Effects of Fascia Therapy Versus Facial Manipulation on Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      This study a randomized clinical trial to determine the effects of fasiatherapy versus facial
      manipulation on pain, range of motion and function in patients with chronic neck pain. A
      sample of 52 patients will be taken and divided into two groups each with 26 patients. Group
      A will receive DBM fasciatherapy along with conventional physical therapy while group B will
      receive fascial manipulation along with the conventional physical therapy protocol. The
      conventional physical therapy protocol will include hot pack, neck isometrics and stretches.
      The session will be around 45 to 60 min on each patient with three session per week on
      alternate days. A total of three-week treatment regime will be given to the patients and
      assessment of patient's pain, range of motion and function with NPRS (numeric pain rating
      scale), goniometry and NDI (neck disability index) will be done at the baseline, after the
      completion of treatment at three weeks and after 6 weeks to observe the long-term effects.
      The data will be analyzed using SPSS.
    

Detailed description: 
      Chronic neck pain is one of the most common musculoskeletal disorder among general
      population. Like muscular spasm of neck that can cause neck pain, fascial adhesions are also
      the common cause of neck pain. Fascia is a form of connective tissue that is made up of
      collagen, surrounds the body parts and also resist tissue tensile load. Fascial injury and
      adhesions are common and can lead to pain, restricted motion and swelling. The treatment of
      the fascial injury is necessary to relieve those symptoms. There are many treatments for the
      chronic neck pain and this study focuses on two new treatment techniques for the fascial
      pain. The first is the Dannis Bois method fasciatherpy which is a manual approach that
      focuses on the structural segmentation of fascia and involves the application of gentle
      pressure while stretching the body's connective tissues. The other treatment technique is the
      fascial manipulation method that involves the treatment which is directed to specific fascial
      adhesions. The current study is novel in a way that there is limited literature about DBM
      fasciatherapy versus fascial manipulation on chronic neck pain. Both methods were employed to
      see if they improve ranges along with accompanying pain and disability.
    

Intervention name(s): DBM fasciatherapy+ conventional physical therapy; fascial manipulation+ conventional physical therapy
Intervention type(s): Other; Other
Intervention description(s): DBM fasciatherapy (3 sessions per day). It soft, deep and non-manipulative form of treatment that involves the application of gentle pressure while stretching the body's connective tissue. A specialized form of touch, somatic sense, and specific body movement protocols are the three steps involved in the fasciatherapy. + hot pack (10 min) + neck isometrics (neck flexion, extension, side bending) + neck stretches (neck flexors, extensors, side benders and rotation). A total of 45 min session three times a week on alternate days for three weeks; Fascial manipulation (3 sessions per day). This technique involves the identification of specific, localized areas of the fascia with limited movements. Once it is identified, then a specific point on the fascia is targeted and through the appropriate manipulation of this precise part of the fascia, movement can be restored. + hot pack (10 min) + neck isometrics (neck flexion, extension, side bending) + neck stretches (neck flexors, extensors, side benders and rotation). A total of 45 min session three times a week on alternate days for three weeks
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Treatment
Keywords: Neck Pain; Fascia Therapy; Facial Manipulation