Effects of Manual Therapy Versus Stretching Exercise Versus Routine Physical Therapy on Work-related Pain, Among Chefs
Neck Pain
About this trial
This is an interventional treatment trial for Neck Pain focused on measuring Manual Therapy, Stretching Exercises, Routine Physical Therapy, Non Specific Chronic Neck Pain, Restaurant Chefs
Eligibility Criteria
Inclusion Criteria:
- For at least 3 months, you've been suffering from neck pain
- Any Neurological problems
- For the previous three months, the patient has taken some analgesic drug for neck pain.
- Rheumatological issues
- Non-specific neck pain
- Age 18-60 years
Exclusion Criteria:
Neck pain due to,
- Tumors
- Ankylosing Spondylitis
- Fracture
- Dislocation
- Cord compression
- Insufficiency of the vertebrobasilar artery
- Osteoprosis
- Anticoagulant or corticosteroid therapy for a long period of time
- Pain due to any congenital deformity, inflammation or any infection
- Carcinoma
Sites / Locations
- Ripah International University
Arms of the Study
Arm 1
Arm 2
Arm 3
Experimental
Experimental
Experimental
Routine Physical Therapy
Manual Therapy And Routine Physical Therapy
Stretching Exercises And Routine Physical Therapy
Electrotherapy Exercises. Electrotherapy Hot pack Patients will be in prone position and for relaxation pillow will place beneath the abdomen. Then to reduce muscle spasm and to induce vasodilation hot pack will use for 15 minutes. Treatment with hot pack helps in improving and relaxing the muscle spasm and soft tissue elasticity. TENS TENS will be of 50 Hz, duration of pulse will be<150 microseconds, for 15 minutes to reduce pain. TENS and Hot Pack will use at the same time for 15 minutes. Ultrasound Ultrasound's gel will be applied on outer surface of skin with 2-3 mm thickness. Then ultrasound which frequency will be 1MHz applied for 5 min. • Exercises Passive Range of Motion exercises for 10 minutes Neck Flexion Neck Side bending Neck Rotation Isometric neck flexion Isometric neck extension Isometric neck side bending These exercises will repeat 3 times within the treatment program.
The routine physical therapy will be applied first, in which electrotherapy will applied for 20 mins, TENS and hot pack for 15 mins, ultrasound for 5 mins. Manual therapy Natural Apophyseal Glides The natural apophyseal glides, which will be applied between C2 and C7, will be the Manual Muscle Testings first action. Patients may request to sit and lean on a chair. The oscillatory motions will reapply the mobilization. Sustained Natural Apophyseal Glides Sustained Natural Apophyseal Glides will be a mixture of mobilization and active gestures/movements. 5 repetitions for 10 minutes of each.
The routine physical therapy will be applied first, in which electrotherapy will applied for 20 minutes, TENS and hot pack is applied for 15 minutes at the same time, then ultrasound will applied for 5 minutes. Stretching exercises will be done in the following order; For trapezius: Stretching into lateral flexion for the upper part, For scalene: rotation and ipsilateral flexion For the extensor muscles: flexion will be performed. Performing each action for 30 seconds with 5 repetitions for 10 minutes Finally, by retruding the jaw, a neck straightening exercise can be performed.