Effects of Holistic Spinal Fascial Mobilization in Neck Pain
Condition: Neck Pain
MeSH terms: Neck Pain
Study type: Interventional

Summary: 
      This study aims to determine the effects of holistic spinal fascial mobilization on pain,
      range of motion and function in patients with chronic neck pain so that we can have the best
      treatment option for patients with chronic neck pain, the duration will be 10 months,
      purposive sampling will be done, subject following eligibility criteria from bahawal Victoria
      hospital Bahawalpur, were allocated in two groups, a baseline assessment was done, Group A
      participants were given conventional treatment along with fascial mobilization, Group B
      participants were given conventional treatment, Numeric pain rating scale(NPRS), Neck
      Disability Index(NDI) and Goniometry for a range of motion,3 sessions per week were given,
      data was analyzed by using SPSS version 25.
    

Detailed description: 
      Chronic neck pain is one of the most common musculoskeletal disorders among the general
      population. Like a muscular spasm of the neck that can cause neck pain, fascial adhesions are
      also a common cause of neck pain. Fascia is a form of connective tissue that is made up of
      collagen, surrounds the body parts, and also resists tissue tensile load. There is huge
      literature regarding the management of neck pain and yet after decades of research, there are
      gaps in treatment options. In the modern age of health care, it is a common goal of every
      health care to make patients self-sufficient as early as possible. The self-care models have
      tremendous advantages. The current study aims to determine the effects of holistic spinal
      fascial mobilization on pain, range of motion, and function in patients with chronic neck
      pain. All treatment methods were employed to see if they improve the ranges accompanying pain
      and disability.
    

Intervention name(s): Fascial mobilization group; Conventional physical therapy
Intervention type(s): Other; Other
Intervention description(s): Fascial mobilization+ conventional treatment (3 sessions per week). MFR is thought to work directly on restricted fascia; practitioners use knuckles or elbow to slowly sink into the fascia, and the pressure applied to contact the restricted fascia, apply tension, or stretch the fascia. MFR involves application of gentle stretch the pressure applied is a few grams of force, and the hands tend to follow the direction of fascial restriction, hold the stretch, and allow the fascia to release itself + hot pack (10 min) + neck isometrics (neck flexion, extension, side bending) + neck stretches (neck flexors, extensors, side benders and rotation).A total of 40-45 min session three times a week on alternate days for three weeks.; Conventional Therapy (3 sessions per week). In this treatment group conventional treatment for chronic neck pain will be given which includes hot pack, Neck Isometrics and Neck Stretches. Hot pack (10 min) + neck isometrics (neck flexion, extension, side bending) + neck stretches (neck flexors, extensors, side benders and rotators).A total of 40-45 min session three times a week on alternate days for three weeks On eligible participants baseline assessment was done,3 session were given per week.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Fascia; Range of motion; Mobilization