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Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

Primary Purpose

Chronic Mechanical Neck Pain

Status
Completed
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
cervicothoracic junction mobilization in form of Maitland mobilization
autogenic muscle Energy Technique
conventional physical therapy
Sponsored by
Cairo University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Mechanical Neck Pain focused on measuring chronic mechanical neck pain, cervicothoracic junction mobilization, autogenic muscle energy technique, cervicothoracic junction hypomobility

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion criteria:

  • Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
  • Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
  • patients with age range from 18 to 45 years old.
  • patients with body mass index less than 30 kg/m2.
  • Exclusion Criteria:
  • previous spine surgery
  • pregnancy.
  • Diabetic patients
  • Hypertensive patients
  • Patients were excluded if neck pain was associated with cervical radiculopathy
  • whiplash injuries or severe headaches
  • cervical spine fracture
  • vertebro-basilar insufficiency.
  • red flags suggesting of cancer, infection, vascular insufficiency
  • Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Sites / Locations

  • FACULTY OF PHYSICAL THERAPY, cairo university

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Experimental

Active Comparator

Arm Label

Group A:cervicothoracic junction mobilization

Group B:autogenic muscle Energy Technique

Group C:conventional physical therapy

Arm Description

Group A: patients will receive cervicothoracic junction mobilization and conventional physical therapy program for 3 sessions/week over 4 weeks periods

Group B: will receive autogenic muscle Energy Technique and conventional physical therapy program for 3 sessions/week over 4 weeks periods.

Group C: will receive conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods.

Outcomes

Primary Outcome Measures

change in neck pain
change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment

Secondary Outcome Measures

cervical ROM and cervical prorprioception
cervical ROM and cervical prorprioception will be measured by cervical ROM device pre treatment and post treatment

Full Information

First Posted
September 24, 2022
Last Updated
August 25, 2023
Sponsor
Cairo University
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1. Study Identification

Unique Protocol Identification Number
NCT05557747
Brief Title
Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain
Official Title
Cervicothoracic Junction Mobilization Versus Autogenic Muscle Energy Technique in Patients With Chronic Mechanical Neck Pain
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Completed
Study Start Date
November 1, 2022 (Actual)
Primary Completion Date
July 30, 2023 (Actual)
Study Completion Date
July 30, 2023 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Cairo University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Mechanical Neck Pain
Keywords
chronic mechanical neck pain, cervicothoracic junction mobilization, autogenic muscle energy technique, cervicothoracic junction hypomobility

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Model Description
mobilization and conventional physical therapy autogenic muscle Energy Technique and conventional physical therapy conventional physical therapy only
Masking
ParticipantOutcomes Assessor
Allocation
Randomized
Enrollment
60 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Group A:cervicothoracic junction mobilization
Arm Type
Experimental
Arm Description
Group A: patients will receive cervicothoracic junction mobilization and conventional physical therapy program for 3 sessions/week over 4 weeks periods
Arm Title
Group B:autogenic muscle Energy Technique
Arm Type
Experimental
Arm Description
Group B: will receive autogenic muscle Energy Technique and conventional physical therapy program for 3 sessions/week over 4 weeks periods.
Arm Title
Group C:conventional physical therapy
Arm Type
Active Comparator
Arm Description
Group C: will receive conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods.
Intervention Type
Other
Intervention Name(s)
cervicothoracic junction mobilization in form of Maitland mobilization
Intervention Description
Group A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods.
Intervention Type
Other
Intervention Name(s)
autogenic muscle Energy Technique
Intervention Description
the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle. The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold
Intervention Type
Other
Intervention Name(s)
conventional physical therapy
Intervention Description
conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods
Primary Outcome Measure Information:
Title
change in neck pain
Description
change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment
Time Frame
Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure
Secondary Outcome Measure Information:
Title
cervical ROM and cervical prorprioception
Description
cervical ROM and cervical prorprioception will be measured by cervical ROM device pre treatment and post treatment
Time Frame
Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion criteria: Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device. patients with age range from 18 to 45 years old. patients with body mass index less than 30 kg/m2. Exclusion Criteria: previous spine surgery pregnancy. Diabetic patients Hypertensive patients Patients were excluded if neck pain was associated with cervical radiculopathy whiplash injuries or severe headaches cervical spine fracture vertebro-basilar insufficiency. red flags suggesting of cancer, infection, vascular insufficiency Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.
Facility Information:
Facility Name
FACULTY OF PHYSICAL THERAPY, cairo university
City
Giza
Country
Egypt

12. IPD Sharing Statement

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Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

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