare between deep dry needling group, muscle energy technique group and control group to see if there are change in pain, range of motion or function.
Interventions
PROCEDUREDeep dry needling
Method to decrease pain and improve function in musculoskeletal disorders.
PROCEDUREMuscle energy technique
Method to decrease pain and improve function in musculoskeletal disorders.
PROCEDURENeck stability exercise
Method to decrease pain and improve function in musculoskeletal disorders.
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Investigator)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
1. Age 18 and 40 years. 2. Current neck pain. 3. Presence of at least one or two trigger points . 4. Patients are diagnosed and referred from orthopedist complaining from chronic neck pain for at least 12 weeks. 5. No clinical treatment for neck pain within the past month. 6. lacked a history of neck and shoulder myopathy, neuropathy, myelopathy and neck, torso and shoulder surgery. 7. Patients with body mass index less than 30 kg/m2.
Exclusion criteria
1. Patients outside the target range. 2. Neck pain associated with vertigo. 3. Osteoporosis. 4. Diagnosed psychological disorders. 5. Fibromyalgia syndrome. 6. Vertebral fractures. 7. Spinal stenosis. 8. Tumors. 9. Previous neck surgery. 10. Red flags (night pain, severe muscle spasm, loss of involuntary weight, symptom mismatch). 11. Physiotherapeutic treatment continued in the last 3 months. Any contraindications for deep dry needling such as anticoagulants, infections and bleeding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in pain intensity from baseline to 4 weeks after. | at baseline and after 4 weeks from the baseline. | Visual Analogue scale (VAS) * A value of 0 denotes no pain, whereas a value of 1 to 3 indicates mild pain. * 4 to 6 denotes moderate pain. * 7 to 10 denotes intense pain. |
| Change in function from baseline to 4 weeks after. | at baseline and after 4 weeks from the baseline. | The Neck Disability Index (NDI) The NDI questionnaire (scored out of 50) was used to measure the patient's perceived disability resulting from their neck pain. The score for each section was from 0 to 5, with 0 represented the highest level of function and 5 represented the lowest level of function. Total NDI scores were shown as a percentage. A high score corresponded to a higher degree of disability. * 0-4points (0-8%) no disability. * 5-14points (10 - 28%) mild disability. * 15-24points (30-48%) moderate disability. * 25-34points (50- 64%) severe disability. * 35-50points (70-100%) complete disability. |
| Change in cervical range of motion (ROM) in sagittal, coronal and transverse planes from baseline to 4 weeks after. | at baseline and after 4 weeks from the baseline. | AcuAngle® Inclinometer: (Baseline® AcuAngle Inclinometer; Elmsford, NY, U.S. PAT 2194335, 2-D Functions) |
| Change in pain threshold from baseline to 4 weeks after. | at baseline and after 4 weeks from the baseline. | Pain Pressure Algometer: (BASELINE 22-POUND DOLORIMETER). |
Countries
Egypt
Outcome results
None listed