Neck Pain
Conditions
Keywords
Pain, Disability, Mobilization Technique
Brief summary
Neck pain is a multifactorial disease, and is a major problem in modern society. Patients with NCNP usually have alterations in cervical proprioception and PS. They may also develop symptoms such as dizziness or vertigo. A recently published study shows that patients with NCNP suffer greater sensations of stunning and lack of proprioception than patients with benign paroxysmal vertigo.
Detailed description
This study will be a randomized controlled trial and will be conducted on general population in Gujrat. Non-probability convenient sampling will be used to collect the data. Sample size of 48 subjects with age group between 25-45 years will be taken. Data will be collected from the patients having present complaint of Nonspecific Neck pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Neck disability index (NDI) for measuring disability and goniometer for range of motion (ROM). An informed consent will be taken. Subjects will be selected based on inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Both the Groups will receive standard physical therapy, while Group A will receive bruegger's exercises and Group B will receive Upper thoracic mobilization. Outcome measures will be measured at baseline then after 4 weeks(post). Data analysis will be done by SPSS version 21.
Interventions
Kendall exercises which includes: Chin tuck in supine Stretching the cervical extensors Shoulder retraction with theraband Stretching of the pectoralis major muscle Every strengthening exercise will be repeated for 12 repetitions and done for 3 sets and each stretching exercise will be hold for 30 seconds and repeated 3 times. The exercises will be performed three times per week for 4 weeks
Shoulder shrugs Prone arm lift Stretching of levator scapular Stretching pectoralis minor muscle Each strengthening exercise will be repeated for 15 repetitions of 3 sets and each stretching exercises will be hold for 30 seconds and repeated 3 times. The exercises will be performed three days per week for 4 weeks.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male and females between 20-40 years of age, Patients having pain that had persisted for 12 weeks or more, * Patients with generalized neck pain provoked by sustained neck postures, neck movements, pain on palpation of cervical musculature without any pathologies.
Exclusion criteria
* History of whiplash injury, * Cervical surgery, * Fracture of the cervical or scapular and Neurological impairments
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Numerical Pain Rating Scale (NPRS) | upto 4 weeks | The Numeric Pain Rating Scale (NPRS) is perhaps the most frequently applied scale used to quantify pain intensity in the clinical setting. It is an 11-point numeric scale, ranging from 0 indicating no pain to 10 indicating worst pain imaginable |
| Universal Goniometer (UG) | upto 4 weeks | The cervical flexion, extension, side bending, and rotation range of motion will be measured through universal goniometer. The universal goniometer is frequently used to quantify limitations in ROM. Physical therapists use the ROM measurement to quantify limitations at the beginning of intervention and to quantify the effects of intervention. |
| Neck disability index (NDI) | upto 4 weeks | NDI consists of 10 items: pain intensity, personal care, lifting, reading, headache, concentration, work, sleeping, driving, and recreation. Each item consists of six score levels that range from zero to five points. |
Countries
Pakistan