Chronic Mechanical Neck Pain
Conditions
Keywords
neck pain, chronic neck pain, mechanical neck pain
Brief summary
This study is a randomised controlled trial and the purpose of this study is to determine the effects of thoracic thrust with cervical non-thrust mobilization in mechanical neck pain on components such as pain, thoracic range of motion, kyphotic angle, craniovertebral angle and proprioception.
Detailed description
Particiapants will be divided into two groups through coin toss method, one group will recieve thoracic manipulation as addition to cervical mobilization and therapeutic exercises.
Interventions
PROCEDUREGroup A:Thoracic thrust
Group A will receive manipulation protocol as addition to standard treatment. Manipulation protocol: High velocity, low amplitude as described by Maitland on thoracic hypomobile segments (T1-6) Therapeutic exercise protocol: Cervical and thoracic mobility exercises.
PROCEDUREGroup B: Cervical non thrust mobilization
Intervention: Group B will receive mobilization, post-facilitation stretch and exercise protocol. Mobilization protocol: Grade III or IV mobilization as described by Maitland on cervical Hypomobile segments (C2-7) Therapeutic exercise protocol: Cervical and thoracic mobility exercises.
Sponsors
Foundation University Islamabad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participant will be blinded to the allocation of treatement groups
Eligibility
Sex/Gender
ALL
Age
20 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Both male and female * Age: 20-40 years * Numeric pain rating scale (3\<) (13) * Neck pain for more than 3 months * Cervical hypomobility (C2-C7) * Thoracic hypomobility (T1-T6) * CranioVertebral Angle \< 48 Degrees
Exclusion criteria
* Serious pathology (e.g. neoplasm, fracture) * History of whiplash injury within the past 6 months * Cervical spinal stenosis * Radiculopathy * Neurological deficit * Structural deformities * Vertebrobasilar artery insufficiency * Pregnancy * Prior surgery of cervical or thoracic spine
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity | baseline, 1st and 2nd week | Pain will be assessed by Numeric pain scale rating (NPRS).It is numeric 11-point scale, with 0 meaning no pain and 10 being worst pain. |
| Thoracic kyphosis | baseline, 1st week and 2nd week | Thoracic Kyphosis is measured by Inclinometer. It is measured via summation of angles of two inclinometers, placed on anatomical landmarks (T1-3-12). |
| Thoracic Range of Motion | baseline, 1st week, 2nd week | Thoracic ROM (rotation) is measured by Inclinometer. Measured by placing the inclinometer at T1 segment with participant in a lumbar locked position. |
| Craniovertebral angle | baseline,1st week, 2nd week | Craniovertebral angle (CVA)is measured by Goniometer. it is Angle measured between tragus of ear and C7 spinous process. |
| Proprioception | baseline, 1st and 2nd week | Proprioception is measured by Joint position sense/ error test. Participant wears a laser mounted headband and performs active neck movements with eyes closed on a target. |
Countries
Pakistan
Contacts
Primary ContactAyesha Aslam
Backup ContactQuratulain Saeed, MS-OMPT
Outcome results
None listed