Additional Effect of Cranial Base Release on Cervical Range and Proprioception in Patients With Mechanical Neck Pain

Not Applicable

Active, not recruiting

• Conditions: Neck Pain
• Interventions: Procedure: Conventional Physical Therapy; Procedure: Natural Apophyseal glides; Procedure: Cranial Base Release

• Registration Number: NCT05777408
• Lead Sponsor: Foundation University Islamabad

Brief Summary

Mechanical Neck pain is the second most commonly occurring musculoskeletal disorder worldwide, ranking 4th in overall disability. It is referred to as Nonspecific generalized neck pain with mechanical characteristics with a primary location between the supranuchal line and the first thoracic spinous process, includingpatients suffering from mechanical neck pain are reported to have several impairments, including pain, reduced cervical ROM, neck disability, and proprioceptive dysfunction. The treatment indicated involves the use of electrotherapy and thermal modalities. In addition, the use of different manual therapy techniques is advocated; however, the most effective management is still debatable. Evidence suggests that Natural Apophyseal glides have a significant positive effect on mechanical neck pain patients. So the study will identify the additional effect of cranial base release with natural apophyseal glides in alleviating pain and its effects on proprioception.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-01-01
• Status Verified: 2023-03
• Study First Submitted: 2023-03-09
• Study First Submitted QC: 2023-03-20
• Last Update Submitted: 2023-03-20
• Study First Posted: 2023-03-21
• Last Update Posted: 2023-03-21
• Primary Completion: 2023-06-01
• Study Completion: 2023-07-01

Recruitment & Eligibility

• Status: ACTIVE_NOT_RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Patients diagnosed with mechanical neck pain having reproducible non-specific neck pain with a primary location between the supranuchal line and the first thoracic spinous process
• Male and Female
• Age 18-40 years
• Pain severity on NPRS >3
• Neck Disability score of 20% or above
• Problem not older than 2 months

Exclusion Criteria

• Patients with history of
• Recent significant trauma (including whiplash)
• Radiculopathy
• Cervical fracture
• Neck surgery
• Dizziness, vertigo
• Myelopathy, Malignancy
• Metabolic disease
• Diagnosed Osteoporosis, Rheumatoid arthritis
• Long-term corticosteroid and/or painkiller drug use

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group	Cranial Base Release	* Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Natural apophyseal glides and cranial base release. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Cranial base release would be given for around 1-4minutes until the tissues relax and would be given once daily
Control Group	Conventional Physical Therapy	Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Natural apophyseal glides 3 sets of 10 repetitions. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3 depending on the patients pain status and compliance.
Control Group	Natural Apophyseal glides	Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Natural apophyseal glides 3 sets of 10 repetitions. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3 depending on the patients pain status and compliance.
Experimental Group	Conventional Physical Therapy	* Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Natural apophyseal glides and cranial base release. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Cranial base release would be given for around 1-4minutes until the tissues relax and would be given once daily
Experimental Group	Natural Apophyseal glides	* Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Natural apophyseal glides and cranial base release. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Cranial base release would be given for around 1-4minutes until the tissues relax and would be given once daily

Primary Outcome Measures

Name	Time	Method
Change in Pain	2 weeks	Pain will be measured on Numeric Pain Rating Scale.
Change in ROM	2 weeks	Cervical rotation will be measured through CROM device
Change in Cervical Proprioception	2 weeks	Will be measured from Laser Pointer Method

Trial Locations

Locations (1)

Foundation University College of Physical Therapy; 🇵🇰 Rawalpindi, Punjab, Pakistan