Comparative Effectiveness of Positional Release Technique and Post Isometric Relaxation on Pain, ROM and Functional Disability in Patient With Levator Scapulae Tightness
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 44
- 试验地点
- 1
- 主要终点
- Change in Pain Intensity
研究概览
简要总结
Levator scapulae muscle tightness is a common cause of neck pain due to poor posture. This study compares two manual therapy techniques: Positional Release Technique (PRT) and Post Isometric Relaxation (PIR). The goal is to determine which technique is more effective at reducing pain, improving neck range of motion, and decreasing functional disability in patients with this condition. Participants will be randomly assigned to receive either PRT or PIR for 4 weeks
详细描述
This is a double-blind, randomized clinical trial. A sample of 44 participants aged 25-40 with levator scapulae tightness will be recruited from hospitals in Faisalabad. Participants will be randomly assigned to two groups (n=22 each). Group A will receive the Positional Release Technique (PRT) involving a 90-second hold of the scapula in a specific position. Group B will receive Post Isometric Relaxation (PIR) involving a 10-second contraction followed by a 10-second stretch. Both groups will receive a 10-minute hot pack before their respective techniques. Interventions will occur 3 times per week for 4 weeks (12 sessions total). Outcome measures include the Numeric Pain Rating Scale (NPRS), cervical goniometry, and the Neck Disability Index (NDI), measured at baseline and after 4 weeks
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
- Double (Participant, Outcomes Assessor)
盲法说明
Participants are unaware of which technique is theoretically superior. The outcome assessor measuring NPRS, ROM, and NDI will be blinded to group allocation
入排标准
- 年龄范围
- 25 Years 至 40 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age between 25 to 40 years.
- •Both male and female.
- •Presence of a trigger point in levator scapulae (palpable tender spot with jump sign).
- •Score greater than 20% on the Neck Disability Index.
- •Non-specific neck pain.
- •Confirmation of trigger point via leavtor scapule length test.
- •trevors and simons criteria.
- •Jump sign
排除标准
- •History of trauma or fracture to the scapula or cervical spine.
- •Pregnancy.
- •Previous cervical spine surgery.
- •Diagnosis of cancer, cardiac condition, or infectious disease.
- •Specific neck pathology (e.g., disc prolapse, nerve root compression, whiplash).
研究组 & 干预措施
Positional Release Technique (PRT)
Patient lies prone. The therapist palpates the levator scapulae and uses the far hand to translate the scapula upward and apply rotation. The superior angle of the scapula is tilted downward. This position is held for 90 seconds. 10 repetitions for 3 sets per session
干预措施: Positional Release Technique (Procedure)
Post Isometric Relaxation (PIR)
Patient lies supine. The therapist stabilizes the shoulder and supports the neck. The patient performs an isometric contraction by moving the head back against resistance for 10 seconds. After relaxation, a passive stretch is applied for 10 seconds. 10 repetitions for 3 sets per session.
干预措施: post isometric relaxation (Procedure)
结局指标
主要结局
Change in Pain Intensity
时间窗: Baseline and at 4 weeks (post-intervention)
Measured using the Numeric Pain Rating Scale (NPRS). Participants rate their average neck pain on an 11-point scale where 0 = 'no pain' and 10 = 'worst imaginable pain'
次要结局
- Change in Cervical Range of Motion(Baseline and at 4 weeks (post-intervention))
- Change in Functional Disability(Baseline and at 4 weeks (post-intervention))
研究者
Dr Waqar Younas
assistant professor
University of Faisalabad