Effect OF Sustained Natural Apophyseal Glide Versus Cervical Manipulation In Treatment Of Mechanical Neck Pai

Not Applicable

Registration Number: IRCT20191023045212N1

Lead Sponsor: RIMS,Multan

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: Pending

Sex: All

Target Recruitment: 50

Inclusion Criteria

•44 patients both males and females with mechanical neck pain aged between 20 to 65 will be included
•hypo-mobility of the cervical range of motion
•Non -discogenic neck pain, stiffness, muscle tension, headache and migraine
•Comparable signs (pain associated with movement, or pain associated with specific functional activities.
•Painful cervical extension, local tenderness, and restricted inter-segmental motion.

Exclusion Criteria

•Any contraindication to systemic manifestation (e.g. inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities).
Positive neurological examination e.g. presence of positive motor reflex, or sensory abnormalities indicating spinal root compression
•cervical spine surgery or stenosis ,metabolic or systemic disorders or cancer
•Any associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome.

Study & Design

Study Type: interventional

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Pain will be primary outcome variable that will be measure by NPRS. Timepoint: outcome will be measured before the application of intervention and after 6 weeks of intervention application. Method of measurement: pain will be measure using NPRS,for cervical range of motion goniometer will be used,NDI for disability.

Secondary Outcome Measures

Name	Time	Method
Cervical range of motion and function in patient with mechanical neck pain. Timepoint: cervical range of motion and function. Method of measurement: inclinometer and NDI questionnaire will be use to measure cervical range of motion and function.