Neck Pain Musculoskeletal
Conditions
Keywords
Mechanical Neck Pain, Muscle Energy Technique, Instrument-Assisted Soft Tissue Mobilization, ERGON Therapy, Manual Therapy
Brief summary
This randomized clinical trial will compare the effectiveness of ERGON Therapy combined with Muscle Energy Technique (MET) versus ERGON Therapy alone in patients with mechanical neck pain. Participants will be randomly assigned to one of two intervention groups. Both groups will receive conventional physiotherapy consisting of Transcutaneous Electrical Nerve Stimulation (TENS), hot pack application, and cervical stretching exercises. The study will evaluate changes in pain intensity, cervical range of motion, and functional disability. The findings are expected to provide evidence regarding the added benefit of MET when combined with ERGON Therapy in the management of mechanical neck pain.
Detailed description
Mechanical neck pain is a common musculoskeletal condition that can adversely affect daily activities, work productivity, and quality of life. Various manual therapy approaches have been used to manage neck pain, including Instrument-Assisted Soft Tissue Mobilization (IASTM) techniques such as ERGON Therapy and Muscle Energy Technique (MET). However, limited evidence exists regarding the comparative effectiveness of ERGON Therapy with and without MET in individuals with mechanical neck pain. This randomized clinical trial will recruit 42 participants diagnosed with mechanical neck pain. Eligible participants will be randomly allocated into two groups. Group A will receive ERGON Therapy in combination with Muscle Energy Technique, while Group B will receive ERGON Therapy alone. In addition, both groups will receive a standardized conventional physiotherapy program consisting of TENS, hot pack application, and cervical stretching exercises. The intervention period will be conducted according to a predefined treatment protocol. Outcome measures will include pain intensity assessed using the Numeric Pain Rating Scale (NPRS), cervical range of motion measured using appropriate clinical tools, and functional disability assessed using the Neck Disability Index (NDI). Assessments will be performed at baseline and after completion of the intervention period. The primary objective of the study will be to determine whether the addition of Muscle Energy Technique to ERGON Therapy provides superior improvements in pain reduction, cervical mobility, and functional disability compared with ERGON Therapy alone. The results of this trial are expected to contribute to evidence-based rehabilitation strategies for the management of mechanical neck pain.
Interventions
OTHERInstrument-Assisted Soft Tissue Mobilization (ERGON Technique) Muscle Energy Technique Conventional Physiotherapy
Participants in the experimental group will receive Instrument-Assisted Soft Tissue Mobilization using ERGON technique combined with Muscle Energy Technique. ERGON therapy will be applied to cervical soft tissues to improve tissue mobility and reduce pain. Muscle Energy Technique will be used to facilitate joint mobility and reduce muscular tightness. In addition, participants will receive conventional physiotherapy including Transcutaneous Electrical Nerve Stimulation (TENS), hot pack application, and cervical stretching exercises.
OTHERInstrument-Assisted Soft Tissue Mobilization (ERGON Technique) Conventional Physiotherapy
Participants in the comparator group will receive Instrument-Assisted Soft Tissue Mobilization using ERGON technique alone. ERGON therapy will be applied to cervical soft tissues to improve tissue mobility and reduce pain. In addition, participants will receive the same conventional physiotherapy protocol including Transcutaneous Electrical Nerve Stimulation (TENS), hot pack application, and cervical stretching exercises.
Sponsors
University of Management and Technology Sialkot Pakistan
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Intervention model description
Participants will be randomly assigned to two parallel groups. One group will receive ERGON Therapy combined with Muscle Energy Technique, while the other group will receive ERGON Therapy alone. Both groups will also receive conventional physiotherapy including TENS, hot pack application, and cervical stretching exercises.
Eligibility
Sex/Gender
ALL
Age
18 Years to 45 Years
Healthy volunteers
No
Inclusion criteria
Individuals clinically diagnosed with mechanical neck pain Duration of neck pain of at least 2 weeks Willingness to participate and provide written informed consent
Exclusion criteria
History of cervical spine surgery within the past 12 months History of trauma or infection in the cervical region Presence of neurological deficits or cervical radiculopathy Presence of systemic disorders affecting musculoskeletal function Any other musculoskeletal deformity or significant disability affecting the neck region \-
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain Intensity (NPRS) | Baseline and after completion of 6 treatment sessions (2 weeks) | Pain intensity will be assessed using the Numeric Pain Rating Scale (0-10), where 0 indicates no pain and 10 indicates worst possible pain. |
| Cervical Range of Motion (CROM) | Baseline and after completion of 6 treatment sessions over 2 weeks | Cervical range of motion refers to the measurement of movement of the cervical spine in different planes, including flexion, extension, lateral flexion, and rotation. It reflects neck mobility and functional joint movement and will be assessed using standard clinical methods at baseline and post-intervention. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Functional Disability (Neck Disability Index - NDI) | Baseline and after completion of 6 treatment sessions over 2 weeks | Functional disability related to mechanical neck pain will be assessed using the Neck Disability Index (NDI). The questionnaire measures the impact of neck pain on activities of daily living, including personal care, lifting, reading, work, and concentration. Higher scores indicate greater disability. |
Countries
Pakistan
Contacts
STUDY_CHAIRDANYAL AHMAD
University of Management and Technology Sialkot Pakistan
Outcome results
None listed