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Effects of Graston Technique Versus Soft Tissue Release on Neck Pain and Range of Motion.

Comparative Effects of Graston Technique and Manual Soft Tissue Release on Pain and Range of Motion in Patients With Tension Neck Syndrome

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT07602972
Acronym
GT vs MSTR
Enrollment
40
Registered
2026-05-22
Start date
2025-11-02
Completion date
2026-05-05
Last updated
2026-05-22

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Tension Neck Syndrome

Keywords

Graston Technique, Manual Soft Tissue Release, Neck Pain, Cervical Range of Motion, Physiotherapy, Manual Therapy

Brief summary

This study compares two manual therapy techniques for treating tension neck syndrome: Graston Technique and Manual Soft Tissue Release. Tension neck syndrome causes neck pain, stiffness, and reduced range of motion. Participants will be assigned to receive either Graston Technique or Manual Soft Tissue Release for a set number of sessions. Researchers will measure changes in neck pain and range of motion before and after treatment to see which technique is more effective. The purpose is to provide evidence on the best manual therapy approach for improving neck pain and movement in patients with tension neck syndrome.

Detailed description

Tension neck syndrome is a common musculoskeletal condition characterized by neck pain, muscle tightness, and limited cervical range of motion. Manual therapy interventions such as Graston Technique and Manual Soft Tissue Release are widely used in physiotherapy practice, but direct comparative evidence between them is limited. This interventional study aims to compare the effects of Graston Technique versus Manual Soft Tissue Release on pain intensity and cervical range of motion in patients diagnosed with tension neck syndrome. Participants will be randomly assigned to one of two intervention groups. Group 1 will receive Graston Technique, and Group 2 will receive Manual Soft Tissue Release. Both interventions will be delivered by qualified physiotherapists according to a standardized protocol. Outcomes including pain, measured by the Numeric Pain Rating Scale, and cervical range of motion, measured by goniometry, will be assessed at baseline and post-intervention. The study will help determine which technique provides greater improvement in pain reduction and functional mobility, guiding clinical decision-making in the management of tension neck syndrome.

Interventions

Instrument-assisted soft tissue mobilization using stainless steel Graston Technique instruments. The technique is applied to the cervical spine and upper trapezius muscles to reduce pain and improve range of motion in patients with tension neck syndrome. Treatment is delivered by a licensed physiotherapist according to the study protocol.

Manual soft tissue mobilization technique performed by a licensed physiotherapist using hands-on pressure and stretching. The technique targets tightness in the cervical spine and upper trapezius muscles to reduce pain and improve cervical range of motion in patients with tension neck syndrome. Treatment is delivered according to the study protocol.

Sponsors

Green International University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)

Intervention model description

Participants will be randomly assigned to one of two parallel groups. Group 1 receives Graston Technique and Group 2 receives Manual Soft Tissue Release. Each group receives the assigned intervention only.

Eligibility

Sex/Gender
ALL
Age
20 Years to 60 Years
Healthy volunteers
No

Inclusion criteria

1. Patients aged 20-60 years. 2. Patients of both genders. 3. Patients with persistent neck pain. 4. Patients with neck pain absent of spondylosis, disk prolapse, or radiculopathy.

Exclusion criteria

1. The patients who did not want to participate 2. The patients who just had cervical spine surgery. 3. The patients who had recent cervical injury. 4. The patients who comes with tumor of the cervical spine. 5. The patients affected by neck dysfunction. 6. The patients with cervical disc herniation. 7. The patients who had difficulties in language.

Design outcomes

Primary

MeasureTime frameDescription
Change in Neck Pain IntensityBaseline and after 12 weeks of interventionNeck pain intensity measured using the Numeric Pain Rating Scale (NPRS), where 0 = no pain and 10 = worst pain imaginable. Higher scores indicate greater pain.
Change in Cervical Range of MotionBaseline and after 12 weeks of interventionCervical range of motion for flexion, extension, lateral flexion, and rotation measured in degrees using a goniometer. Higher values indicate greater range of motion.

Countries

Pakistan

Contacts

PRINCIPAL_INVESTIGATORWajeeha Nadeem, Masters in Rehabilitation Scie

Green Internation University

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: May 23, 2026