Mckenzie and Rhythmical Stabilization Technique on Chronic Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      The study will be randomized clinical trial. Total 40 subjects will be assigned randomly by
      using non probability convenient into two groups. Group A will be given McKenzie protocol,
      with conventional physiotherapy treatment while Group B is Rhythmic stabilization group who
      will receive rhythmic stabilization, with conventional physiotherapy. After confirmation of
      diagnosis with medical history and physical examination numeric pain rating scale (NPRS) and
      Neck disability index (NDI) would be used as an outcome measure tools for pain and disability
      respectively. Measure will be taken by goniometer. After data collection from defined study
      setting,data will be entered and analyzed at Riphah International University, Lahore.
    

Detailed description: 
      Neck pain is a very common ailment that results in a great deal of suffering, impairment, and
      financial expense. The International Association for the Study of Pain is defined as Pain
      perceived as arising from anywhere within the region bounded superiorly by superior nuchal
      line, inferior by an unoriginally transverse line through the tip of first thoracic spinous
      process, and laterally by sagittal plane tangential to the lateral border of neck. According
      to the study's findings, 69% of Balochistan University undergraduate students in Quetta,
      Pakistan, experienced neck pain. Pain in many cervical spine structures has the potential to
      become chronic neck pain. In epidemiologic research, pain is considered chronic if it lasts
      more than three months to six months, or five years.

      McKenzie's treatment regimens were first used in Sweden in 1985 to address mechanical spine
      patient issues. For these kinds of patients, protocols were often employed in the 1990s.
      Repeated neck retraction exercises considerably lessen the pain and restore the cervical
      spine's lordosis curve in individuals with spinal pain.

      Rhythmic Stabilization is characterized by isometric contractions against the resistance
      provided by the therapist, with the subject trying to maintain their position as the
      therapist changes the direction of resistance. Both techniques are effective in pain and
      range of motion in chronic neck pain.

      McKenzie protocol and rhythmic stabilization are both studied individually before but their
      effects are not compared previously.
    

Intervention name(s): Mckenzie protocol; Rhythmic Stabilization technique
Intervention type(s): Other; Other
Intervention description(s): In this group 20 participants will receive McKenzie protocol with conventional physical therapy. Participants will be asked to sit to treat extension deficit. The participant will be in a comfortable sitting position with a proper back support. Head is kept in forward facing without any up and done movement (10 to 15 times). Then, he restored the neutral sitting posture, and at the end of the range of motion (ROM), he' tuck in" chin by pushing the chin with his fingers (10 to 15 times). Subsequently, the participant will be requested to return to the original position while the therapist one hand's forefinger placed alongside the participant's mandible (to stabilize the head at full retraction position), and the heel of the other hand placed on the first or second dorsal vertebra (to provide posterior-anterior force). The exercises then repeated five or six times in a Session. the session will be of 45 mins, 3 session per week.; In this group participants will receive Rhythmic stabilization, with Conventional physiotherapy treatment the flexion , extension exercises performed. During flexion pattern the experimenter stood at the right side of patient and used his tip of fingers at chin. The experimenter then put his left hand at anterior side of head to apply resistance. then extension pattern is resisted and asked patient to match my resistance. The experimenter provided resistance against right rotation and lateral flexion provided during the exercise in order to induce strong muscle contractions. 3 sessions of 45 minutes a week, over a period of 10 weeks.
Other intervention name(s): McKenzie protocol for neck pain; Rhythmic Stabilization technique in neck pain
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: blinding
Masking: Double (Participant, Investigator)
Primary purpose: Treatment
Keywords: Mckenzie protocol; Rhythmic Stabilization technique