Clinical Outcomes of Maitland's Mobilization in Patients With Myofacial Chronic Neck Pain

Not Applicable

Completed

• Conditions: Myofascial Pain Syndrome of Neck
• Interventions: Other: Maitland's mobilization; Other: Traditional Physical therapy

• Registration Number: NCT04660292
• Lead Sponsor: Riphah International University

Brief Summary

Myofacial neck pain is a common musculoskeletal problem caused by presence of trigger points and local and referred pain patterns. Chronic neck pain is responsible for the involvement of joints, ligaments, fascia and connective tissue as well. The objective of this study was to assess the impacts of Maitland's mobilization in patients with myofacial chronic neck pain. Maitland's mobilization is one of the most common manual therapy approaches used by physiotherapists. Maitland's techniques involve the application of passive and accessory oscillatory movements to spinal and vertebral joints to treat pain and stiffness.

In this randomized, placebo treatment controlled trial, 30 patients consecutively aged 25-45 years meeting inclusion criteria were isolated into two groups. The study group was treated with Maitland's mobilization consistently for 8 weeks while the control group got placebo treatment for a similar time frame. Visual analog Scale (VAS), Neck disability index (NDI) and cervical range of motion (ROM) questionnaire was filled by patients before, intermediate and after the intervention to evaluate the severity of pain, functional ability and range of motion.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-08-01
• Primary Completion: 2020-09-30
• Study Completion: 2020-10-30
• Status Verified: 2020-12
• Study First Submitted: 2020-12-01
• Study First Submitted QC: 2020-12-08
• Last Update Submitted: 2020-12-08
• Study First Posted: 2020-12-09
• Last Update Posted: 2020-12-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 30

Inclusion Criteria

• Patients age between 25-45 years old,
• Bilateral pain involving the upper trapezius and elevator muscle of the scapula;
• Duration of pain of at least 3 months;
• A pain intensity corresponding to at least 2 cm on a 10 cm visual analogue scale (VAS); -Neck pain with symptoms provoked by either neck postures or neck movement;
• Pain localized at least in the cervical and occipital regions but not in the orofacial region; --Neck disability index (NDI) greater than or equal to 15 points;
• Restricted cervical range of movements (flexion, extension, rotation, and side-bending); ---Presence of bilateral MTrPs in upper trapezius and levator scapulae muscles were included in this study.

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Exclusion Criteria

• A history of traumatic injuries (e.g., contusion, fracture, and whiplash injury);
• Systemic diseases such as fibromyalgia, systemic erythematous lupus and arthritis;
• Neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia);
• Concomitant medical diagnosis of any primary headache (tension type or migraine);
• Cervical spine surgery; and clinical diagnosis of cervical radiculopathy or myelopathy

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Study Group	Maitland's mobilization	The study group was treated with Maitland mobilization and manipulation techniques including postero-anterior Maitland mobilization for C1-C2, Maitland lateral PA glide for C3-C6 and Maitland thrust manipulation for cervico-thoracic junction. Frequency of mobilization was 2 days a week for 4 weeks. While intensity of mobilization was grade 3 and 4 based on the Maitland concept.13 Time of oscillations was 2 or 3 oscillations in a second for 1 to 2 minutes.
Control Group	Traditional Physical therapy	While placebo treatment with conventional physiotherapy (active exercises-10 repetitions in all direction in pain free range, isometrics 5-10 seconds brief but maximum contraction each held for 5-16 seconds for flexors, extensors, side flexors and rotators)14 without gliding, oscillations and thrust were recommended for the control group.The placebo group was treated with baseline treatment including TENS 10 minutes and moist hot packs in sitting position for 15 minutes on cervical region in with head resting on table with a pillow.

Primary Outcome Measures

Name	Time	Method
Neck disability Index	2 months	Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'.
Visual Analogue Scale	2 months	Its a pain rating Scale Scoring between 0-10.O means no pain 10 means worse pain

Trial Locations

Locations (1)

Riphah IU; 🇵🇰 Lahore, Pakistan