Adding Instrument Assisted Soft Tissue Mobilization to Core Stability Training in Chronic Mechanical Neck Pain
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Cairo University
- Enrollment
- 52
- Locations
- 1
- Primary Endpoint
- Cervical range of motion and proprioception
Study Overview
Brief Summary
Purpose of the study was to investigate the effect of adding instrument assisted soft tissue mobilization to core stability training in treatment of chronic mechanical neck pain on pain level, cervical ROM, proprioception, muscle activity, H-reflex, and functions.
Detailed Description
Neck pain (NP) is a common musculoskeletal condition with a lifetime incidence rate between 22% and 70%.
Neck pain is commonly a recurrent condition with remissions and exacerbation that do not completely resolve. A history of previous injury to the neck (including whiplash, sports and work injuries etc.) increases the likelihood of chronic pain. As one ages, more chronic neck pain persists.
Mechanical neck pain is pain and/or stiffness in the neck or shoulder girdle region which was reproducible with neck movements.
Mechanical neck pain is the most common type found in neck-pain disorders. Studies have demonstrated altered behavior of the cervical muscles in mechanical neck-pain patients.
Mechanical neck pain produces mobility restriction, functional disability, decrease in muscle strength and decrease in health related quality of life.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Single (Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 55 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients diagnosed as having chronic mechanical neck pain.
- •Patient's age between 18-55 years old.
Exclusion Criteria
- •Subjects with any specific neck pathology as radiculopathy, rheumatoid arthritis and systemic diseases.
- •sensory problems at mid or upper back.
- •A history of head and upper trunk trauma or surgery.
- •severe disorders of the cervical spine such as disk prolapse and cervical stenosis.
Arms & Interventions
Conventional physiotherapy + Core stability
They received conventional physical therapy and core stability for 4 weeks.
Intervention: Conventional physiotherapy (Other)
Conventional physiotherapy + Core stability
They received conventional physical therapy and core stability for 4 weeks.
Intervention: Core stability (Other)
Conventional physiotherapy + Core stability + Instrument assisted soft tissue mobilization (IASTM)
They received conventional physical therapy, core stability, and IASTM technique for 4 weeks.
Intervention: Instrument assisted soft tissue mobilization (Device)
Conventional physiotherapy + Core stability + Instrument assisted soft tissue mobilization (IASTM)
They received conventional physical therapy, core stability, and IASTM technique for 4 weeks.
Intervention: Conventional physiotherapy (Other)
Conventional physiotherapy + Core stability + Instrument assisted soft tissue mobilization (IASTM)
They received conventional physical therapy, core stability, and IASTM technique for 4 weeks.
Intervention: Core stability (Other)
Outcomes
Primary Outcomes
Cervical range of motion and proprioception
Time Frame: 4 weeks
Cervical range of motion and proprioception were measured using CROM.
Functions
Time Frame: 4 weeks
Functions were measured by Arabic version of Neck Disability Index. It is consisting of 10 items with six choices (0-5), Each item is scored from zero (no disability) to five (total disability). Minimum score means it is better.
H-reflex
Time Frame: 4 weeks
H-reflex was measured by EMG.
Pain level
Time Frame: 4 weeks
The pain level was measured by visual analogue scale.The VAS is a 100-mm horizontal line anchored by word descriptors at each end by ''no pain'' on the left and ''worst imaginable pain'' on the right. The minimum score means it is better.
Muscle activity
Time Frame: 4 weeks
Muscle activity was measured by electromyography (EMG).
Secondary Outcomes
No secondary outcomes reported
Investigators
RAGHDA MOHAMED HASSAN MAHMOUD
physical therapist
Cairo University