Effects of Maitland's Antero-Posterior Versus Lateral Mobilizations on Cardiovascular Responses

Not Applicable

• Conditions: Neck Pain
• Interventions: Other: MAITLAND'S LATERAL MOBILIZATION; Other: MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION

• Registration Number: NCT05186584
• Lead Sponsor: Riphah International University

Brief Summary

This study will be a randomized control trial and will be conducted in Polyclinic Hospital Islamabad \& Rawal Dental and General Hospital Rawalpindi. A sample of 62 participants will be taken. Patients will be divided into two equal groups of 31 participants in each group, group Randomization will be done through flip coin method. Patients in group A will receive Maitland's antero-posterior Mobilization, while Patients in group B will receive Maitland's lateral mobilizations. 4 sessions of treatment will be given for 2 weeks with interval of 3 days, 4 days and 7 days between 1st \& 2nd session, 2nd \& 3rd session and 3rd \& 4th session, respectively. The outcome measures will be OMRON Automatic Blood Pressure Monitor, Numeric pain rating scale(NPRS) and Global Rating of Change questionare will be measured at baseline and at the end of 4th session. Data will be analyzed by SPSS 25.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-12-01
• Study First Submitted: 2021-12-29
• Study First Submitted QC: 2022-01-10
• Study First Posted: 2022-01-11
• Status Verified: 2022-04
• Primary Completion: 2022-04
• Study Completion: 2022-04
• Last Update Submitted: 2022-04-15
• Last Update Posted: 2022-04-18

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 62

Inclusion Criteria

• Participants falling in this category would be recruited into the study.
• Age 25 to 55 years
• Pain in neck with no known cause for > 3 months
• Resting systolic blood pressure between 90 to 139 mmHg
• resting diastolic blood pressure between 60 to 88 mmHg
• resting heart rate between 60 to 100 beats/min
• no prior exposure to antero-posterior and lateral mobilizations

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Exclusion Criteria

• Participants falling in this category would be excluded from the study.
• age <25 and >55
• current smokers
• history of fainting spells, diabetes mellitus, spinal surgery and whiplash injury( in last 6 months)
• taking medications for blood thinning, diabetes mellitus
• having neurologic or cardiovascular disease, radiating pain, cervicogenic headaches
• movement coordination impairment
• athletes
• unable to read and write

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
MAITLAND'S LATERAL MOBILIZATION	MAITLAND'S LATERAL MOBILIZATION	Patients in this group will receive Maitland's Lateral Mobilization.
MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION	MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION	Patients in this group will receive Maitland's Antero-Posterior Mobilization.

Primary Outcome Measures

Name	Time	Method
OMRON Automatic Blood Pressure Monitor	2 Weeks	The Omron is an automatic digital device for professional blood pressure measurement at the upper arm level. It measures BP range of 0-299 mmHg
Global Rating of Change (GROC)	2 Weeks	It is a scale commonly used in clinical research, particularly in the musculoskseletal area to measure a patient's improvement or deterioration over time, to determine the effect of an intervention .
OMRON Automatic heart rate Monitor	2 Weeks	The Omron is an automatic digital device for professional heart rate range of 40 -180 beats/min
Numeric Pain Rating Scale (NPRS)	2 Weeks	It is a tool used for measuring intensity of pain. Patient select numeric from (0-10) that reflects his/her pain intensity. The reliability of tool is ICC = 0.67; \[0.27 to 0.84\])

Trial Locations

Locations (1)

Rawal General Hospital Rawalpindi; 🇵🇰 Rawalpindi, Punjab, Pakistan