COMPARATIVE EFFECT OF UPPER THORACIC SPINE MOBILIZATION WITH MOBILITY EXERCISES AND UPPER CERVICAL SPINE MOBILIZATION WITH STABILIZATION EXERCISES IN MECHANICAL NECK PAI
- Conditions
- Mechanical neck pain can be defined as pain in neck or shoulder area aggravated by prolonged posture and movement of neck and palpation of neck musculature..Code M54. 2 is the diagnosis code used for Cervicalgia (Neck Pain). A disorder characterized by marked discomfort sensation in the neck area.Discomfort or more intense forms of pain that are localized to the cervical region. This term generally refers toM54. 2
- Registration Number
- IRCT20210630051741N1
- Lead Sponsor
- The University of Faisalabad
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 36
•Male and female both genders
•Age ranging from 20-40 years
•Primary complaint of neck pain from past 12 weeks
•Pain rating of more than 2 on NPRS
•Reduced cervical ROM in extension, rotation and side bending
•Neck Disability Index score of 20% or more i.e. 10 points or more on 0 to 50 scale
•Commitment to comply with treatment plans
•Previous history of trauma or surgery to cervical or thoracic spine, whiplash injury
•Presence of neurological deficits
•Presence of bilateral upper extremity symptoms
•Cervical myelopathy or nerve root pathology
•Patients with positive Lhermitte’s sign
•Vascular diseases of head and neck
•Presence of any red flags e.g. fracture, tumor, osteoporosis, rheumatoid arthritis, metabolic diseases, blood pressure at rest more than 140/90 mm Hg, chronic history of corticosteroid use
•Any symptoms of central nervous system (CNS) involvement e.g. hyperreflexia, sensory deficits and muscle atrophy in hands, nystagmus, unsteadiness in gait, loss of visual acuity, abnormal facial sensation, dysgeusia, positive pathological reflexes
•Patients with psychological disorders or those who can’t comprehend given instructions.
Study & Design
- Study Type
- interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The numerical pain rating scale was utilized to measure intensity of pain. Pain Intensity was rated on 0-10 scale at a horizontal bar. NPRS consists of 11 points, which range from 0= no pain, 1-4= mild pain, 4-7= moderate pain 7-10= severe pain. Timepoint: 5 timepoints including Baseline, 1st week post treatment, 2nd week post treatment, 3rd week post treatment, 4th week post treatment. Method of measurement: Numerical Pain Rating Scale will be utilized to assess pain.;Universal Goniometer will be used to measure Cervical ROM. Timepoint: 5 timepoints including Baseline, 1st week post treatment, 2nd week post treatment, 3rd week post treatment, 4th week post treatment. Method of measurement: Universal Goniometer will be used to measure Cervical ROM.
- Secondary Outcome Measures
Name Time Method It is a questionnaire which measures the functional ability of the patient. Each item is scored on a 0 to 5 rating scale, in which zero means no pain and 5 means worst imaginable pain. All the points are summed to give a total score, which can be interpreted as 0 points= no activity limitations,0-4 points = no disability, 5-14 points = mild disability, 15-24 points = moderate disability, 25-34 points = severe disability, 35-50 points = complete disability 50 points =complete activity limitation. Timepoint: 2 timepoints including Baseline and 4th week post treatment. Method of measurement: Neck Disability Index will be used to measure neck disability.