Effects of Cervicothoracic Mobility Program on Low Back Pain

Not Applicable

Completed

• Conditions: Back Pain
• Interventions: Other: Conventional Treatment; Other: Cervicothoracic mobility program

• Registration Number: NCT05347251
• Lead Sponsor: Riphah International University

Brief Summary

The study will be a randomized control trial to determine the effects of the cervicothoracic mobility program on pain, range of motion, and function in patients with chronic back pain. The purposive sampling technique will be used. A sample of 44 patients will be taken and divided into two groups each with 22 patients. Group A will be the experimental group and group B will be the control group. The experimental group will receive cervical mobility and thoracic mobility along with conventional physical therapy protocols like hot packs and exercise therapy protocol. Group B will be the control group and will receive the conventional physical therapy protocol like the hot pack and exercise therapy protocol. Exercise therapy includes the strengthening and stretching exercises of both neck and back muscles.

The session will be around 40 to 45 min for each patient with three sessions per week on alternate days. A total of 3-week treatment program will be given to the patients and an assessment of the patient's pain, range of motion, and function with NPRS (numeric pain rating scale), goniometer, and ODI (Oswestry disability index) will be done at the baseline and after the completion of treatment at three weeks.

Detailed Description

Chronic back pain is usually age-related, but can also result from a prior injury. The most common causes include arthritis of the spine, a sedentary lifestyle, and any injury or disc-related problems. Joint mobilization is a physical therapy technique designed to relieve pain and muscle spasms, release tension and improve flexibility in a joint. The aim of this study is to determine the effects of the cervicothoracic mobility program on pain, range of motion, and function in patients with chronic back pain. The study will be a randomized control trial to determine the effects of the cervicothoracic mobility program on pain, range of motion and function in patients with chronic back pain. The purposive sampling technique will be used. A sample of 44 patients will be taken and divided into two groups each with 22 patients. Group A will be the experimental group and group B will be the control group. The experimental group will receive cervical mobility and thoracic mobility along with conventional physical therapy protocols like a hot pack and exercise therapy protocol. Group B will be the control group and will receive the conventional physical therapy protocol like hot pack and exercise therapy protocol. Exercise therapy includes the strengthening and stretching exercises of both neck and back muscles. The session will be around of 40 to 45 min on each patient with three sessions per week on alternate days. A total of 3-week treatment program will be given to the patients and an assessment of the patient's pain, range of motion and function with NPRS (numeric pain rating scale), goniometer and ODI (Oswestry disability index) will be done at the baseline and after the completion of treatment at three weeks.

Study Timeline

• Study First Submitted: 2022-04-21
• Study First Submitted QC: 2022-04-21
• Study Start: 2022-04-25
• Study First Posted: 2022-04-26
• Primary Completion: 2022-12-30
• Study Completion: 2023-01-30
• Status Verified: 2023-03
• Last Update Submitted: 2023-03-31
• Last Update Posted: 2023-04-03

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 44

Inclusion Criteria

• Both genders.
• Age 18-50 years. NPRS between 3 and 6
• Subjects diagnosed with chronic back pain with minimum 6 months of chronicity
• ODI score 21 to 40
• There should be no radiating pain to legs of participants.

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Exclusion Criteria

• Patients with Systemic soft tissue disease and bony disease will be excluded from the study.
• Pregnant women will be excluded from the study.
• Patients with previous orthopedic and neurosurgical surgery will be excluded from the study.
• Patients with any Red flags (Ankylosing spondylitis, spondylolisthesis, Slipped discs, spinal tumor, spinal stenosis, cauda equine syndrome, and spine infection) will be excluded.
• Patients with a positive Faber test for SIJ dysfunction will be excluded

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Group B	Conventional Treatment	Conventional Treatment
Group A	Cervicothoracic mobility program	Cervicothoracic mobility program

Primary Outcome Measures

Name	Time	Method
Goniometer	3rd Week	A goniometer is an instrument which measures the available range of motion at a joint.; (Also mention all information which ROM u want to check)
NPRS	3rd Week	Changes from base Line Numeric Pain rating scale is a scale for pain starting from 0-10. Where 0 indicate no pain and 10 indicate severe pain
ODI	3rd Week	The Oswestry Disability Index is an extremely important tool that researchers and disability evaluators use tomeasure a patient's permanent functional disability. The test is considered the 'gold standard' of low back functional outcome tools

Trial Locations

Locations (1)

Physiotherapy department of Syed medical complex Sialkot; 🇵🇰 Sialkot, Pakistan