Effect of Dynamic Cupping Versus Myofascial Release Therapy in Patients With Mechanical Neck Pain

Study Overview
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Brief Summary
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A randomized controlled trial will be conducted to investigate the effect of dynamic cupping versus the effect of myofascial release therapy on patients with mechanical neck pain.

Detailed Description
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PURPOSE: To investigate the effect of dynamic cupping versus myofascial release therapy on pain level, range of motion, and functional level in mechanical neck pain… BACKGROUND: Neck pain is a multivariate disease and is a leading issue in a modernized society. The economic burden of neck pain is remarkable and includes treatment costs, reduced productivity, and job-related problems (Cohen, 2015). There is no one definitive treatment for neck pain. However, different pharmacological and non-pharmacological treatments have been recommended, including laser therapy, massage, acupuncture, yoga, and aquatic therapy (Corvillo et al., 2020). However, there are no studies focusing on comparing the effect of dynamic cupping and myofascial release in mechanical neck pain. HYPOTHESES: There will be no effect of dynamic cupping versus myofascial release therapy on pain level, range of motion, and functional level in patients with mechanical neck pain… RESEARCH QUESTION: Will there be a difference between dynamic cupping versus myofascial release therapy on pain level, range of motion, and functional level in patients with mechanical neck pain?

Official Title
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Effect of Dynamic Cupping Versus Myofascial Release Therapy in Patients With Mechanical Neck Pain: a Randomized Controlled Trial

Conditions
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Mechanical Neck Pain

Intervention / Treatment
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* Procedure: dynamic cupping
* Procedure: Myofacial release
* Procedure: traditional exercise (neck stretching and strengthening exercses)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Age between 18- 40 years. Body mass index is less than or equal 25 kg/m² Participants have experience mechanical neck pain for at least the previous 3 months. Exclusion Criteria: Mechanical neck pain due to trauma ,disc protrusion ,congenital deformity of the spin ,spinal stenosis and rheumatoid disease.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 40 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
Interventional Model Description: Sixty participants will be assigned at random into 3 equal groups: group A (will receive cupping massage technique in addition to traditional exercises), group B (will receive myofascial release technique in addition to traditional exercises) and group C control group (will receive traditional exercises only) 3 sessions per week for 12 sessions .
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: group A<br>group A (will receive cupping massage technique in addition to traditional exercises) | Procedure: dynamic cupping<br>* Dynamic cupping is a form of massage therapy that involves using Hijamat cups without skin injury while applying suction then performing circular and transverse movements<br>* Other names: traditional exercises (neck stretching and strengthening exercises);Procedure: traditional exercise (neck stretching and strengthening exercses)<br>* Stretching exercises are therapeutic exercises that aim to improve ranges of motion and tissue elasticity. Strengthening exercises are therapeutic exercises that aim to improve muscle power and maintain the gained ranges of motion<br>|
| Experimental: Group B<br>group B (will receive myofascial release technique in addition to traditional exercises) | Procedure: Myofacial release<br>* Myofascial release is a form of manual therapy using hands-on techniques to regain tissue extensibility and elasticity<br>* Other names: traditional exercises (neck stretching and strengthening exercises);Procedure: traditional exercise (neck stretching and strengthening exercses)<br>* Stretching exercises are therapeutic exercises that aim to improve ranges of motion and tissue elasticity. Strengthening exercises are therapeutic exercises that aim to improve muscle power and maintain the gained ranges of motion<br>|
| Active Comparator: Group C<br>group C control group (will receive traditional exercises only) | Procedure: traditional exercise (neck stretching and strengthening exercses)<br>* Stretching exercises are therapeutic exercises that aim to improve ranges of motion and tissue elasticity. Strengthening exercises are therapeutic exercises that aim to improve muscle power and maintain the gained ranges of motion<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cervical range of motion | Cervical flexion and extension ranges of motion are measured by goniometer in numerical degrees | Assessment will be done pre and post treatment sessions (3 sessions/week, total of 12 sessions in 4 weeks) | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Neck Disability index | The neck disability index is a questionnaire has been designed to inform how neck pain has affected different aspects in everyday life. | Assessment will be done pre and post treatment sessions (3 sessions/week, total of 12 sessions in 4 weeks) | 
| Visual analog scale | The visual analog scale is a scale for pain severity assessment with range from 0 (o pain) to 10 (intolerable pain) | Assessment will be done pre and post treatment sessions (3 sessions/week, total of 12 sessions in 4 weeks) |