Clinical trial NCT04872335: Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy
Official title: Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy for Chronic Neck Pain Among the Electronic Gadgets Users.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Pain
Neck Pain
Shoulder Syndrome
Keywords: Gong's Mobilization
Gradually graded exercise therapy
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-05-04
Enrollment: 28
Sex: ALL
Minimum age (years): 15
Maximum age (years): 65
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This project was a Randomized clinical trial conducted to find out the Comparative Effects of Gong's Mobilization with Gradually Graded Exercise Therapy for Chronic Neck Pain among the users of Electronic Gadgets so that we can have best treatment option for patients.

Detailed description: The study design was a Randomized Clinical Trial. For the study data was collected from sports and spine professionals. Sample size was calculated with the help of Epitool calculator. The study will be completed in 6 months duration. Neck Disability Index (NDI), Numeric Pain Rating Scale (NPRS) for pain intensity and Universal Goniometers for measuring (ROMs) and Forward head posture (FHP) were assessed before and 4 weeks after the treatment through the craniovertebral angle (CVA) measured from a digitized, lateral-view photograph of each subject. All the subjects were selected using Non Probability convenient sampling technique. The Subjects were randomly assigned to one of the following two groups: Gong's Mobilization (Group 1) or Gradually Graded Exercise Therapy (Group 2).This study was conducted in accordance with the rules of the Declaration of Helsinki. Written Informed consent were taken from all the subjects before participating in this trial. SPSS 25 was used for data entry and analysis.

Eligibility criteria: Inclusion Criteria:• Subjects with an age range of 15 to 65 years having Chronic neck pain for more than 3 months and subjects having a baseline NDI score of atleast 20% (10 points).

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Exclusion Criteria:

* • Cervical stenosis

  * History of traumatic Injury
  * Previous surgery related to cervical spine
  * Hypermobility
  * Cancer
  * Inflammatory rheumatologic diseases
  * Severe psychological disorders
  * Being pregnant and
  * Intervention including exercise or physical therapy in the last 3 months.

Primary outcomes:
measure: Change in Pain Intensity by 'Numeric Pain Rating Scale'
timeFrame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
measure: Change in Neck disability Index 'NDI' score
timeFrame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
Secondary outcomes:
measure: Change in Cervical Range of Motion (ROM) measured by Universal Goniometer.
timeFrame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
measure: Change in Craniovertebral angle CVA measured from a digitized, lateral-view photograph of each subject.
timeFrame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah International University
state: Punjab
city: Lahore
country: Pakistan
facility: Riphah IU
Study officials:
affiliation: Riphah International University
name: Rabiya Noor, PhD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Celenay ST, Kaya DO, Akbayrak T. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Man Ther. 2016 Feb;21:144-50. doi: 10.1016/j.math.2015.07.003. Epub 2015 Jul 15.
citation: Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26.
citation: McLean SM, Klaber Moffett JA, Sharp DM, Gardiner E. A randomised controlled trial comparing graded exercise treatment and usual physiotherapy for patients with non-specific neck pain (the GET UP neck pain trial). Man Ther. 2013 Jun;18(3):199-205. doi: 10.1016/j.math.2012.09.005. Epub 2012 Oct 22.
citation: Kim DH, Kim CJ, Son SM. Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion. Osong Public Health Res Perspect. 2018 Dec;9(6):309-313. doi: 10.24171/j.phrp.2018.9.6.04.