Chronic Non-specific Neck Pain
Conditions
Keywords
Mulligan, Active release technique, neck pain
Brief summary
This study will be conducted to compare between Mulligan mobilization technique and Active release technique in management of non-specific chronic neck pain as regard to neck pain, cervical range of motion and neck function.
Detailed description
Neck pain is the second leading cause of disability worldwide among people with musculoskeletal disorders , and neck pain is responsible for a substantial burden to society . Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach. 36 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises) .Group B: will receive combination of traditional treatment of neck pain and Mulligan mobilization technique.Group C:will receive combination of traditional treatment of neck pain and ART .
Interventions
OTHERConventional treatment
twelve participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of: 1.Source of superficial heat using hot packs for 15 minutes. 2.Postural correction exercises. 3.Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation). 4.Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles). 5.Chin tuck exercises. 6.Scapular stabilization exercises
OTHERmulligan mobilization
Participant will sit comfortably supported in a chair with a neutral head and cervical spine position. Practitioner, A gentle, painless posterior-to-anterior (PA) glide will be applied to the facets (bony projections) on the spinous process or the articular pillar/cervical lamina. This glide will be maintained throughout the movement. Participant Action: While the glide will be held, the participant actively will move their neck in the direction that previously caused pain. If pain-free, the participant can gently push further into the movement restriction
OTHERactive release technique
The patient will sit on a stool with hands supported on the thighs, the therapist will apply deep pressure on both sides of levator scapulae and upper trapezius muscles (over the area of tenderness) and the patient will be instructed to actively move the muscle from a shortened to lengthened position and thereby breaking adhesions.1 set of 3-5 repetitions in one session
Sponsors
Cairo University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
18 Years to 40 Years
Healthy volunteers
No
Inclusion criteria
* Inclusion Criteria The participants will be included in this study if they meet the following criteria: 1. Have referred from orthopedic surgeon diagnosed with NSCNP that has been localized to the cervical and periscapular areas for at least three months 2. Aged from 18-40 years 3. Having a score more than 10 on the Neck disability index (NDI) 4. BMI from 18.5 to 29.9 kg/m2.
Exclusion criteria
The Participants will be excluded from this study if they meet any of the following criteria 1. History of previous neck surgery. 2. Recent or old fractures. 3. Cognitive impairment and inability to understand the scale. 4. Systematic inflammatory disease e.g., rheumatoid arthritis and ankylosing spondylitis, neck pain with radiculopathy or neuropathy. 5. A score of below 10 or above 40 points out of 50 on the NDI.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cervical range of motion | 4 weeks | Cervical ROM will be assessed using CROM device. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Neck function | 4 weeks | Arabic version of neck disability index will be used to assess neck function |
| Pain intensity | 4 weeks | Numerical Rating Scale will be used to assess pain intensity |
Contacts
CONTACTAbdullah Nagy fathy abdelrahman, assistant lecturer
Outcome results
None listed