Effects of Thrust Versus Non-Thrust Thoracic Manipulation on Mechanical Neck Pain.
- Conditions
- Neck Pain
- Interventions
- Procedure: Thrust ManipulationProcedure: Non-Thrust manipulationProcedure: Standard Treatment
- Registration Number
- NCT05542875
- Lead Sponsor
- Foundation University Islamabad
- Brief Summary
Neck pain ranks as the 4th leading cause of disability, with high prevalence of mechanical neck pain in young population. As high as 30% of %. Individuals suffering from neck often report difficulty in performance of daily life, absence from work and decreased productivity. Several manual therapy treatment approaches are used for mechanical neck pain. The focus of this study is to compare the effectiveness of thrust and non-thrust thoracic manipulation for the treatment of mechanical neck pain in young population
- Detailed Description
craniovertebral angle, cervical range of motion and pain will be noted for each participant.
Recruitment & Eligibility
- Status
- ACTIVE_NOT_RECRUITING
- Sex
- All
- Target Recruitment
- 24
Not provided
Not provided
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Group A (Thrust Manipulation) Thrust Manipulation Participants will be randomly allocated to Group A which will recieve Thrust manipulation treatment in addition to standard treatment protocol. Prone thoracic extension manipulation technique will be applied from T2 - T6 to participants for 4 sessions on alternate days Group A (Thrust Manipulation) Standard Treatment Participants will be randomly allocated to Group A which will recieve Thrust manipulation treatment in addition to standard treatment protocol. Prone thoracic extension manipulation technique will be applied from T2 - T6 to participants for 4 sessions on alternate days Group B (Non-Thrust Manipulation) Standard Treatment Participants will be randomly allocated to group B which, in addition to standard treatment protocol, will recieve Maitland grade III or IV manipulation from T1 to T6. Posterior to anterior glide over spinous process will be maintained for 30 seconds. Participants will recieve 4 sessions on alternate days Group B (Non-Thrust Manipulation) Non-Thrust manipulation Participants will be randomly allocated to group B which, in addition to standard treatment protocol, will recieve Maitland grade III or IV manipulation from T1 to T6. Posterior to anterior glide over spinous process will be maintained for 30 seconds. Participants will recieve 4 sessions on alternate days
- Primary Outcome Measures
Name Time Method Craniovertebral Angle 8 days Craniovertebral Angle wll be measured using Goniometer. CVA \>48 is considered normal, CVA \<48 is considered as Forward head posture. Immovable arm of the goniometer will be placed at the C7 spinous process and the movable arm at the tragus of the ear making an angle between the two lines, normal of which is 49.9 and angle less than that is considered as abnormal. Data will be collected directly from participants using Gomiometer before initiation of treatment and after 4th session.
- Secondary Outcome Measures
Name Time Method Pain intensity 8 days Pain will be assessed using Numeric pain rating scale which comprises of 11 points where point (0) signifies no pain and point (10) signifies worst imaginable pain. Measurement will be taken before the initiation of treatment and after 4Th treatment session. Low score for the NPRS will be considered a positive outcome.
Cervical Range of Motion 8 days Cervical Range of motion will be measured using bubble inclinometer. Measurement will be taken before the initiation of treatment and after 4Th treatment session. Increase in Cervical ROM will be considered a positive outcome.
Trial Locations
- Locations (1)
Foundation University College of Physical Therapy
🇵🇰Rawalpindi, Punjab, Pakistan