Integrated Neuromuscular Inhibition, Muscle Energy and Strain Counter Strain Techniques in Neck Pain
- Conditions
- Neck Pain
- Registration Number
- NCT05262062
- Lead Sponsor
- Riphah International University
- Brief Summary
1. To determine effects of Neuromuscular Inhibition, Muscle energy and strain counter strain techniques on Pain, disability, pain pressure threshold, range of motion, and health-related quality of life in mechanical neck pain.
2. To compare the effects of Integrated Neuromuscular inhibition, Muscle energy and strain counter strain techniques in the Management of mechanical neck pain.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 51
-
Participants falling in this category would be recruited into the study.
- Patients with chronic mechanical neck pain (symptoms for more than 3 months).
- Age group between 30 - 60 years.
- Patients willing to participate and take treatment.
- Patients must have at least 1 active trigger point at upper trapezius, levator scapulae, SCM.
- Gender (Both)
- VAS >3
-
• Patients having severe neck pain.
- Patients having any systemic joint pathology, inflammatory joint disease (e.g rheumatoid arthritis, gouty arthritis, psoriatic arthritis).
- Patients who had any neurological deficit, myelopathy any mental illness.
- Patients on medication like antidepressants, corticosteroid, anti-inflammatory medications.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Primary Outcome Measures
Name Time Method • Visual analog scale. 4 weeks Pain was assessed by the VAS, which is a card with an uncalibrated scale ranging from 0 to 10. 0 represent no pain and 10 represent the highest level of pain. A vertical line on the scale drawn by the patient marked their subjective pain estimation ranging from 0 to 10. Subsequently, a single ruler was used to record the exact pain level. The reliability of the scale is quite satisfactory, especially in people with moderate and high educational levels (r = .94, P = .001) (6). reference for tools should be added
• Neck disability index. 4 Weeks Disability was evaluated using the NDI questionnaire. It is a self-reported 10-item scale. Each item assesses different neck pain complaints. Most of the items are related to restrictions in activities of daily life, and each item is expressed by 6 different assertions in the range 0 to 5, with 0 indicating no disability and 5 indicating the highest disability. The total score ranges from 0 to 50. Its credibility in people with neck pain is moderate to high and has been considered a valid tool in patients with neck problems. NDI has high reliability i.e. ICC 0.97 and good internal validity i.e. Cronbach's alpha = 0.86.(6)
• 36-Item Short Form Health Survey score 4 Week SF-36 consists of 36 questions, selected from the Medical Outcomes Study. These questions are related to 8 different parameters of mental and physical health.SF-36 has satisfactory support in the literature.51 Total Physical and Mental Health, and the subcategory of Bodily Pain, were evaluated in this study. SF-36 shows a high rate of validity and reliability in patients with neck pain. In all 8 categories, both the ICC and the Cronbach's alpha index are high 0.75-0.94 and 0.69-0.88, correspondingly
• Goniometer 4 Week Goniometer measures the available range of motion of cervical flexion, extension, rotation and side bending. To see the restriction in cervical moments we compare the available ROM's to the normal ROM's.
algometer 4th Week Pressure pain threshold is measured by Pressure algometry was conducted using a Wagner digital algometer (Wagner FPX 25 Digital Algometer; Wagner Instruments, Greenwich, CT). PPT was assessed bilaterally over the upper border of the trapezius muscle, halfway between the midline and the lateral border of the acromion, the levator scapulae muscle 2 cm above the lower insertion and located in the upper medial border of the scapulae, the SCM upper insertion, and the SC 2 cm lateral to the spinous processes of the axis. The metal rod of the algometer was placed vertically on the site, and the examiner applied gradually increasing pressure at a rate of 1 kg/s. The examinees indicated when they began to feel pain or discomfort. Then, the examiner ceased the pressure and noted the value. Pressure algometry showed from satisfactory to fairly high reliability by various researchers both in repeated measurements of the same examiner and between measurements of different examiners.(14)
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Atta Memorial Hospital
🇵🇰Rawalpindi, Punjab, Pakistan
Atta Memorial Hospital🇵🇰Rawalpindi, Punjab, Pakistan