Bowen and Graston Technique in Patients of Tension Neck Syndrome

Study Overview
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Brief Summary
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To compare the effects of Bowen and Graston technique in Tension neck syndrome for neck pain , ROM and disability in patients with Tension neck syndrome .

Detailed Description
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Tension neck syndrome (TNS) is defined as a myofascial pain localized in the neck and shoulder regions. The symptoms include; pain, tenderness, fatigue and stiffness in the neck and shoulder musculature, headaches radiating from the neck, without a history of injury herniated cervical disk, or degenerative processes. It is characterized pain over the neck region and muscle tenderness elicited on palpation and or neck movement. TNS patients with pain have the reduced sensitivity of the neck proprioception. TN may be work- and individual-related and sociopsychological factors may have effect. Bowen Therapy, is a dynamic fascial and muscle release approach, consisting of gentle cross-fiber movements applied to the fascia, muscles, tendons, muscle insertions, muscle septa, ligaments and viscera. Grastοn technique is an instrument assisted soft tissue treatment method (ІASTM) derived from the Cyriax1 cross-friction massage. Physіοtherapist strikes stainless steel instrument in a longitudinal dіrectіοn and in circular patterns at the treatment site

Official Title
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Comparison of Bowen and Graston Technique in Patients of Tension Neck Syndrome

Conditions
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Neck Syndrome

Intervention / Treatment
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* Other: Bowen Technique
* Other: Graston technique


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age group 20-45 Both males and females Patients diagnosed with VDTS induced Tension neck syndrome in Upper trapezius, SCM & Levator scapulae muscles. Specific criteria will be applied to make diagnosis of Visual display terminal syndrome: syndrome, requiring 3 or more symptoms from the following: Patients from Tension neck syndrome such as neck pain, stiffness & tenderness, fatigue or feeling of tiredness, possible headache, pain during movement etc. within past 7 days Musculoskeletal discomfort (pain, tenderness & stiffness)in shoulder, elbow, lower back & wrist/hand regions Ocular symptoms i.e. eye strain or eye dryness from past 7 days Desktop, laptop and excessive smartphone users for more than 2 hours per day at eye level with extreme neck position and static work posture for at least 5 days per week Exclusion Criteria: Cervical radiculopathy Uncontrolled systemic disease Neck pain due to diabetes, trauma, fracture, infectious or inflammatory process Previous neck or shoulder surgery Patients who are using any medication to reduce the neck pain & discomfort Malignancy

Ages Eligible for Study
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Minimum Age: 20 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: Bowen Technique<br>BOWEN TECHNIQUE Hot pack TENS Cervical isometrics | Other: Bowen Technique<br>* They would be receiving conventional treatment as follow: Hot pack for 10 minutes TENS for 10 minutes Cervical isometrics 10 reps with 5 sec hold Additionally The Bowen treatment will be 15 to 20 Bowen moves with 2 mins gap between each set for total of 20 mins.<br>|
| Experimental: Graston technique<br>GRASTON TECHNIQUE Hot pack TENS Cervical isometrics | Other: Graston technique<br>* They would be receiving conventional treatment as follow: Hot pack for 10 minutes TENS for 10 minutes Cervical isometrics 10 reps with 5 sec hold Additionally The Graston treatment will be by using lubricant on the skin then a stainless steel instrument to relax the fascia and muscles. The frequency of the plastering and friction movements will be applied in 60 repetitions per minute for total of 20 mins.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| NPRS FOR NECK PAIN | The NPRS is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The scale ranges from '0' representing one pain extreme (e.g. no pain) to '10' representing the other pain extreme (e.g. pain as bad as you can imagine or worst pain imaginable) | 2 WEEKS | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Range of Motion | A goniometer is an instrument that measures the available range of motion at a joint. Normal range of motion, using the anatomical position as zero degrees. | 2 WEEKS | 
| Neck Disability Index | Neck Disability Index (NDI) is a questionnaire designed to assess how neck pain has affected patient's ability to manage in everyday life. It has total 10 sections. | 2 WEEKS | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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NECK PAIN, NECK DISABILITY, Instrument assisted soft tissue treatment method