Mechanical Neck Pain
Conditions
Keywords
Neck pain, Range of motion, Muscle energy technique, Motor control therapeutic exercise
Brief summary
Work had to be done previously on METs and MCTE techniques, but no study has compared both techniques together to make it more comprehensible. The rationale of this will be to find out the combined effect of motor control therapeutic exercises and muscle energy technique for the treatment of pain, range of motion and disability associated with mechanical neck pain. This study will be effective for the clinicians to treat patients of mechanical neck pain.
Detailed description
Therapeutic exercises and manual therapy were shown to be useful in managing pain and lowering disability in patients with non-specific chronic neck pain (NCNP). However, little studies investigated the benefits of muscle energy technique and motor control therapeutics exercise on mechanical neck pain (MNP). The current research fulfill this gap by comparing the short and long term benefits of muscle energy technique with and without motor control therapeutic exercises (MCTE) with the grail of determining best approach for lowering pain and disability in mechanical neck pain patients.
Interventions
OTHERMETs
* Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * Muscle energy technique protocol: The individual was in a position of supine. The therapist was at the edge of bed, near the participants head. the therapist positioned the joint at the point of beginning range of motion resistance when performing a given movement. When the therapist felt restriction, positioned the cervical spine in that region and apply the resistive force. Patient was instructed to contract isometrically for five seconds without exceeding the therapist force. thereafter, therapist counterforce gradually reduced and patient was asked to relaxed. Therapist move the joint into new point of barrier and same protocol repeated three times. Patient came thrice per week for a total of 4 weeks.
OTHERMCTE along with METs
▪ Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * After it was treated with motor control therapeutic exercises together with muscle energy technique. Motor control therapeutic exercises included cranio-cervical flexor exercises, cranio-cervical extensor exercises, co contraction of flexor and extensor and synergy exercise for strengthening deep neck flexor. Exercises were performed in three sets with 10 repetitions with an approximate duration of 10 to 20 minutes. They were advised to perform at home once in a day, five times in a week for a duration of 4 weeks. All exercises were performed three times per week for total of 4 weeks.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
20 Years to 50 Years
Healthy volunteers
Yes
Inclusion criteria
* • Subjects were between 20 and 50 years old. * Pain in cervical or neck region with no radiating pain in one or both upper limbs. * Pain minimum of 3 months. * Neck disability index (NDI) score of should be at least 10%. * Forward head posture.
Exclusion criteria
* • Neck pain associated with vertigo. * Irradiated neck pain. * Vertebral fracture. * Osteoporosis. * Previous neck injury. * Red flags (night pain, severe muscle loss, loss of involuntary control. * Subjects with difficulty in communication or understanding.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numeric pain scale rating | 4th week | Changes from base line Pain intensity was assessed by Numeric Rating Scale (NRS). NRPS has fair to moderate reliability of test-retest in patients with Mechanical Neck Pain. The patient was required to indicate the number that represent his intensity of pain, in which 0 represents no pain and 10 represents the worst pain imaginable. Numeric Pain Rating Scale is widely used subjective pain measure that has good test-retest reliability r = 0.79 - 0.96 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck disability index | 4th week | Changes from base line NDI is self-assessment tool for the specific functional status of patients with neck pain, consisting of ten components pain, personal hygiene, obesity, reading, headache, focus, work, travelling, sleeping, and leisure, each part is scored on an index of 0 to 5, with 0 representing painless and 5 representing the worst pain imaginable. These points earned are added to the total score. The questionnaire was determined in percentage. The NDI disability categories are: 0-8% without disability, 10-28% mild, 30-48% moderate, 50-64% serious, and 70-100% complete. NDI has fair to moderate reliability of test-retest in patients, with inter-class correlation coefficient ranging from 0.50-0.98. |
| ROM cervical spine (flexion) | 4th week | Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure flexion. |
| ROM cervical spine (Extension) | 4th week | Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure extension. |
| ROM cervical spine (Side flexion) | 4th week | Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure side flexion. |
Countries
Pakistan
Contacts
Primary ContactImran Amjad, Phd
Outcome results
None listed