Effects of Cervicothoracic Mobility Program on Low Back Pain
Condition: Back Pain
MeSH terms: Back Pain
Study type: Interventional

Summary: 
      The study will be a randomized control trial to determine the effects of the cervicothoracic
      mobility program on pain, range of motion, and function in patients with chronic back pain.
      The purposive sampling technique will be used. A sample of 44 patients will be taken and
      divided into two groups each with 22 patients. Group A will be the experimental group and
      group B will be the control group. The experimental group will receive cervical mobility and
      thoracic mobility along with conventional physical therapy protocols like hot packs and
      exercise therapy protocol. Group B will be the control group and will receive the
      conventional physical therapy protocol like the hot pack and exercise therapy protocol.
      Exercise therapy includes the strengthening and stretching exercises of both neck and back
      muscles.

      The session will be around 40 to 45 min for each patient with three sessions per week on
      alternate days. A total of 3-week treatment program will be given to the patients and an
      assessment of the patient's pain, range of motion, and function with NPRS (numeric pain
      rating scale), goniometer, and ODI (Oswestry disability index) will be done at the baseline
      and after the completion of treatment at three weeks.
    

Detailed description: 
      Chronic back pain is usually age-related, but can also result from a prior injury. The most
      common causes include arthritis of the spine, a sedentary lifestyle, and any injury or
      disc-related problems. Joint mobilization is a physical therapy technique designed to relieve
      pain and muscle spasms, release tension and improve flexibility in a joint. The aim of this
      study is to determine the effects of the cervicothoracic mobility program on pain, range of
      motion, and function in patients with chronic back pain. The study will be a randomized
      control trial to determine the effects of the cervicothoracic mobility program on pain, range
      of motion and function in patients with chronic back pain. The purposive sampling technique
      will be used. A sample of 44 patients will be taken and divided into two groups each with 22
      patients. Group A will be the experimental group and group B will be the control group. The
      experimental group will receive cervical mobility and thoracic mobility along with
      conventional physical therapy protocols like a hot pack and exercise therapy protocol. Group
      B will be the control group and will receive the conventional physical therapy protocol like
      hot pack and exercise therapy protocol. Exercise therapy includes the strengthening and
      stretching exercises of both neck and back muscles. The session will be around of 40 to 45
      min on each patient with three sessions per week on alternate days. A total of 3-week
      treatment program will be given to the patients and an assessment of the patient's pain,
      range of motion and function with NPRS (numeric pain rating scale), goniometer and ODI
      (Oswestry disability index) will be done at the baseline and after the completion of
      treatment at three weeks.
    

Intervention name(s): Cervicothoracic mobility program; Conventional Treatment
Intervention type(s): Other; Other
Intervention description(s): Participants in this group will receive mobilization at a cervical and thoracic level along with conventional physical therapy protocol like Hot packs and exercise therapy.
At the cervical, PA glides (central) and transverse glides will be given for mobilization.
At thoracic, PA glides (central) and transverse glides will be given for mobilization.
Exercise therapy includes stretching and strengthening both cervical and thoracic muscles. At the cervical level, neck isometric (flexion, extension, side bending) will be given to patients to enhance strengthening, and neck
stretching exercises (flexors, extensors, side benders
and rotators) will perform as well. Similarly, at the thoracic
level, strengthening and stretching of thoracic muscle will be performed; It will be the control group. The participants who will be allocated in this group receive the only conventional physical therapy protocol (Hot pack and exercise therapy). Exercise therapy includes stretching and strengthening of neck and upper back muscles. At the cervical level, neck isometric (flexion, extension, side bending) will be given to patients to enhance strengthening, and neck stretching exercises (flexors,
extensors, side benders, and rotators) will perform
as well. Similarly at the thoracic level, strengthening and stretching of thoracic muscle will be performed.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Back pain; Cervical mobilization; Thoracic mobilization