Upper Trapezius Stretching in Patients With Cervical Spondylosis

Study Overview
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Brief Summary
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This study aims to investigate the effectiveness of upper trapezius stretching exercises on pain intensity, neck range of motion, and disability in patients with cervical spondylosis. Patients with diagnosed cervical spondylosis will be randomly assigned to either a study group performing upper trapezius stretches or a control group. Both groups will receive heat treatment and strengthening exercises. The study group will additionally perform specific upper trapezius stretching exercises. Outcomes measures will be assessed before and after 4 weeks of intervention and will include neck pain intensity, range of motion, and disability using the Neck Disability Index. The study hypothesizes that the study group will demonstrate greater improvements in pain, range of motion, and disability compared to the control group. The study findings could provide data to guide physical therapy management of cervical spondylosis.

Official Title
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Efficacy of Upper Trapezius Stretching on Neck Pain, Range of Motion and Disability in Patients With Cervical Spondylosis: A Randomised Controlled Trial

Conditions
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Cervical Spondylosis

Intervention / Treatment
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* Other: Upper fibers of trapezius stretching
* Other: Standard care


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosis of cervical spondylosis confirmed by orthopedic specialist Presence of neck pain for at least 3 months willingness to participate in the study and comply with the intervention Exclusion Criteria: Recent neck trauma or fractures (within 6 months) Previous neck surgery Concurrent medical conditions that could affect neck pain and range of motion (e.g. rheumatoid arthritis) Concurrent physical therapy or rehabilitation for neck or shoulder Use of corticosteroids within past 3 months Pregnancy or serious circulatory conditions (due to use of heat pack) Known hypersensitivity to heat or cold Cognitive impairment that could interfere with ability to understand and complete self-report questionnaires and comply with interventions

Ages Eligible for Study
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Minimum Age: 40 Years
Maximum Age: 65 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 |
| --- | --- |
| Experimental: Intervention group<br> | Other: Upper fibers of trapezius stretching<br>* The Upper fibers of trapezius stretching intervention involves specific stretching exercises designed to target the upper fibers of the trapezius muscle. The stretching exercises will be performed under the guidance of a licensed physical therapist and will involve extending the neck while gently pulling the head downward to stretch the upper fibers of the trapezius muscle. The intervention is designed to improve neck range of motion, reduce pain intensity, and reduce disability in patients with cervical spondylosis. The duration and frequency of the stretching exercises will be standardized across participants, and adherence will be monitored throughout the study period.<br>Other: Standard care<br>* The Control Group in this study will receive standard care, including heat treatment and strengthening exercises, but will not receive the specific Upper fibers of trapezius stretching intervention that is being tested in the Treatment Group.<br>|
| Active Comparator: Control group<br> | Other: Standard care<br>* The Control Group in this study will receive standard care, including heat treatment and strengthening exercises, but will not receive the specific Upper fibers of trapezius stretching intervention that is being tested in the Treatment Group.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Neck pain intensity | elf-reported pain intensity in the neck region using a numerical rating scale (NRS). | Changes in neck pain intensity at baseline and after 4 weeks of intervention and 3 months | 
| Changes in Neck range of motion | Degree of neck flexion, extension, lateral flexion and rotation using a goniometer. | Changes in neck range of motion at baseline and after 4 weeks of intervention and 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in Neck Disability Index | Self-reported disability due to neck pain based on a 10-item questionnaire covering pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Scored from 0-50, higher scores indicate greater disability. | Changes in Neck Disability Index at baseline and after 4 weeks of intervention and 3 months |