Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy
Condition: Chronic Pain; Neck Pain; Shoulder Syndrome
MeSH terms: Chronic Pain; Neck Pain
Study type: Interventional

Summary: 
      This project was a Randomized clinical trial conducted to find out the Comparative Effects of
      Gong's Mobilization with Gradually Graded Exercise Therapy for Chronic Neck Pain among the
      users of Electronic Gadgets so that we can have best treatment option for patients.
    

Detailed description: 
      The study design was a Randomized Clinical Trial. For the study data was collected from
      sports and spine professionals. Sample size was calculated with the help of Epitool
      calculator. The study will be completed in 6 months duration. Neck Disability Index (NDI),
      Numeric Pain Rating Scale (NPRS) for pain intensity and Universal Goniometers for measuring
      (ROMs) and Forward head posture (FHP) were assessed before and 4 weeks after the treatment
      through the craniovertebral angle (CVA) measured from a digitized, lateral-view photograph of
      each subject. All the subjects were selected using Non Probability convenient sampling
      technique. The Subjects were randomly assigned to one of the following two groups: Gong's
      Mobilization (Group 1) or Gradually Graded Exercise Therapy (Group 2).This study was
      conducted in accordance with the rules of the Declaration of Helsinki. Written Informed
      consent were taken from all the subjects before participating in this trial. SPSS 25 was used
      for data entry and analysis.
    

Intervention name(s): Gong's Mobilization; Gradually Graded Exercise Therapy
Intervention type(s): Other; Other
Intervention description(s): Group A received Gong's mobilization and common treatnent (TENs,Hot pack and cervical stretches). Gong's mobilization which is concurrent application of Apophyseal joint gliding and end range passive physiological movements while the subject's cervical postures are passively Neutral in order to induce Normal Cervical Extension. The Subjects in Group A were treated three times in a week for 4 weeks.; The Subjects in Group B were received Exercise Therapy and common treatment (TENs, Hot pack and cervical stretches) three times in a week continue for 4 weeks . Each exercise session will take 30 min. It will be consisted of 5 min warm-up exercises, 20 min stabilization exercises, 5 min cool-down, and stretching exercises including neck and shoulder girdle muscles.
The aim of Exercise program was to create a neutral spine and activate deep muscles of the cervical spine. The patients were educated to maintain neutral spine during the exercises and throughout the day as much as possible.
Scapulothoracic stabilization exercises were included_ specific exercises for the muscles affecting scapular orientation related to neck pain. The subjects were educated to maintain the positions and contractions during the exercises including scapular retraction, eccentric scapular retraction, and combined scapular retraction with shoulder lateral rotation, forward punch, and dynamic hug.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Gong's Mobilization; Gradually graded exercise therapy