Instrument-assisted Soft Tissue Mobilization Versus Integrated on Mechanical Neck Pain

Not Applicable

Completed

• Conditions: Non-specific Chronic Mechanical Neck Pain
• Interventions: Other: integrated neuromuscular inhibition technique; Other: instrument assisted soft tissue mobilization; Other: conventional therapy

• Registration Number: NCT04702100
• Lead Sponsor: Cairo University

Brief Summary

the aim of this study is to investigate the efficacy of instrumented assisted soft tissue mobilization versus integrated neuromuscular inhibition technique on mechanical non-specific neck pain

Detailed Description

Mechanical neck pain is a prevalent condition in various populations. Neck pain occurrence is affected by several factors, involving environmental, psychological, and social aspects. Neck pain represents the fourth major disorder responsible for a person's year lived with disability and ranked eleventh as disability-adjusted life years of a person. The neck pain incidence ranges from 10.4 to 23.3% in 1-year time, while the range of prevalence was 0.4 to 86.8%. It has a high prevalence among computer users, office workers, and females, especially females aged 35 to 49 years old. Myofascial trigger point (MTrP) might play an important role in the formation of mechanical neck pain and is known as a hyperirritable spot in skeletal muscle that is accompanied with a hypersensitive palpable nodule in a taut band. IASTM and integrated play an important role in the treatment of mechanical neck pain.this trial has three groups; one will receive IASTM+ conventional, the second will receive integrated + conventional and the third will receive conventional treatment for four week

Study Timeline

• Study Start: 2021-01-01
• Study First Submitted: 2021-01-06
• Study First Submitted QC: 2021-01-07
• Study First Posted: 2021-01-08
• Primary Completion: 2021-03-30
• Study Completion: 2021-03-30
• Status Verified: 2022-06
• Last Update Submitted: 2022-06-22
• Last Update Posted: 2022-06-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 90

Inclusion Criteria

1. diagnosed as non-specific neck pain with upper trapezius active myofascial trigger points less than 3 months of duration and have these criteria: taut band on palpation, hyper sensible tender spot in the taut band, local twitch response referred pain pattern
2. body mass index from 18 to 25 kg/m2
3. their ages from 18-35

Exclusion Criteria

1. if they had trigger point injections within the past 6 months
2. history of neck or upper back surgery, trauma or fracture
3. history of a whiplash injury, skin diseases and lesions, any sensory disturbances, any vascular syndromes, neck and back deformities
4. cervical radiculopathy, and diagnosis of fibromyalgia syndrome, skin diseases

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
integrated neuromuscular inhibition technique	integrated neuromuscular inhibition technique	the patients will receive integrated neuromuscular inhibition technique+ conventional therapy. three times a week for four week
instrument assisted soft tissue mobilization	instrument assisted soft tissue mobilization	the patients will receive instrument-assisted soft tissue mobilization+conventional therapy three times per week for four week
integrated neuromuscular inhibition technique	conventional therapy	the patients will receive integrated neuromuscular inhibition technique+ conventional therapy. three times a week for four week
conventional therapy	conventional therapy	the patients will receive conventional therapy three times a week for four week
instrument assisted soft tissue mobilization	conventional therapy	the patients will receive instrument-assisted soft tissue mobilization+conventional therapy three times per week for four week

Primary Outcome Measures

Name	Time	Method
pain intensity	up to four weeks	The scale that will be used the VAS ;each subject will instructed to put point on line from no pain to tolerable pain

Secondary Outcome Measures

Name	Time	Method
neck disability	up to four weeks	will be measured by Arabic neck disability index
muscle amplitude in the form of normalized root mean square (RMS)	up to four weeks	muscle amplitude will be measured by surface electromyography for upper trapezius
muscle fatigue in the form of median frequency	up to four weeks	muscle fatigue will be measured by surface electromyography for upper trapezius

Trial Locations

Locations (1)

Al Shaymaa Shaaban Abd El Azeim; 🇪🇬 Giza, Egypt