Clinical trial NCT05074641: Comparison Of Direct Myofascial Release And Bowen's Technique For Non-Specific Neck Pain
Official title: Comparison Of Direct Myofascial Release And Bowen's Technique For Non-Specific Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Pain
Range of motion
Myofascial release
Bowen therapy
Anxiety
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-10-12
Enrollment: 30
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Neck pain is described as pain in the neck region that may or may not radiate to both the upper limbs and that will last for at least one day. Non-specific neck pain is the common cause of neck symptoms that is mainly due to mechanical causes, postural problem, depression, anxiety or occupational activities. Poor posture causes abnormal muscle loading and muscle injury

Detailed description: Neck pain is described as pain in the neck region that may or may not radiate to both the upper limbs and that will last for at least one day.Poor posture causes abnormal muscle loading and muscle injury.It becomes a constant source of neck pain and instability. It reduces range of motion and weakens the shoulder and neck muscles. According to a population based survey the prevalence of lifetime neck pain ranges from 67% to 87%.

Trigger points cause myofascial pain syndrome which is among the leading cause of non-specific neck pain. Myofascial release technique (MRT) is often used to treat non-specific neck pain.Another therapy that focuses on myofascial work is Bowen therapy that follows a dynamic approach to release fascia and muscles. The technique involves very gentle cross fiber movements that are applied on fascia, muscles, tendons and viscera to induce the effect. The technique is applied at specific body regions following specific sequences with regular rest intervals that cause fascial stretching. The technique consists of slightly picking up muscles and then rolling the muscles to direct them toward a specific region of body. The rest periods help the body to integrate and absorb the effects of therapy. The sensory impulses caused by the Bowen therapy interact with nervous system and realign and correct the disturbed mechanisms.

Eligibility criteria: Inclusion Criteria:

* Chronic non-specific neck pain ≥ 3 months without symptoms radiating to the upper limbs
* Presence of a maximum of 1-2 active Myofascial Trigger Points
* Pain of more than 3 on a NPRS
* For the diagnosis of a Trigger Point, compliance with the following criteria:

  * (1) A hypersensitive spot in a palpable taut band,
  * (2) Palpable or visible local twitch on pincer palpation
  * (3) Reproduction of referred pain elicited by palpation of the sensitive spot.

Exclusion Criteria:

* Diagnosed with cervical radiculopathy or myelopathy
* Neck Pain due to trauma, fractures, or whiplash; neoplasia, severe osteoporosis, infectious, or inflammatory processes;
* Patients with pacemakers, congenital anomalies, previous neck surgery
* Patients diagnosed with fibromyalgia syndrome according to the American College of Rheumatology criteria

Primary outcomes:
measure: Numeric pain rating scale
timeFrame: for two weeks
measure: Goniometer for Cervical Range of Motion
timeFrame: for two weeks
measure: Neck Disability Index
timeFrame: for two weeks
measure: Depression Anxiety Stress Scale (DASS)
timeFrame: for two weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Rawalpindi
country: Pakistan
facility: Pakistan Railway General Hospital
state: Punjab
Study officials:
affiliation: Riphah International University
name: Maria Khalid, MSOMPT
role: PRINCIPAL_INVESTIGATOR
References: