Efficacy of Mobilization With Post- Isometric Relaxation in Neck Pain Associated With Myofascial Trigger Points

Not Applicable

Completed

• Conditions: Mechanical Neck Pain
• Interventions: Other: Post Isometric relaxation Technique (PIR); Other: Cervical Mobilization (CM); Other: conventional treatment

• Registration Number: NCT05684809
• Lead Sponsor: Najran University

Brief Summary

purpose of the study: to determine the effectiveness of cervical mobilization with PIR in reducing pain and improving neck ROM and function in people with mechanical neck pain associated with MTrPs

Detailed Description

This study will be based on a randomized controlled design which will be comparative in nature. Participants will be recruited using the convenience sampling method and will be randomly divided into two groups A and B respectively. Thirty participants of mechanical neck pain associated with upper Trapezius trigger point pain will be recruited from the Physiotherapy department, at the Najran University, Saudi Arabia. Study objectives and procedure will be properly explained and written informed consent will be obtained at the beginning of the study. All the participants will be randomly assigned into two equal groups A and B.

Group A will be receiving the hot pack, active Stretching, isometric exercise intervention, and PIR technique while group B will receive the hot pack, active Stretching, isometric exercise intervention, and cervical Mobilization.

Study Timeline

• Study Start: 2022-10-30
• Study First Submitted: 2023-01-05
• Study First Submitted QC: 2023-01-05
• Study First Posted: 2023-01-13
• Primary Completion: 2023-01-28
• Study Completion: 2023-02-15
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-23
• Last Update Posted: 2023-03-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 33

Inclusion Criteria

• age 20-40 years,
• having mechanical neck pain located in the neck or scapular regions along with 1-2 MTrPs which,
• on palpation replicated their chief complaints in the upper Trapezius muscle (unilateral).

Exclusion Criteria

• known cases of fibromyalgia syndrome,
• cervical radiculopathy or myelopathy,
• history of cervical spine surgery,
• congenital or acquired postural deformity, presence of MTrPs in bilateral upper Trapezius muscles,
• patients who received any treatment for their pain one month prior to the study.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group A	Post Isometric relaxation Technique (PIR)	in addition to Conventional treatment, PIR and cervical mobilization were given
Group B	Post Isometric relaxation Technique (PIR)	in addition to Conventional treatment, PIR were given
Group A	Cervical Mobilization (CM)	in addition to Conventional treatment, PIR and cervical mobilization were given
Group A	conventional treatment	in addition to Conventional treatment, PIR and cervical mobilization were given
Group B	conventional treatment	in addition to Conventional treatment, PIR were given

Primary Outcome Measures

Name	Time	Method
Pain intensity	3 Weeks	The pain intensity was assessed Using a numeric pain rating scale (NPRS), Its a 11 point scale, where zero indicates no pain and 10 indicates severe pain
Neck Disability Index	3 Weeks	The Neck Disability was assessed using a neck disability index (NDI) questionnaire, the minimum value 0- and the maximum value is 50
Range of Motion	3 Weeks	The Neck Side Flexion range of motion was assessed using cervical range of motion(CROM) device
Pain Pressure Threshold	3 Weeks	The Pain Pressure Threshold (PPT) was assessed using an algometer algometer

Trial Locations

Locations (1)

Hashim Ahmed; 🇸🇦 Najrān, Najran, Saudi Arabia