Clinical trial NCT05021497: Effects Of Global Postural Re-Education (GPR) On Patients With Non-Specific Neck Pain.
Official title: Effects Of Global Postural Re-Education (GPR) On Patients With Non-Specific Neck Pain.
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Pain
Range of motion
Kinesiophobia
Forward head posture
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2021-08-25
Enrollment: 42
Sex: ALL
Minimum age (years): 25
Maximum age (years): 45
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: Pain is an "unpleasant sensory and emotional experience (associated with actual or potential tissue damage". Chronic pain is a sensation of hyperalgia to muscles, ligaments and skin on both active and passive movements. Chronic pain has a tendency to prevent people from working and exercising

Detailed description: Neck pain is a very common clinical condition which equals the economic, social cost and level of disability to that of low back pain.Mechanical neck pain that occurs without an identifiable underlying disease and anatomical abnormality is termed as "non-specific" neck pain (NS-NP).Mechanical neck pain commonly arises insidiously and is generally multifactorial in origin.Two most common complains associated with chronic specific and non-specific neck pain are Kinesiophobia (fear of movement) and Postural asymmetry (forward head posture). Medical, surgical and physical therapy treatments are recommended for addressing chronic non-specific neck pain. Within the scope of physical therapy conventional management consist of many different techniques such as therapeutic exercises, electrotherapy, Pilates, yoga and manual therapy. Manual therapy is among the most common used method for treating musculoskeletal conditions including chronic neck pain. Manual therapy consists of stretching techniques, joint mobilization/manipulation, isometric/dynamic strengthening exercises and fascial manipulation or release. Global Postural Re-education (GPR) is an alternative therapeutic strategy based on the concept that postural muscles are organized in the form of 'muscle chains' located on the anterior and posterior aspect of the spine. It involves the global stretching of the anti-gravitational muscles and the kinetic muscle chains.

Eligibility criteria: Inclusion Criteria:

* Chronic non-specific neck pain ≥ 3 months.
* No prior medication and Physical Therapy interventions from last 3 months.
* Pain: moderate level (6 on NPRS).

Exclusion Criteria:

* History of any trauma .
* History of any psychological condition.
* Specific causes of Neck Pain (e.g., systemic, rheumatic, neuromuscular diseases).
* Presence of central and peripheral neurological sign.
* Spinal surgery

Primary outcomes:
measure: Numeric pain rating scale
timeFrame: six weeks
measure: Neck Disability Index
timeFrame: six weeks
measure: Goniometer for Cervical Range of Motion
timeFrame: six weeks
measure: Tampa Scale of Kinesiophobia
timeFrame: six weeks
Secondary outcomes:
measure: Forward Head Posture:
timeFrame: six weeks
measure: Global Perceived Effect Questionnaire:
timeFrame: six week
Other outcomes:
Locations:
city: Islamabad
country: Pakistan
facility: Islamabad Physiotherapy and Rehabilitation Centre (IPRC)
state: Punjab
Study officials:
affiliation: Riphah International University
name: Maria Khalid, MSOMPT
role: PRINCIPAL_INVESTIGATOR
References: