Comparative Effects of Oscillatory Mobilizations and Mckenzie Retraction Exercises on Mechanical Neck Pain

Study Overview
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Brief Summary
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The neck pain is a public health problem and a common source of disability in the general population. Its exact pathology remains obscure, but the source of symptoms has been asserted to involve mechanical dysfunction of the cervical spine, particularly the zygoapophysial joints. Among the diversity of neck pain, mechanical neck pain is the most common type, with the pain primarily confined in the area on the posterior aspect of the neck that can be exacerbated by neck movements or by sustained neck postures. The usual clinical presentation of this mechanical neck pain is a reduction in mobility of either a single segment or multiple segments of the cervical spine in association with pain. This study will be a randomized control trial and will be conducted at Arif Memorial Teaching Hospital Lahore. The study will be completed within the time duration of six months. Convenience sampling technique will be used to collect data. A sample size of 30 patients(15 in each group) which will fulfill inclusion criteria will be taken in the study. Participants will be divided into two groups. Both Groups will be given conventional physical therapy and postural correction education. Group A will be provide oscillatory mobilizations. The following grades will be use: grades I and II for pain and grades III and IV to increase joint range of motion. This oscillatory mobilization will perform at a rate of 2-3 oscillations per second. and a frequency of 3-4 mobilization of the joint lasting approximately 30 sec each. The rest time between each mobilization will be one minute for 5 days a week for four weeks , while group B will be treat withmckenzie retraction exercises in which foursets of 10-15 repetitions with 1-2 minutes rest between each set for 5 days a week during four weeks. Data will collect by using tools like numeric pain rating scale to measure pain, universal goniometer will be use for range of motion and disability level will be record pre and post treatment by using neck disability index. Then data will analyzed by using SPSS.

Official Title
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Comparative Effects of Oscillatory Mobilizations and Mckenzie Retraction Exercises on Pain, Range of Motion and Disability in Patients With Mechanical Neck Pain

Conditions
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Mechanical Neck Pain

Intervention / Treatment
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* Other: Oscillatory Mobilization
* Other: Mckenzie Retraction Exercises


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patient with primary complaint of non specific neck pain. Pain of sufficient intensity (greater than 2 out of 10 on numerical pain scale) · Pain and stiffness for at least 2 weeks Pain aggravated by neck movement · Exclusion Criteria: History of orthopedic surgery to the neck and shoulder and Temporo-mandibular Joint neurological symptoms due to cervical dysfunction History of Carcinoma Progressive neurological deficits

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 45 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: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Oscillatory Mobilizations<br> | Other: Oscillatory Mobilization<br>* conventional physical therapy treatment, postural correction and maitland's oscillatory mobilizitions.<br>|
| Experimental: Mckenzie Retraction Exercises<br> | Other: Mckenzie Retraction Exercises<br>* conventional physical therapy treatment, postural correction and Mckenzie retraction exercises.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neck pain | Numeric pain rating scale is valid and reliable tool to measure pain | 5 week | 
| Range of motion | Goniometre is used to measure ROM. It measurement has been found to have greater intra-tester reliability in both clinical and research settings | 5 week | 
| Disability | The Neck Disability Index is the most widely used instrument for assessing self-rated disability in patients with neck pain | 5 week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Cervical spine, exercise therapy, pain, Manual therapy