Impact of Adding Integrated Neuromuscular Inhibition Technique to Mulligan Therapy in Symptomatic Forward Head Posture
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 120
- 主要终点
- pain intensity
研究概览
简要总结
this study will be conducted to investigate the impact of adding integrated neuromuscular inhibition technique to mulligan therapy in symptomatic forward head posture.
详细描述
Forward head posture is anterior positioning of the cervical spine, which is regarded as a "bad" head posture and is commonly found in patients who experience problems with the head and neck. Particularly, forward head posture is frequently found in people sitting in front of a computer for prolonged periods. Load increases in the muscles and joints of the cervical spine as a result of forward head posture are considered a major cause of musculoskeletal disorders. INIT is effective as it causes sustained or intermittent compression which causes ischemia reduces local circulation until pressure is released, after which a flushing of fresh oxygenated blood occurs. Mechanoreceptors impulses interface with slower pain messages reducing amount of pain messges reaching the brain, releasing pain relieving hormones, decreasing myofascial pain. Stretches the taut bands of muscles fibers. INIT along with strengthening excercises proved to be beneficial in decreasing disability improving Range of motion. The concept of SNAG is to increase the treatment effects by having patients perform active movements while removing pain in the lesions by means of manipulative therapy. This is a new concept in the manipulative therapy field, and differs from traditional manipulative therapy by combining the active movements of the patients with additional passive movements performed with the aid of therapists
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
opaque sealed envelope
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •CVA equal or less than 50
- •Had cervical pain for more than three months and had visited an orthopedist clinic
排除标准
- •cervical spine spondylosis
- •fractures or cervical spinal surgery
- •Cervical or shoulder neurological movement disorder.
- •Temporo-mandibular surgery, (5) Pathologic trauma
研究组 & 干预措施
Integrated Neuromuscular Inhibition Technique and mulligan therapy
thirty patients will receive Integrated Neuromuscular Inhibition Technique and mulligan therapy three times a weeks for six weeks+postural correction exercises
干预措施: Integrated Neuromuscular Inhibition Technique and mulligan therapy (Other)
Integrated Neuromuscular Inhibition Technique and mulligan therapy
thirty patients will receive Integrated Neuromuscular Inhibition Technique and mulligan therapy three times a weeks for six weeks+postural correction exercises
干预措施: postural correction exercises (Other)
Integrated Neuromuscular Inhibition Technique
thirty patients will receive Integrated Neuromuscular Inhibition Technique+postural correction exercises three times a weeks for six weeks
干预措施: Integrated Neuromuscular Inhibition Technique (Other)
Integrated Neuromuscular Inhibition Technique
thirty patients will receive Integrated Neuromuscular Inhibition Technique+postural correction exercises three times a weeks for six weeks
干预措施: postural correction exercises (Other)
mulligan therapy
thirty patients will receive mulligan Technique+postural correction exercises three times a weeks for six weeks
干预措施: mulligan therapy (Other)
mulligan therapy
thirty patients will receive mulligan Technique+postural correction exercises three times a weeks for six weeks
干预措施: postural correction exercises (Other)
postural correction exercises
thirty patients will receive postural correction exercises three times a weeks for six weeks
干预措施: postural correction exercises (Other)
结局指标
主要结局
pain intensity
时间窗: up to six weeks
visual analogue scale will be used to asses pain intensity which patient will be instructed to put point on line from no pain to tolerable pain. The scale consists of a line, usually 100 mm long, ranging from no pain or discomfort (zero) , to the worst pain that could possibly feel
次要结局
- neck disability(up to 6 weeks)
- pressure pain threshold(up to six weeks)
- cervical range of motion(up to six weeks)
- craniovertebral angle(up to six weeks)
研究者
Al Shaymaa Shaaban Abd El Azeim
principle investigator : alshaymaa shaaban abd el azeim
Cairo University