Neck Pain
Conditions
Keywords
Range of Motion, Proprioception
Brief summary
Mechanical Neck pain is the second most commonly occurring musculoskeletal disorder worldwide, ranking 4th in overall disability. It is referred to as Nonspecific generalized neck pain with mechanical characteristics with a primary location between the supranuchal line and the first thoracic spinous process, includingpatients suffering from mechanical neck pain are reported to have several impairments, including pain, reduced cervical ROM, neck disability, and proprioceptive dysfunction. The treatment indicated involves the use of electrotherapy and thermal modalities. In addition, the use of different manual therapy techniques is advocated; however, the most effective management is still debatable. Evidence suggests that Natural Apophyseal glides have a significant positive effect on mechanical neck pain patients. So the study will identify the additional effect of cranial base release with natural apophyseal glides in alleviating pain and its effects on proprioception.
Interventions
PROCEDUREConventional Physical Therapy
* 15 mins of TENS (frequency 100 Hz, phase duration 50 μs) with moist heat over the area of pain * Isomeric Stretching of neck muscles followed by neck isometrics
PROCEDURENatural Apophyseal glides
-Will be applied in sitting position Therapist right hand would cradle the head such that the little finger would rest on the spinous process of the vertebra that is to be mobilized. The other hands thumb would be used to apply over pressure. Direction of force will be parallel to highly irritable-grossly restricted cervical facet joints. Intervention would involve 3 sets of 20 repetitions in 15minutes, 3 days a week for 2 weeks comprising of total 6 session.
PROCEDURECranial Base Release
Will be performed in lying position. therapist fingers will contact the sub occipital muscles and upward pressure would be given until the tissues and muscles relax. it will be given once daily for 3 days a week and will continue for 2 weeks
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
This is a randomized controlled trial having two groups. One group will receive conventional physical therapy along with Natural apophyseal glides and the second will receive Natural Apophyseal Glides in addition to cranial base release with conventional physical therapy. Both groups will be recruited concurrently.
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Patients diagnosed with mechanical neck pain having reproducible non-specific neck pain with a primary location between the supranuchal line and the first thoracic spinous process * Male and Female * Age 18-40 years * Pain severity on NPRS \>3 * Neck Disability score of 20% or above * Problem not older than 2 months
Exclusion criteria
* Patients with history of * Recent significant trauma (including whiplash) * Radiculopathy * Cervical fracture * Neck surgery * Dizziness, vertigo * Myelopathy, Malignancy * Metabolic disease * Diagnosed Osteoporosis, Rheumatoid arthritis * Long-term corticosteroid and/or painkiller drug use
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change in Pain | 2 weeks | Pain will be measured on Numeric Pain Rating Scale. |
| Change in ROM | 2 weeks | Cervical rotation will be measured through CROM device |
| Change in Cervical Proprioception | 2 weeks | Will be measured from Laser Pointer Method |
Countries
Pakistan
Outcome results
None listed