Effects of Post Isometric Relaxation With and Without Stretching Exercises on Neck Pain and Muscle Spasm
Condition: Neck Pain; Muscle Spasm
MeSH terms: Muscle Cramp; Spasm; Hyperkinesis; Neck Pain
Study type: Interventional

Summary: 
      Neck pain is common in the adult general population, disabling and costly Lifetime, which
      constituted a great problem facing the mother during breast feeding period. The studies
      showed that poor knowledge and wrong position for breastfeeding influence their own health as
      well as baby's health. Stretching exercises are one of the manual physical therapy methods
      that can be used in the treatment of mechanical neck pain) Muscle energy techniques (MET)
      were originally developed to treat soft tissue, mobilize joints, stretch tight muscles and
      fascia, reduce pain and to improve circulation and lymphatic drainage. This study aims at
      applying stretching along with MET technique (post isometric relaxation) to see the combined
      effect of these two techniques and comparing that group with another one that is only applied
      stretching and baseline treatment. A randomized clinical trial will be undertaken. Non
      probability convenient sampling will be used. Forty-six patients with neck pain and muscular
      spasm will be randomly allocated. Twenty-three participants will be allocated with lottery
      method in each group. The former group will receive Stretching with MET (post isometric
      relaxation), and the latter group will receive static stretching only. Both groups will also
      receive baseline therapy. Treatment will be given once a day daily for 14 days. A visual
      analogue scale (VAS) will be used to measure the intensity of pain and MMJ questionnaire for
      muscular spasm. Data will be collected before and at the end of treatment at the 14th day. To
      analyze data SPSS version 29 will be used.
    

Detailed description: 
      Neck pain is common in the adult general population, disabling and costly Lifetime, which
      constituted a great problem facing the mother during breast feeding period. The studies
      showed that poor knowledge and wrong position for breastfeeding influence their own health as
      well as baby's health. Stretching exercises are one of the manual physical therapy methods
      that can be used in the treatment of mechanical neck pain) Muscle energy techniques (MET)
      were originally developed to treat soft tissue, mobilize joints, stretch tight muscles and
      fascia, reduce pain and to improve circulation and lymphatic drainage. This study aims at
      applying stretching along with MET technique (post isometric relaxation) to see the combined
      effect of these two techniques and comparing that group with another one that is only applied
      stretching and baseline treatment. A randomized clinical trial will be undertaken. Non
      probability convenient sampling will be used. Forty-six patients with neck pain and muscular
      spasm will be randomly allocated. Twenty-three participants will be allocated with lottery
      method in each group. The former group will receive Stretching with MET (post isometric
      relaxation), and the latter group will receive static stretching only. Both groups will also
      receive baseline therapy. Treatment will be given once a day daily for 14 days. A visual
      analogue scale (VAS) will be used to measure the intensity of pain and MMJ questionnaire for
      muscular spasm. Data will be collected before and at the end of treatment at the 14th day. To
      analyze data SPSS version 29 will be used.
    

Intervention name(s): Traditional Physical Therapy; Post Isometric Relaxation
Intervention type(s): Other; Other
Intervention description(s): A 2-week physical therapy program will be arranged. Each patient will be given 60 min session , 10 min for neck ROMS (10 reps for each ROM) , 10 min neck Isometrics (5 reps on each side) , 30 sec static gentle stretch of levator scapulae (3reps) , 30 sec static gentle stretch of trapezius (3reps), 5 min Soft tissue manipulation , 5 min Shoulder shrugging (10reps) , 10 min for PIR; The exercise will be combined with the baseline treatment 3 sets PIR will be applied per session.The hypertonic muscle is taken to a length just short of pain, or to the point where resistance to movement is first noted. A submaximal (10-20%) contraction of the hypertonic muscle is performed away from the barrier for between 5 and 10 seconds and the therapist applies resistance in the opposite direction. The patient should inhale during this effort. After the isometric contraction, the patient is asked to relax and exhale while doing so. Following this, a gentle stretch is applied to take up the slack till the new barrier. Starting from this new barrier, the procedure is repeated two or three times.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: Single (Participant)
Primary purpose: Treatment
Keywords: Breastfeeding women; Muscle spasm; Neck pain; Post Isometric Relaxation; Stretching