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Bowen and Graston Technique in Patients of Tension Neck Syndrome

Primary Purpose

Neck Syndrome

Status
Recruiting
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Bowen Technique
Graston technique
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Neck Syndrome focused on measuring NECK PAIN, NECK DISABILITY, Instrument assisted soft tissue treatment method

Eligibility Criteria

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

Inclusion Criteria: Age group 20-45 Both males and females Patients diagnosed with VDTS induced Tension neck syndrome in Upper trapezius, SCM & Levator scapulae muscles. Specific criteria will be applied to make diagnosis of Visual display terminal syndrome: syndrome, requiring 3 or more symptoms from the following: Patients from Tension neck syndrome such as neck pain, stiffness & tenderness, fatigue or feeling of tiredness, possible headache, pain during movement etc. within past 7 days Musculoskeletal discomfort (pain, tenderness & stiffness)in shoulder, elbow, lower back & wrist/hand regions Ocular symptoms i.e. eye strain or eye dryness from past 7 days Desktop, laptop and excessive smartphone users for more than 2 hours per day at eye level with extreme neck position and static work posture for at least 5 days per week Exclusion Criteria: Cervical radiculopathy Uncontrolled systemic disease Neck pain due to diabetes, trauma, fracture, infectious or inflammatory process Previous neck or shoulder surgery Patients who are using any medication to reduce the neck pain & discomfort Malignancy

Sites / Locations

  • WeCare Physiotherapy ClinicRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Experimental

Arm Label

Bowen Technique

Graston technique

Arm Description

BOWEN TECHNIQUE Hot pack TENS Cervical isometrics

GRASTON TECHNIQUE Hot pack TENS Cervical isometrics

Outcomes

Primary Outcome Measures

NPRS FOR NECK PAIN
The NPRS is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable")

Secondary Outcome Measures

Range of Motion
A goniometer is an instrument that measures the available range of motion at a joint. Normal range of motion, using the anatomical position as zero degrees.
Neck Disability Index
Neck Disability Index (NDI) is a questionnaire designed to assess how neck pain has affected patient's ability to manage in everyday life. It has total 10 sections.

Full Information

First Posted
February 20, 2023
Last Updated
March 31, 2023
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05751070
Brief Title
Bowen and Graston Technique in Patients of Tension Neck Syndrome
Official Title
Comparison of Bowen and Graston Technique in Patients of Tension Neck Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
March 2023
Overall Recruitment Status
Recruiting
Study Start Date
March 16, 2023 (Actual)
Primary Completion Date
September 28, 2023 (Anticipated)
Study Completion Date
October 28, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Riphah International University

4. Oversight

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

5. Study Description

Brief Summary
To compare the effects of Bowen and Graston technique in Tension neck syndrome for neck pain , ROM and disability in patients with Tension neck syndrome .
Detailed Description
Tension neck syndrome (TNS) is defined as a myofascial pain localized in the neck and shoulder regions. The symptoms include; pain, tenderness, fatigue and stiffness in the neck and shoulder musculature, headaches radiating from the neck, without a history of injury herniated cervical disk, or degenerative processes. It is characterized pain over the neck region and muscle tenderness elicited on palpation and or neck movement. TNS patients with pain have the reduced sensitivity of the neck proprioception. TN may be work- and individual-related and sociopsychological factors may have effect. Bowen Therapy, is a dynamic fascial and muscle release approach, consisting of gentle cross-fiber movements applied to the fascia, muscles, tendons, muscle insertions, muscle septa, ligaments and viscera. Grastοn technique is an instrument assisted soft tissue treatment method (ІASTM) derived from the Cyriax1 cross-friction massage. Physіοtherapist strikes stainless steel instrument in a longitudinal dіrectіοn and in circular patterns at the treatment site

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Syndrome
Keywords
NECK PAIN, NECK DISABILITY, Instrument assisted soft tissue treatment method

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
26 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Bowen Technique
Arm Type
Active Comparator
Arm Description
BOWEN TECHNIQUE Hot pack TENS Cervical isometrics
Arm Title
Graston technique
Arm Type
Experimental
Arm Description
GRASTON TECHNIQUE Hot pack TENS Cervical isometrics
Intervention Type
Other
Intervention Name(s)
Bowen Technique
Intervention Description
They would be receiving conventional treatment as follow: Hot pack for 10 minutes TENS for 10 minutes Cervical isometrics 10 reps with 5 sec hold Additionally The Bowen treatment will be 15 to 20 Bowen moves with 2 mins gap between each set for total of 20 mins.
Intervention Type
Other
Intervention Name(s)
Graston technique
Intervention Description
They would be receiving conventional treatment as follow: Hot pack for 10 minutes TENS for 10 minutes Cervical isometrics 10 reps with 5 sec hold Additionally The Graston treatment will be by using lubricant on the skin then a stainless steel instrument to relax the fascia and muscles. The frequency of the plastering and friction movements will be applied in 60 repetitions per minute for total of 20 mins.
Primary Outcome Measure Information:
Title
NPRS FOR NECK PAIN
Description
The NPRS is a segmented numeric version of the visual analog scale in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of his/her pain. The scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable")
Time Frame
2 WEEKS
Secondary Outcome Measure Information:
Title
Range of Motion
Description
A goniometer is an instrument that measures the available range of motion at a joint. Normal range of motion, using the anatomical position as zero degrees.
Time Frame
2 WEEKS
Title
Neck Disability Index
Description
Neck Disability Index (NDI) is a questionnaire designed to assess how neck pain has affected patient's ability to manage in everyday life. It has total 10 sections.
Time Frame
2 WEEKS

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Age group 20-45 Both males and females Patients diagnosed with VDTS induced Tension neck syndrome in Upper trapezius, SCM & Levator scapulae muscles. Specific criteria will be applied to make diagnosis of Visual display terminal syndrome: syndrome, requiring 3 or more symptoms from the following: Patients from Tension neck syndrome such as neck pain, stiffness & tenderness, fatigue or feeling of tiredness, possible headache, pain during movement etc. within past 7 days Musculoskeletal discomfort (pain, tenderness & stiffness)in shoulder, elbow, lower back & wrist/hand regions Ocular symptoms i.e. eye strain or eye dryness from past 7 days Desktop, laptop and excessive smartphone users for more than 2 hours per day at eye level with extreme neck position and static work posture for at least 5 days per week Exclusion Criteria: Cervical radiculopathy Uncontrolled systemic disease Neck pain due to diabetes, trauma, fracture, infectious or inflammatory process Previous neck or shoulder surgery Patients who are using any medication to reduce the neck pain & discomfort Malignancy
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
KINZA ANWAR, MS-OMPT
Phone
+92-3239735427
Email
kinza.anwar@riphah.edu.pk
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
KINZA ANWAR, MS-OMPT
Organizational Affiliation
RIPHAH INTERNATIONAL UNIVERSITY,ISLAMABAD,PAKISTAN
Official's Role
Principal Investigator
Facility Information:
Facility Name
WeCare Physiotherapy Clinic
City
Islamabad
Country
Pakistan
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
KINZA ANWAR, MS-OMPT
Phone
+92-3239735427
Email
kinza.anwar@riphah.edu.pk
First Name & Middle Initial & Last Name & Degree
AMNA JAMIL
First Name & Middle Initial & Last Name & Degree
AMNA JAMIL, MS-OMPT*

12. IPD Sharing Statement

Plan to Share IPD
No

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Bowen and Graston Technique in Patients of Tension Neck Syndrome

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