Muscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women
Neck Pain, Breast Feeding
About this trial
This is an interventional treatment trial for Neck Pain
Eligibility Criteria
Inclusion Criteria:
- Patients will be examined by a physician before the study and will be chosen according to the following criteria:
- All patients will be in the breastfeeding period at least 6 weeks after delivery.
- All patients will be clinically diagnosed with neck pain (with no neurological or rheumatological problem).
- Their ages will range from 25-35years.
- Their BMI will be less than 30 kg/m².
- Their parity will not be more than 3 times.
Exclusion Criteria:
The patients will be excluded if they have any of the followings:
- Any contraindication to spinal mobilization (e.g., inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities).
- Positive neurological examination (presence of positive motor reflex, or sensory abnormalities indicating spinal root compression).
- Cervical spine surgery or stenosis, metabolic or systemic disorder, or cancer.
- Associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from the costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome.
Sites / Locations
- Faculty of Physical Therapy Cairo UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Experimental
Experimental
Muscle Energy Technique group
Mulligan Technique group
Patients in the group (B) will receive muscle energy technique on tonic muscles in the neck (sternocleidomastoid, scalenes, levator scapulae, and upper trapezius) in addition to strengthening exercise for deep cervical flexors and advice to correct positions three times per week for 4 weeks. The aim of the Muscle Energy Technique in the context of NP is to decrease pain, improve movement, motor control, and function and thereby reduce disability. A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body thus alleviating the patient's signs and symptoms.
Patient in group A will receive specialized SNAGs technique adapted from Mulligan (2005), in addition to strengthening exercise for DNF muscles and advice to correct position three times per week for 4 weeks.