A Comparative Study on Myofascial Release and Muscle Energy Technique for Mechanical Neck Pain
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 82
- 试验地点
- 1
- 主要终点
- visual analogue scale (1-10cm)
研究概览
简要总结
Mechanical neck pain is one of the most prevalent musculoskeletal complaints, often leading to pain, stiffness, and reduced function in daily activities. Treatment usually emphasizes non-invasive, conservative approaches, with manual therapy being central to symptom relief and functional recovery.
Among manual therapy options, Myofascial Release (MFR) and Muscle Energy Technique (MET) are widely applied in clinical practice. Both aim to reduce pain, restore mobility, and improve muscle function, but through different mechanisms. MFR targets the fascial system using gentle, sustained pressure to release restrictions, enhance tissue elasticity, and improve blood flow. MET engages the patient actively, using controlled muscle contractions against resistance to achieve relaxation, correct imbalances, and increase joint mobility via neurophysiological principles.
This study is designed to compare the effectiveness of MFR and MET in patients aged 20–45 with subacute mechanical neck pain. Outcomes will include:
- Pain intensity (VAS),
- Cervical range of motion (goniometer), and
- Functional disability (Neck Disability Index).
Assessments will be made at baseline, mid-treatment (week 2), post-treatment (week 4), and follow-up (week 12) to evaluate both short-term and sustained effects.
The study’s significance lies in identifying which technique provides superior clinical benefits or whether they offer complementary advantages for different patient presentations of relieving pain and increase the range of motion. The findings aim to strengthen the evidence base, guide physiotherapists in selecting optimal interventions, and ultimately improve patient outcomes in the management of mechanical neck pain.
研究设计
- 研究类型
- Interventional
- 分配方式
- Coin toss, Lottery, toss of dice, shuffling cards etc
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 20.00 Year(s) 至 45.00 Year(s)（—）
- 性别
- All
入选标准
- •Age 20 to 45 years Sex Male and Female Duration Subacute more than 1 week and less than 12 weeks Diagnosis Mechanical non-specific neck pain pain provoked by movement or posture eased by rest Pain Intensity NPRS 3 to 7 mild to moderate pain ROM Restriction less than 10 degree limitation in at least one cervical movement flexion extension rotation side bending Function NDI 10 to 28 mild to moderate disability Consent Willing to participate and provide informed consent.
排除标准
- •Red Flags Fracture tumor infection inflammatory disease Neurology Myelopathy signs Cervical radiculopathy Spurling and neuro deficit Vascular Suspected cervical arterial dysfunction Trauma Recent whiplash or major cervical trauma less than 6 to 12 months Surgery Prior cervical spine surgery Systemic Systemic disease affecting pain rheumatoid arthritis fibromyalgia thyroid Bone Health Severe osteoporosis Pregnancy If intervention and outcome measures contraindicated Medication Recent change in analgesic and muscle relaxant dose less than 2 weeks Concurrent Care New neck focused treatment in past 4 weeks Primary Dx Non mechanical primary diagnosis cervicogenic headache migraine Feasibility Unable to complete VAS NDI ROM assessments Compensation Ongoing litigation or compensation claim.
结局指标
主要结局
visual analogue scale (1-10cm)
时间窗: Time Point When Session | Baseline Week 0 (start) Session 1 | Mid-treatment Week 2 (halfway Session 6 | Post-treatment Week 4 (end) Session 12 | Follow-up Week 12 (no treatment) nil
次要结局
- 1.Neck disability index(NDI)(2.Goniometre (ROM))
研究者
Dorjee Sona
lovely professional university