Symmetrical Scapula-pelvis Proprioceptive Neuromuscular Facilitation and Superficial Back Line in Chronic Neck Pain With Hamstring Tightness
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 156
- 试验地点
- 1
- 主要终点
- Change in pain intensity with visual analogue scale for pain at Day 1
研究概览
简要总结
A research study will be conducted at Physiotherapy department of the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan. Overall 156 patients with 18-40 years old individuals with neck pain will be eligible and they will be included through non-probability, purposive sampling technique. The written informed consent will be taken from all the patients. They will be divided through Simple random sampling (computer generated software) method into two groups, 78 in each group. Group A (experimental group) will receive PNF Symmetrical Scapula-Pelvis Patterns (PNF-SSPP), group B (control group) will receive sub occipital muscle inhibition technique (SMI) and static stretching (SS) of hamstring muscle. All participants will be assessed using assessment form. Outcome measures will be Pain, disability, disability, neck range of motions, hamstring tightness, head posture, and levator scapulae index. An independent assessor blinded to the treatment will assess all the patients for treatment outcome assessment at baseline, after first session and post treatment. Treatment sessions will be given thrice a week for 6 weeks.
详细描述
A maximum drop-out rate of 20% is expected. The Statistical package for the social sciences (SPSS) 23 version will be used for data analysing. The Mean ± SD will be calculated for quantitative variables like age. The qualitative variables will be shown through calculated frequencies and percentages. The outcome results of the study (decrease pain intensity, improve disability, improve ROM and improve muscle tightness) taken before, after 1st session and after 18th session will be compared and analyzed. The repeated measure of ANOVA will be used as the statistical test. The p-value of 0.05 will be considered as level of significant.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Outcomes Assessor)
盲法说明
Data analyst was also blinded.
入排标准
- 年龄范围
- 18 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Individual with both male and female gender
- •Individuals with chronic neck pain (pain for > 3 month) with hamstring tightness
排除标准
- •Any history related to spinal surgery
- •Previous administration of epidural injections
- •Neck pain due to specific pathology
- •Patients with radiculopathy or myelopathy
- •Traumatic spinal cord injury
- •Neck pain associated with progressive neurological deficit or loss of strength
研究组 & 干预措施
Symmetrical Scapula-Pelvis Pattern Exercises
This arm will receive PNF Dynamic Reversal of Antagonists using Symmetrical Scapula-Pelvis Patterns
干预措施: Symmetrical Scapula-Pelvis Patterns Exercises (Other)
Control Treatment
This arm will receive evidence based treatment, the suboccipital muscle inhibition with static stretching of the hamstrings.
干预措施: Suboccipital muscle inhibition technique (Other)
Control Treatment
This arm will receive evidence based treatment, the suboccipital muscle inhibition with static stretching of the hamstrings.
干预措施: Static stretching of hamstring muscle (Other)
结局指标
主要结局
Change in pain intensity with visual analogue scale for pain at Day 1
时间窗: From enrolment to the end of the first treatment session at Day 1.
The Visual Analogue Scale is a 10 cm line used to measure pain intensity, where the patient marks a point on the line to indicate their pain level, with 0 representing "no pain" and 10 representing "pain as bad as it could possibly be". A score is obtained by measuring the distance from the "no pain" end to the patient's mark, which can be done in centimeters (0-10) or millimeters (0-100). Higher scores indicate greater pain intensity, and this score helps healthcare providers assess severity, which can be categorized as mild (1-3), moderate (4-6), or severe (7-10)
Change in range of motion with goniometry at 6 weeks
时间窗: From enrolment to the end of 18 treatment sessions at 6 weeks.
Goniometry measures the change in range of motion of a joint in degrees by using a goniometer to calculate the joint's angle. The increase in degrees suggests increase in range of motion and decrease suggests decrease in range of motion.
Change in pain intensity with visual analogue scale for pain at 6 weeks
时间窗: From enrolment to the end of 18 treatment session at 6 weeks
The Visual Analogue Scale (VAS) is a 10 cm line used to measure pain intensity, where the patient marks a point on the line to indicate their pain level, with 0 representing "no pain" and 10 representing "pain as bad as it could possibly be". A score is obtained by measuring the distance from the "no pain" end to the patient's mark, which can be done in centimeters (0-10) or millimeters (0-100). Higher scores indicate greater pain intensity, and this score helps healthcare providers assess severity, which can be categorized as mild (1-3), moderate (4-6), or severe (7-10).
Change in range of motion with goniometry at Day 1
时间窗: From enrolment to the end of first treatment at Day 1
Goniometry measures the change in range of motion of a joint in degrees by using a goniometer to calculate the joint's angle. The increase in degrees suggests increase in range of motion and decrease suggests decrease in range of motion.
Change in neck disability with Neck Disability Index at day 1
时间窗: From enrolment to the end of first treatment session at Day 1.
A change in the Neck Disability Index score indicates a change in a patient's self-reported neck disability. A higher score means greater disability.The NDI is scored from 0 to 50, or 0% to 100%. A score of 0 indicates no limitation, while a score of 50 represents complete limitation.
Change in neck disability with Neck Disability Index at 6 weeks
时间窗: From enrolment to the end of 18 treatment sessions at 6 weeks.
A change in the Neck Disability Index score indicates a change in a patient's self-reported neck disability. A higher score means greater disability.The NDI is scored from 0 to 50, or 0% to 100%. A score of 0 indicates no limitation, while a score of 50 represents complete limitation.
Change in hamstring tightness with Sit and Reach (SR) test at 6 weeks
时间窗: From enrolment to the end of 18 treatment sessions at 6 weeks.
A low Sit and Reach test score in centimetre indicates tight hamstrings, while a higher score shows better hamstring flexibility. When a person with tight hamstrings performs the Sit and Reach test, the muscles pull the pelvis into a posterior tilt, which limits the ability to reach as far and can cause the lower back to round instead of the spine flexing naturally. As hamstring tightness decreases through stretching, the SR score increases, signifying greater flexibility and improved superficial back line.
Change in hamstring tightness with Sit and Reach (SR) test at Day 1
时间窗: From enrolment to the end of first treatment session at Day 1.
A low Sit and Reach test score in centimetre indicates tight hamstrings, while a higher score shows better hamstring flexibility. When a person with tight hamstrings performs the Sit and Reach test, the muscles pull the pelvis into a posterior tilt, which limits the ability to reach as far and can cause the lower back to round instead of the spine flexing naturally. As hamstring tightness decreases through stretching, the SR score increases, signifying greater flexibility and improved superficial back line.
次要结局
- Change in head posture with goniometry at Day 1(From enrolment to the end of first treatment session at Day 1)
- Change in head posture with goniometry at 6 weeks(From enrolment to the end of 18 treatment sessions at 6 weeks)
- Change in levator scapulae index with vernier caliper at Day 1(From enrolment to the end of first treatment session at Day 1)
- Change in levator scapulae index with vernier caliper at 6 weeks(Time Frame: From enrolment to the end of 18 treatment sessions at 6 weeks)
研究者
Aftab Ahmed Mirza Baig,DPT, MSAPT
Principal Investigator
University of Karachi