Efficacy of Instrument Assisted Soft Tissue Mobilization along with Cervical Stabilization Exercises on Pain, Pressure Pain Threshold and Neck Pain Disability Index among Patients with Chronic Neck Pain

Study Design Randomised Controlled Trial

Study Place  Study will be conducted in Physiotherapy OPD and Physiotherapy rehabilitation centers in Noida,

Study Duration 1Year

Sampling  Randomisation will be done by Computerised Generated Process All patients will be screened, will be informed about the study

Informed consent from patients and  Approval from hospital research ethics committee will be taken.

Sample Size

138 Participants ,A total of 138 participants diagnosed with chronic neck pain will be recruited for the study. These individuals will be equally divided into two groups

• Group A Experimental Group Will Recive IASTM and Cervical Stabilization Excercise

• Group B Control Group  will Recive Convational physiotherapy

Each group will stabilization 69 participants.

Inclusion Criteria

1. Age between 20 to 45 years

2. Diagnosed with chronic neck pain in both gender male and female

3. Presence of at least one active myofascial trigger point in cervical muscles

4. Pain score of more then 3 on the Numarical reating Scale

5.Willingness to participate with informed consent

6.Participate will be able to follow exercise instructions and attend all sessions during the treatment period.

Exclusion Criteria:

• History of cervical spine surgery or recent trauma

• Neurological conditions affecting the cervical region

• Systemic disorders

• Use of corticosteroids or muscle relaxants

• Pregnant Women

• Any Malignancy

• Inability to follow treatment protocol or provide consent

Outcome Measures

Primary Outcomes

1.Numeric Rating Scale

2.Pressure Pain Threshold

Secondary Outcomes

1. Neck Disability Index

Methodology

Intervantion 6 weeks, Baseline Intervention from zero day, Post Intervention 3weeks &  6weeks, All interventions will be supervised by trained physiotherapists,

GROUP A Experimental Group 69 Participants Will Recive IASTM and Cervical stabilizer Excercise 3 sessions per a week, Duration of 45 mints per sessions

Both group specifically focusing on the upper trapezius and levator scapulae muscles

1.IASTM 20 mints

2.Ice pack 10 mints

3.Neck stabilization excercise 10 mints

Chin tuck 10sec hold per 10 repitations

Cervical extension10sec hold per 10 repitations

Shoulder shrugs 10sec hold per 10 repitations

Shoulder rolls10sec hold per 10 repitations

scapular Retraction 10sec hold pet 10 repitations

4.. Stretching excercise 5 mints

Group B control group 69 Participations will Recive Conventional physiotherapy treatment,3 sessions per a week,

1.Mayofacial Release 20 mint

2.Ice pack 10 mints

3.Cervical dynamic excercise 10 mints

cervical Extension dynamic isometric 10 sec hold per 10 repitations

Cervical flexion dynamic isometric 10sec hold per 10 repitations

Cervical side flexion right 10sec hold per 10 repitations

Cervical side flexion left 10sec hold per 10repitations

Chest fly’s excercise 10sec hold per 10repitations

4. Stretching excercise 5 mints

Data Collection

Blinded assessor will record pre- and post-treatment data.

Statistical Analysis

SPSS used. Paired and independent t-tests. p < 0.05.

Ethical Approval

Approved by IRB. Consent obtained Confidentiality and voluntary participation.