Clinical trial NCT05138081: PNF Techniques Versus Stabilization Exercises of Trapezius Muscle PNF Techniques Verus Stabilization Exercises of Trapezius Muscle
Official title: 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
Study type: INTERVENTIONAL
Overall status: UNKNOWN
Phase: NA
Conditions: Neck Pain
Lead sponsor: University of Lahore
Sponsor class: OTHER
First posted: 2021-11-30
Enrollment: 50
Sex: ALL
Minimum age (years): 18
Maximum age (years): 30
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: SINGLE_GROUP
Intervention model description: parallel assignment
Primary purpose: TREATMENT

Brief summary: 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: 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.

Eligibility criteria: 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.

Primary outcomes:
measure: Numerical pain rating scale
timeFrame: baseline, 4th week, 8th week
Secondary outcomes:
measure: Functional Disability Index
timeFrame: baseline, 4th week, 8th week
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: University of Lahore
state: Punjab
Study officials:
affiliation: University of Lahore
name: Iqra Ashraf, ms-msk
role: PRINCIPAL_INVESTIGATOR
References:
citation: Amoudi M, Ayed A. Effectiveness of stretching exercise program among nurses with neck pain: Palestinian perspective. Sci Prog. 2021 Jul-Sep;104(3):368504211038163. doi: 10.1177/00368504211038163.
citation: Javdaneh N, Molayei F, Kamranifraz N. Effect of adding motor imagery training to neck stabilization exercises on pain, disability and kinesiophobia in patients with chronic neck pain. Complement Ther Clin Pract. 2021 Feb;42:101263. doi: 10.1016/j.ctcp.2020.101263. Epub 2020 Nov 19.
citation: Kuo YL, Lee TH, Tsai YJ. Evaluation of a Cervical Stabilization Exercise Program for Pain, Disability, and Physical Impairments in University Violinists with Nonspecific Neck Pain. Int J Environ Res Public Health. 2020 Jul 28;17(15):5430. doi: 10.3390/ijerph17155430.
citation: Jung SI, Lee NK, Kang KW, Kim K, Lee DY. The effect of smartphone usage time on posture and respiratory function. J Phys Ther Sci. 2016 Jan;28(1):186-9. doi: 10.1589/jpts.28.186. Epub 2016 Jan 30.