Progressive Muscle Relaxation Vs Muscle Energy Technique on Nonspecific Neck Pain in Prolonged Computer Users. A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- Change in pain on Numeric Rating Scale
研究概览
简要总结
The objective of this randomized controlled trial is to assess the potential effectiveness of Progressive muscle relaxation technique (PMRT) vs Muscle energy technique (MET) as an intervention for releasing trigger points in SCM and upper trapezius in prolonged computer users. The study will be conducted in a workplace setting, where desk-type computer users are expected to regularly engage in their professional activities for ≥ 6 hours throughout the day, intermittently. This study will be conducted at the Outpatient Physiotherapy department of Sindh Institute of Physical Medicine and Rehabilitation, Karachi among 60 patients with nonspecific chronic neck pain on the basis of non-probability purposive sample technique. After taking informed consent, all participants will be randomly allocated into two groups through a investigator (blinded) the same investigator will be screening the individuals, doing baseline assessment, and post treatment assessment while another investigator will be providing intervention. Group 1 will receive Progressive muscle relaxation technique while Group 2 will receive Muscle Energy Technique on sternocleidomastoid and upper trapezius bilaterally. Patients will also be blinded. A total of 12 sessions will be provided. Outcomes will be assessed at baseline and post treatment after 2 weeks intervention.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Double (Participant, Outcomes Assessor)
盲法说明
Outcomes assessor involved in the clinical trial will be prevented from having knowledge of the interventions assigned to individual participants. Participants will also be masked as both treatments are almost similar.
入排标准
- 年龄范围
- 20 Years 至 45 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Persons using computer more than 6 hours throughout the day, intermittently both genders.
- •Age between 20-
- •Hypertonicity of trapezius muscle and SCM muscle. Specifically, those workers have neck pain and stiffness (including trouble tilting or turning head). Patients who reported small tightening and spasm at the posterior aspect of their neck are included, also associated with more diffuse neck pain patterns that included the following: headache, (upper back, neck and shoulder pain) numbness/ tingling in the hand/arm.
- •Pain intensity of 2 on the NRS and presence of at least one latent trigger point in a taut band in the neck region.
排除标准
- •Recent trauma to the cervical region
- •Exclusion criteria based on with any serious pathology such as specific neck pain due to disc prolapsed, tumor of cervical spine, whiplash injury, cervical fractures, Cervicogenic headache, and any neurological signs consistent with nerve root compression
研究组 & 干预措施
Group A (Intervention)
To start Progressive Muscle Relaxation Technique with deep breathing, individuals will be trained to sit in a comfortable position with or without eyes opening. It will involve relaxing neck muscles through a two-step process. First, participants will be commanded to tense the particular SCM and upper trapezius muscle by active contraction along with deep breathing (deeply and slowly inhaling through the nose). Then, they will be commanded to squeeze the muscles as hard as they can, holding for 5-10 seconds, after that employees will be asked to relax the muscle for 10-15 seconds while relaxing the muscle employees will be asked to exhale slowly through the mouth (5 repetitions for each side). Intervention will be given for 30 minutes for 6 days a week for 2 weeks.
干预措施: Progressive Muscle Relaxation Technique (Other)
Group B (Control)
Muscle Energy Technique with deep breathing
- Trapezius Muscle: The therapist will position the patient supine, supporting the back of the patient's head with one hand and placing the other on the clavicle. The head will be bent forward, rotated, and bent toward the same side to test for flexibility, and then brought midway between the initial and fully rotated positions. The patient will breathe in, hold their breath, and perform isometric (20% of max force) while the therapist provides resistance for 6-7 seconds, followed by a stretch during exhalation, to be repeated 3-4 times.
- Sternocleidomastoid Muscle: The patient will be supine with a cushion under the shoulder, tilting the head slightly back. The therapist will place one hand on the mastoid and the other on the sternum. The patient will rotate the head to the opposite side, lift it while holding breath while the therapist provides resistance for 6-7 second
干预措施: Muscle Energy Technique (Other)
结局指标
主要结局
Change in pain on Numeric Rating Scale
时间窗: Baseline and week 2
On a scale of 0 to 10, with 0 being no pain and 10 being the worst pain imaginable. Individuals will be asked to rate the pain. Increase in number suggests increase in pain and decrease in number suggests decrease in pain.
Change in disability on the Neck Pain Disability Index Scale
时间窗: Baseline and week 2
The questionnaire, consists of 10 sections with scores ranging from 0 to 5, has demonstrated validity and reliability. The percentage of disability score will be calculated, where item scores range from 0 (no limitation) to 5 (major activity limitation), and the total score is a sum of the item scores (possible range 0 (no pain) - 50 (maximal pain)). A score of less than 4 indicates no disability; 5-14 mild disability, 15-24 moderate disability and 25-34 severe disability. A score of above 35 indicate complete perceived disability. The patient will rate each section based on their level of difficulty due to neck pain. Increase in score suggests increase in disability and decrease in score suggests decrease in disability.
次要结局
- Change in Range of Motion on the Goniometer(Baseline and week 2)
- Change from baseline in head posture on plumb line(Baseline and week 2)
研究者
Syeda Waniya Riaz
Principal Investigator
IQRA University