PNF Techniques Versus Stabilization Exercises of Trapezius Muscle PNF Techniques Verus Stabilization Exercises of Trapezius Muscle

Study Overview
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Brief Summary
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This project will compare the effects of Proprioceptive Neuromuscular Facilitation Stretching and Stabilization of Upper Trapezius on Pain, Range of Motion and Functional Disability in Mobile Phone User with mobile phone-induced Neck Pain. The population sample will be 50 divided randomly into two groups by concealed envelop method. Then I will collect data from the social security hospital Physiotherapy department, Lahore. Group A was given stretching exercises and Group B was given stabilization exercises (25 stretchings and 25stabilization). NDI and NPRS were used as an outcome measure to quantify the upper trapezius on pain, range of motion, and functional disability with non-specific neck pain.

Detailed Description
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This project will compare the effects of Proprioceptive Neuromuscular Facilitation Stretching and Stabilization of Upper Trapezius on Pain, Range of Motion and Functional Disability in Mobile Phone User with mobile phone-induced Neck Pain. The population sample will be 50 divided randomly into two groups by concealed envelop method. Then I will collect data from the social security hospital Physiotherapy department, Lahore. Group A was given stretching exercises and Group B was given stabilization exercises (25 stretchings and 25stabilization). NDI and NPRS were used as an outcome measure to quantify the upper trapezius on pain, range of motion, and functional disability with non-specific neck pain. Single blinding of accessor was done at the time of recording of outcome measures pre and post-treatment Baseline was 4th week and 8th week. Eighty female participants and twenty male participants in each group. The duration was 9 months. The 18-30 years age range of both males and females were considered. There was not any statistically significant difference between the two groups as p > 0.05. But within-group changes show that there was a significant change in baseline, 4th week, and 8th-week readings for NDI, NPRS, and ROM with p < 0.05.

Official Title
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Comparative Effects of Proprioceptive Neuromuscular Facilitation Stretching and Stabilization Exercises of Upper Trapezius on Pain, Range of Motion and Functional Disability in Mobile Phone Users With Neck Pain

Conditions
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Neck Pain

Intervention / Treatment
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* Other: PNF stretching
* Other: Stabilization


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria Male and female, age range 18-30years with non-specific neck pain. Permanently mobile users spent more than 8 hours per day using their mobiles Participants are willing to participate in the research. Having constant or frequent neck pain of more than 4weeks duration. Exclusion Criteria: Specific disorders of the cervical spine, such as disc prolapse, spinal stenosis, postoperative conditions in the neck and shoulder areas. History of severe trauma, instability, spasmodic torticollis, migraine (frequency more than twice per month). Peripheral nerve entrapment, fibromyalgia, hypermobility syndrome, shoulder diseases (tendonitis, bursitis, capsulitis). Inflammatory rheumatic diseases, severe psychiatric illness, and other diseases that prevent physical loading, pregnancy, and other on-going therapies.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 30 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Single Group Assignment
Interventional Model Description: parallel assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: PNF Stretching: Group A<br>Routine physical therapy treatment | Other: PNF stretching<br>* Neck flexion pattern The therapist slightly pulled the chin so that it was lifted and causing the neck to extend. Commands such as pull your chin in and look at your left hip were given to the patient. Resistance was given against left rotation, flexion and lateral flexion along with the traction to the patient's chin.Neck extension pattern The therapists lightly pulled the chin so that the neck was flexed; head was rotated and tilted to the left. Commands such as lift your chin and then lift your head to look above were given to the patient. Passive resistance was provided against right rotation, extension and lateral flexion.<br>|
| Experimental: Stabilization Exercises: Group B<br>Routine physical therapy treatment | Other: Stabilization<br>* Stabilization exercises are shoulder rolls, shrugging, chin tuck, scapular retraction, cervical extension. This was done for 15 repetition<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Numerical pain rating scale | Pain will be measured by Numeric Pain rating scale. 000. NPRS is one of the ways to quantify pain and is a subjective measure in which individuals rate their pain on an eleven-point numerical scale. The scale is composed of 0 no pain to 10 worst imaginable pain. It has been shown that a composite scoring system including best, worse, and current level of pain. Pain by definition is an unpleasant sensation and emotional experience that is related to tissue damage | baseline, 4th week, 8th week | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Functional Disability Index | The Neck Disability Index (NDI) is a self-report questionnaire used to determine how neck pain affects a patient's daily life and to assess the self-rated disability of patients with neck pain. The Neck Disability Index (NDI) is a self-report questionnaire used to determine how neck pain 0affects a patient's daily life and to assess the self-rated disability of patients with neck pain.We currently know that the NDI consists of one factor - physical disability - although NDI scores correlate well with SF-36 mental component scores as well Functional disability has been defined as acquired difficulty in performing basic everyday tasks or more complex tasks needed for independent living. The Neck Disability Index (NDI) is a self-report questionnaire used to determine how neck pain affects a patient's daily life and to assess the self-rated disability of patients with neck pain | baseline, 4th week, 8th week |