Muscle Energy Technique and Facet Joint Mobilization in Chronic Neck Pain.

Not Applicable

Completed

• Conditions: Chronic Neck Pain
• Interventions: Other: Muscle energy Technique

• Registration Number: NCT05040477
• Lead Sponsor: Riphah International University

Brief Summary

The purpose of the study is to compare the muscle energy technique, facet joint mobilization and conventional physical therapy in individuals with chronic neck pain on cervical lordosis, cervical range of motions, numeric pain rating scale and NDI. A randomized control trial was conducted at physiotherapy department of HIT hospital, Taxila Cantt. The sample size was 105 calculated through open-epi tool. The participants were divided into three interventional groups, experimental group (1), experimental group (2), and control group (3) each having 35 participants. The study duration was six months. Sampling technique applied was Purposive sampling for recruitment and group randomization using sealed envelope method. Only 35 to 50 years participants with 4-8 pain intensity on NPRS in cervical region were included in the study. Goniometer, Posterior tangent method on lateral radiographs for cervical curve and Self structured Questionnaire. Data was collected at baseline then 2 and 4 weeks after the application of interventions. Data analyzed through SPSS version 21.

Detailed Description

Not available

Study Timeline

• Study Start: 2020-08-30
• Primary Completion: 2021-05-15
• Study Completion: 2021-07-31
• Study First Submitted: 2021-08-05
• Study First Submitted QC: 2021-09-03
• Study First Posted: 2021-09-10
• Status Verified: 2023-07
• Last Update Submitted: 2023-07-07
• Last Update Posted: 2023-07-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 105

Inclusion Criteria

• Chronic patients (more than 12 weeks)
• Male and female patients
• Patients having recurrence of neck pain at least once in the last month.
• Patients from the age group of 35-50 years.
• Patients having mechanical neck pain ranging from 4-8 on Numeric Pain Rating Scale (NPRS).
• Cervical straightening on X-rays.
• Limited &painful cervical Rang of motion (ROMs)

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Exclusion Criteria

• Any recent history of trauma, active inflammation, Tumor, vertebra-basilar insufficiency and cervical myelopathy & radiculopathy.
• No history of serious underlying pathology, nerve root compromise, structural changes and deformities, genetic spinal disorders or previous spinal surgery

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental Group (1): Muscle energy techniques,Moist Hot pack and TENS.	Muscle energy Technique	Experimental group included Moist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45C.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle.These pre and post intervention values were mentioned in questionnaire. The participants were administered with muscle energy technique (PIR) and data was collected again 2 and 4 weeks after the interventions.
Experimental Group (2): Facets joint mobilizations, Moist Hot pack and TENS.	Muscle energy Technique	Experimental group includedMoist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45οC.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle. These pre and post intervention values were mentioned in questionnaire. The participants were administered with Facet joint mobilization (UPA \& SNAGS) and data was collected again 2 and 4 weeks after the interventions.
Control Group:Conventional Therapy (Stretching, strengthening , Moist Hot pack and TENS)	Muscle energy Technique	Control group includedMoist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45οC.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle. These pre and post intervention values were mentioned in questionnaire. The participants were administered with Conventional (sustained stretching and isometric strengthening) physical therapy and data was collected again 2 and 4 weeks after the interventions.

Primary Outcome Measures

Name	Time	Method
Numeric pain rating scale	4 week	Will utilize for measurement of neck pain intensity.Minimum pain score is labeled as "zero" and maximum pain score is labeled as "10".At baseline, 2 and 4 weeks after baseline.
Cervical Lordosis Measurement (posterior tangent method)	4 week	measure cervical lordosis by drawing tangent line along posterior border of C2 to C7 vertebra and measuring posterior tangent angle on lateral radio graph of cervical spine.At baseline and 4 weeks after baseline

Secondary Outcome Measures

Name	Time	Method
Neck disability index:	4 week	Will utilize for measurement of functional disability level among patients with chronic neck pain.At baseline, 2 and 4 weeks after baseline
Cervical goniometry:	4 week	Will utilize to measure range of motions for all movement at cervical spine with the help of valid \& reliable tool, goniometer.At baseline, 2 and 4 weeks after baseline

Trial Locations

Locations (1)

HIT Taxila Cantt Hospital; 🇵🇰 Rawalpindi, Punjab, Pakistan