Effects of Sustained Natural Apophyseal Glides With and Without Integrated Neuromuscular Inhibition Technique on Pain, Range of Motion, and Function in Patients With Chronic Mechanical Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Numeric Pain Rating Scale
研究概览
简要总结
The study was conducted to determine the effects of Sustained Natural Apophysial Glide with and without Integrated Neuromuscular Inhibition Technique on pain, range of motion and function in patients with chronic mechanical neck pain
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
入排标准
- 年龄范围
- 18 Years 至 45 Years(Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age ranged from 18 to 45 years and both genders.
- •Patient having neck-pain symptoms for more than 3 months duration.
- •Spurling test, distraction test, upper limb tension test and shoulder abduction test negative upon assessment.
- •The participants should have MTrPs in any one of these following cervical muscles which include levator scapulae, upper trapezius, splenius capitis and sternocleidomastoid muscles which may be active or latent.
- •A score greater than twenty percent on NDI.
- •Jump Sign when pressure is applied.
- •Positive Simons criteria which contains following these 5 characteristics :(1) Pain on palpation (2) pain that is radiating (3) Tightened cord like structure in muscle fiber that is detectable upon palpation(4) Reduced Flexibility of that muscle (5) 'twitching response' on needling.
- •Participants who described pain which is felt between spinous process of 1st thoracic vertebrae and superior nuchal line in posterior or posterolateral part of neck
排除标准
- •Recent fracture, trauma (whiplash injury) and surgery in and around the shoulder and neck
- •Neural disorders due to prolapsed intervertebral disc
- •Carcinoma, Heart diseases, Metabolic disease in bone and joints
- •Patients having history of osteoporosis, prolong steroid and analgesics use
- •Unstable spine and open sores, Localized infection in neck
- •Vertebrobasilar insufficiency.
- •Cervical radiculopathy and myelopathy
研究组 & 干预措施
Sustained Natural Apophyseal Glides
干预措施: Sustained Natural Apophyseal Glides (Other)
Sustained Natural Apophyseal Glides With Integrated Neuromuscular Inhibition Technique
干预措施: Sustained Natural Apophyseal Glides (Other)
Sustained Natural Apophyseal Glides With Integrated Neuromuscular Inhibition Technique
干预措施: Integrated Neuromuscular Inhibition Technique (Other)
Sustained Natural Apophyseal Glides With Integrated Neuromuscular Inhibition Technique
干预措施: Standardized Physiotherapy Treatment (Other)
Sustained Natural Apophyseal Glides
干预措施: Standardized Physiotherapy Treatment (Other)
结局指标
主要结局
Numeric Pain Rating Scale
时间窗: From enrollment to end of treatment at 4th weeks
Numeric Pain Rating Scale is utilized to evaluate pain.This is a scale between 0 and 10 where 0 denotes no pain and 10 denotes the worst pain whereas 1-3 denotes mild pain 4-6 denotes moderate pain and 7-10 denotes severe pain.
次要结局
- Range of Motion Cervical Spine (Rotation) Right Side(From enrollment to the end of treatment at 4th week)
- Range of Motion Cervical Spine (Rotation) Left Side(From enrollment to the end of treatment at 4th week)
- Neck Disability Index(From enrollment to the end of treatment at 4th weeks)
- Range of Motion Cervical Spine (Flexion)(From enrollment to the end of treatment at 4th week.)
- Range of Motion Cervical Spine (Extension)(From enrollment to the end of treatment at 4th week)
- Range of Motion Cervical Spine (Lateral Flexion) Right Side(From enrollment to the end of treatment at 4th week)
- Range of Motion Cervical Spine (Lateral Flexion) Left Side(From enrollment to the end of treatment at 4th week)
