Clinical trial NCT05315076: Comparison of Thoracic Manipulation and Muscle Energy Technique in Non-specific Mechanical Neck Pain
Official title: Comparison of Thoracic Manipulation and Muscle Energy Technique in Non-specific Mechanical Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Pain
thoracic manipulation
muscle energy technique
disability
range of motion
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2022-04-07
Enrollment: 30
Sex: ALL
Minimum age (years): 20
Maximum age (years): 40
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To compare the effects of Thoracic manipulation and MET in relieving pain.in improving Range of motion and in improving functional disability.

Detailed description: Neck pain is a common musculoskeletal disorder. Mechanical neck pain is also known as non-specific neck pain and is defined as the pain anywhere within the region bounded superiorly by superior nuchal line, inferiorly by an imaginary line through the tip of first thoracic spinous process and laterally by sagittal plane tangential to the lateral borders of the neck in which pain is provoked by sustained neck posture, neck movement, pain on palpation of cervical musculature without pathologies. In most patients, neck pain can be a common cause of disability: it is associated with daily activity limitations, reduction of work productivity and decrease in quality of life. Mechanical neck pain is commonly seen in people involved in occupation like computer processing, clerical job, students and people with sedentary life style awkward occupational posture, heavy lifting and physically demanding work.

thoracic spine manipulation (TSM) is defined as a high-velocity/low amplitude movement or "thrust" directed at any segment of the thoracic spine.

Muscle energy technique (MET) is a method of treatment that involves the voluntary contraction of subject's muscles in a precisely controlled direction, against a counterforce and producing post isometric relaxation through the influence of the Golgi tendon. MET is used to decrease pain, stretch tight structures muscle and fascia, reduce muscle tone, improve local circulation, and mobilize joint restriction

Eligibility criteria: Inclusion Criteria:

* Patients who present with a primary complaint of mechanical neck pain (defined as pain in the region between the superior nuchal line and first thoracic spinous process) with limited Range of motion.
* Patients with non-radiating neck pain of moderate intensity scoring 4-8 on the numeric pain rating scale (NPRS).
* Subacute or chronic cases (4 -12 weeks)
* Have a Neck Disability Index (NDI) score of 20% or greater (10 points or greater on a 0-to-50 scale)
* Dull aching neck pain increased by sustained postures, neck movement

Exclusion Criteria:

* Patients with a positive history of trauma, fracture or surgery of the cervical spine.
* Neck pain with radiation to the arm and upper extremity
* Diagnosed cases of torticollis, and scoliosis
* History of osteoporosis, Any heart disease
* Taken previous physiotherapy session.

Primary outcomes:
measure: Numeric Pain Rating Scale
timeFrame: three weeks
measure: Inclinometer
timeFrame: three weeks
measure: Neck Disability Index
timeFrame: three weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Rawal dental and general hospital,
state: Punjab
Study officials:
affiliation: Riphah International University
name: Maria Khalid, MSOMPT
role: PRINCIPAL_INVESTIGATOR
References: