Effect of MET With and Without MCTE in Mechanical Neck Pain

Not Applicable

Recruiting

• Conditions: Mechanical Neck Pain

• Registration Number: NCT06750211
• Lead Sponsor: Riphah International University

Brief Summary

Work had to be done previously on METs and MCTE techniques, but no study has compared both techniques together to make it more comprehensible. The rationale of this will be to find out the combined effect of motor control therapeutic exercises and muscle energy technique for the treatment of pain, range of motion and disability associated with mechanical neck pain. This study will be effective for the clinicians to treat patients of mechanical neck pain.

Detailed Description

Therapeutic exercises and manual therapy were shown to be useful in managing pain and lowering disability in patients with non-specific chronic neck pain (NCNP). However, little studies investigated the benefits of muscle energy technique and motor control therapeutics exercise on mechanical neck pain (MNP). The current research fulfill this gap by comparing the short and long term benefits of muscle energy technique with and without motor control therapeutic exercises (MCTE) with the grail of determining best approach for lowering pain and disability in mechanical neck pain patients.

Basic Information
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Recruitment & Eligibility
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Study & Design
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Trial Locations

Study Timeline

• Study Start: 2024-07-04
• Status Verified: 2024-12
• Study First Submitted: 2024-12-20
• Study First Submitted QC: 2024-12-20
• Last Update Submitted: 2024-12-20
• Study First Posted: 2024-12-27
• Last Update Posted: 2024-12-27
• Primary Completion: 2025-01-07
• Study Completion: 2025-01-08

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 50

Inclusion Criteria

• • Subjects were between 20 and 50 years old.

  • Pain in cervical or neck region with no radiating pain in one or both upper limbs.
  • Pain minimum of 3 months.
  • Neck disability index (NDI) score of should be at least 10%.
  • Forward head posture.

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Exclusion Criteria

• • Neck pain associated with vertigo.

  • Irradiated neck pain.
  • Vertebral fracture.
  • Osteoporosis.
  • Previous neck injury.
  • Red flags (night pain, severe muscle loss, loss of involuntary control.
  • Subjects with difficulty in communication or understanding.

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Numeric pain scale rating	4th week	Changes from base line Pain intensity was assessed by Numeric Rating Scale (NRS). NRPS has fair to moderate reliability of test-retest in patients with Mechanical Neck Pain. The patient was required to indicate the number that represent his intensity of pain, in which 0 represents "no pain" and 10 represents "the worst pain imaginable". Numeric Pain Rating Scale is widely used subjective pain measure that has good test-retest reliability r = 0.79 - 0.96

Secondary Outcome Measures

Name	Time	Method
Neck disability index	4th week	Changes from base line NDI is self-assessment tool for the specific functional status of patients with neck pain, consisting of ten components pain, personal hygiene, obesity, reading, headache, focus, work, travelling, sleeping, and leisure, each part is scored on an index of 0 to 5, with 0 representing "painless" and 5 representing the "worst pain imaginable". These points earned are added to the total score. The questionnaire was determined in percentage. The NDI disability categories are: 0-8% without disability, 10-28% mild, 30-48% moderate, 50-64% serious, and 70-100% complete. NDI has fair to moderate reliability of test-retest in patients, with inter-class correlation coefficient ranging from 0.50-0.98.
ROM cervical spine (flexion)	4th week	Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure flexion.
ROM cervical spine (Extension)	4th week	Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure extension.
ROM cervical spine (Side flexion)	4th week	Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure side flexion.

Trial Locations

Locations (1)

Riphah college of rehabilitation and allied health sciences; 🇵🇰 Lahore, Pakistan