Clinical trial NCT06750211: Effect of MET With and Without MCTE in Mechanical Neck Pain
Official title: Effects of Muscle Energy Techniques With and Without Motor Control Therapeutic Exercises on Pain, Range of Motion and Disability in Patients With Mechanical Neck Pain.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Mechanical Neck Pain
Keywords: Neck pain
Range of motion
Muscle energy technique
Motor control therapeutic exercise
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-12-27
Enrollment: 50
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Work had to be done previously on METs and MCTE techniques, but no study has compared both techniques together to make it more comprehensible. The rationale of this will be to find out the combined effect of motor control therapeutic exercises and muscle energy technique for the treatment of pain, range of motion and disability associated with mechanical neck pain. This study will be effective for the clinicians to treat patients of mechanical neck pain.

Detailed description: Therapeutic exercises and manual therapy were shown to be useful in managing pain and lowering disability in patients with non-specific chronic neck pain (NCNP). However, little studies investigated the benefits of muscle energy technique and motor control therapeutics exercise on mechanical neck pain (MNP). The current research fulfill this gap by comparing the short and long term benefits of muscle energy technique with and without motor control therapeutic exercises (MCTE) with the grail of determining best approach for lowering pain and disability in mechanical neck pain patients.

Eligibility criteria: Inclusion Criteria:

* • Subjects were between 20 and 50 years old.

  * Pain in cervical or neck region with no radiating pain in one or both upper limbs.
  * Pain minimum of 3 months.
  * Neck disability index (NDI) score of should be at least 10%.
  * Forward head posture.

Exclusion Criteria:

* • Neck pain associated with vertigo.

  * Irradiated neck pain.
  * Vertebral fracture.
  * Osteoporosis.
  * Previous neck injury.
  * Red flags (night pain, severe muscle loss, loss of involuntary control.
  * Subjects with difficulty in communication or understanding.

Primary outcomes:
measure: Numeric pain scale rating
timeFrame: 4th week
Secondary outcomes:
measure: Neck disability index
timeFrame: 4th week
measure: ROM cervical spine (flexion)
timeFrame: 4th week
measure: ROM cervical spine (Extension)
timeFrame: 4th week
measure: ROM cervical spine (Side flexion)
timeFrame: 4th week
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah college of rehabilitation and allied health sciences
Study officials:
affiliation: Riphah International University
name: Saba Rafique, phd
role: PRINCIPAL_INVESTIGATOR
References:
citation: Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr;93(3):281-290. doi: 10.1007/s00420-019-01480-x. Epub 2019 Oct 25.
citation: Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.
citation: Martin-Gomez C, Sestelo-Diaz R, Carrillo-Sanjuan V, Navarro-Santana MJ, Bardon-Romero J, Plaza-Manzano G. Motor control using cranio-cervical flexion exercises versus other treatments for non-specific chronic neck pain: A systematic review and meta-analysis. Musculoskelet Sci Pract. 2019 Jul;42:52-59. doi: 10.1016/j.msksp.2019.04.010. Epub 2019 Apr 20.
citation: Parikh P, Santaguida P, Macdermid J, Gross A, Eshtiaghi A. Comparison of CPG's for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2019 Feb 14;20(1):81. doi: 10.1186/s12891-019-2441-3.
citation: Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.