Bowen and Graston Technique in Patients of Tension Neck Syndrome

Not Applicable

Completed

• Conditions: Neck Syndrome
• Interventions: Other: Bowen Technique; Other: Graston technique

• Registration Number: NCT05751070
• Lead Sponsor: Riphah International University

Brief Summary

To compare the effects of Bowen and Graston technique in Tension neck syndrome for neck pain , ROM and disability in patients with Tension neck syndrome .

Detailed Description

Tension neck syndrome (TNS) is defined as a myofascial pain localized in the neck and shoulder regions. The symptoms include; pain, tenderness, fatigue and stiffness in the neck and shoulder musculature, headaches radiating from the neck, without a history of injury herniated cervical disk, or degenerative processes. It is characterized pain over the neck region and muscle tenderness elicited on palpation and or neck movement. TNS patients with pain have the reduced sensitivity of the neck proprioception. TN may be work- and individual-related and sociopsychological factors may have effect.

Bowen Therapy, is a dynamic fascial and muscle release approach, consisting of gentle cross-fiber movements applied to the fascia, muscles, tendons, muscle insertions, muscle septa, ligaments and viscera.

Grastοn technique is an instrument assisted soft tissue treatment method (ІASTM) derived from the Cyriax1 cross-friction massage. Physіοtherapist strikes stainless steel instrument in a longitudinal dіrectіοn and in circular patterns at the treatment site

Study Timeline

• Study First Submitted: 2023-02-20
• Study First Submitted QC: 2023-02-20
• Study First Posted: 2023-03-02
• Study Start: 2023-03-16
• Status Verified: 2023-12
• Primary Completion: 2023-12-24
• Study Completion: 2023-12-26
• Last Update Submitted: 2023-12-26
• Last Update Posted: 2023-12-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

1. Age group 20-45

2. Both males and females

3. Patients diagnosed with VDTS induced Tension neck syndrome in Upper trapezius, SCM & Levator scapulae muscles.

4. Specific criteria will be applied to make diagnosis of Visual display terminal syndrome:

   syndrome, requiring 3 or more symptoms from the following: Patients from Tension neck syndrome such as neck pain, stiffness & tenderness, fatigue or feeling of tiredness, possible headache, pain during movement etc. within past 7 days Musculoskeletal discomfort (pain, tenderness & stiffness)in shoulder, elbow, lower back & wrist/hand regions Ocular symptoms i.e. eye strain or eye dryness from past 7 days

5. Desktop, laptop and excessive smartphone users for more than 2 hours per day at eye level with extreme neck position and static work posture for at least 5 days per week

Exclusion Criteria

1. Cervical radiculopathy
2. Uncontrolled systemic disease
3. Neck pain due to diabetes, trauma, fracture, infectious or inflammatory process
4. Previous neck or shoulder surgery
5. Patients who are using any medication to reduce the neck pain & discomfort
6. Malignancy

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Bowen Technique	Bowen Technique	BOWEN TECHNIQUE Hot pack TENS Cervical isometrics
Graston technique	Graston technique	GRASTON TECHNIQUE Hot pack TENS Cervical isometrics

Primary Outcome Measures

Name	Time	Method
NPRS FOR NECK PAIN	2 WEEKS	The NPRS is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain.; The scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable")

Secondary Outcome Measures

Name	Time	Method
Range of Motion	2 WEEKS	A goniometer is an instrument that measures the available range of motion at a joint.; Normal range of motion, using the anatomical position as zero degrees.
Neck Disability Index	2 WEEKS	Neck Disability Index (NDI) is a questionnaire designed to assess how neck pain has affected patient's ability to manage in everyday life. It has total 10 sections.

Trial Locations

Locations (1)

WeCare Physiotherapy Clinic; 🇵🇰 Islamabad, Pakistan