Effect of Post Isometric Relaxation Versus Myofascial Release Therapy in the Management of Non Specific Neck Pain
- Conditions
- Neck Pain
- Interventions
- Other: 1.Post Isometric RelaxationOther: 1.Myofascial Release therapy
- Registration Number
- NCT04638062
- Lead Sponsor
- Dow University of Health Sciences
- Brief Summary
Non-specific neck pain (NS-NP) is the most prevailing musculoskeletal disorder (MSK) which has large socio-economic burden worldwide. It is associated with poor posture and neck strain which may lead to pain and restricted mobility. Post isometric relaxation a form of Muscle energy technique, that works on the principles of restoring biomechanics, reducing the movement restriction and pain. Myofascial release therapy will improve muscle immobility and pain by improving blood circulation lymphatic drainage and relaxing the contracted muscles. The aim of this study is to determine the effect of Post-isometric relaxation Versus Myofascial release therapy on pain, range of motion, disability and quality of life in the management of non-specific neck pain.
- Detailed Description
A randomized control trial will be conducted at IPMR (Institute of Physical Medicine and Rehabilitation) on 60 patients with non-specific neck pain with age group between 25-40 years. Initial screening of the patients will be carried out by referring physiatrist. Patients who fulfils inclusion criteria will be randomly allocated to either group by computer generated random sampling after taking written informed consent. All the patients will be evaluated using Visual analogue scale for pain, Neck disability index for functional status and disability, Universal goniometer for cervical range of motion and WHO BREF for quality of life on 1st and 6th sessions. Group 1 will receive Post isometric relaxation for Upper trapezius and levator scapulae along with Cryotherapy and strengthening exercises . Group 2 will receive myofascial release therapy for Upper Trapezius and Levator scapulae muscles along with cryotherapy and strengthening exercises. Data will be analyzed using the SPSS version 21. Baseline reading will be taken for further comparison at the end of treatment. Baseline variables are Pain, ROM, Functional disability and Qol. For within group analysis, paired sample t test will be used. For intergroup independent sample t test will be used. P value less than 0.05 will be set as threshold to detect statistical significance.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- Non-specific neck pain for 2-6 weeks.
- Unilateral neck pain
- Patients' age group between 25 - 40.
- On VAS scale pain intensity >4.
- Cervicogenic headache.
- Tumor of cervical spine.
- Whiplash injury.
- Cervical Fractures
- Normal ROM of cervical spine.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Post Isometric Relaxation 1.Post Isometric Relaxation This study ARM will receive following therapies 1. Post isometric relaxation (Upper Trapezius and Levator Scapulae muscles) 2. Isometric neck strengthening exercises 3. Cryotherapy Myofascial Release Therapy 1.Myofascial Release therapy This study ARM will receive following therapies 1. Myofascial release therapy (Upper Trapezius and Levator Scapulae muscles 2. Isometric neck strengthening exercises 3. Cryotherapy
- Primary Outcome Measures
Name Time Method Neck Disability Index (NDI) baseline and post intervention 2 weeks NDI is a condition specific or patient completed questionnaire comprising of 10 items to evaluate pain, and functional status which is mostly used for reporting neck pain. Each item on scale is scored from 0-5, where all the scores are added to total points and interpreted as percentages i.e. 0 point or 0% means no activity limitation and 50 points or 100% means complete activity limitation.
- Secondary Outcome Measures
Name Time Method Visual Analogue Scale baseline and 2 weeks It is 10cm or 10nm line psychometric response scale to measure pain. Aggregate score ranges from 0-10. Score 0-4 means mild pain, 4-7 means moderate pain and 7- 10 means severe pain
Range of Motion baseline and 2 weeks The universal goniometer (UG) is a measuring tool commonly used in clinics, to measure active cervical range of motion (ACROM), UG will be used to measure cervical ranges in all directions i.e. flexion, extension, lateral flexion and rotation. To measure cervical flexion and extension the UG axis will be placed over the external auditory meatus and will asked the patient will be asked to flex and extend the head, for lateral flexion over centre of sternal notch and for the cervical rotation over the centre of subject's head
WHO Quality of life-BREF (WHOQOL BREF) baseline and 2 weeks The WHOQOL-BREF is an instrument which is used to assess psychometric properties. Consisting of 26 questions related to the following 4 domains: physical, psychological health, social relationship and environment. Each item is rated on 5-point scoring scale where each score is transferred between 0 and 100.
Trial Locations
- Locations (1)
Dow university of health sciences & Institute of physical medicine and rehabilitation
🇵🇰Karachi, Sindh, Pakistan