Effects of Muscle Energy Techniques With and Without Motor Control Therapeutic Exercises on Pain, Range of Motion and Disability in Patients With Mechanical Neck Pain.
Trial Snapshot
- Phase
- Not Applicable
- Status
- Recruiting
- Enrollment
- 50
- Locations
- 1
- Primary Endpoint
- Numeric pain scale rating
Study Overview
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.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 20 Years to 50 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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.
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.
Arms & Interventions
METs
Hot pack along with Neck isometrics and muscle energy technique protocol
Intervention: METs (Other)
MCTE along with METs
MCTE included cranio-cervical flexion, cranio-cervical extension, co-contraction of flexion and extension and synergistic exercise of neck flexor along with hot pack, neck isometrics and muscle energy technique protocol
Intervention: MCTE along with METs (Other)
Outcomes
Primary Outcomes
Numeric pain scale rating
Time Frame: 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 Outcomes
- Neck disability index(4th week)
- ROM cervical spine (flexion)(4th week)
- ROM cervical spine (Extension)(4th week)
- ROM cervical spine (Side flexion)(4th week)