Back to resultsCervicothoracic Junction Mobilization Versus Eccentric Muscle Energy Technique in Mechanical Cervical Pain
Primary Purpose
Neck Pain
Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Cervicothoracic Junction Mobilization Technique
Eccentric Muscle Energy Technique
Sponsored by
About this trial
This is an interventional treatment trial for Neck Pain
Eligibility Criteria
Inclusion Criteria:
Participants falling in this category would be recruited into the study.
- Females
- Age between 18-45 years.
- Diagnosed with mechanical cervical pain.
Exclusion Criteria:
Participant failing to fall in this category would be excluded of the study.
- Pregnant Females
- Any previous history of trauma or surgery
- Diagnosed with mechanical cervical pain due to disc herniation, radiculopathy or any other cervical malignancy.
Sites / Locations
- Riphah international University
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Cervicothoracic Junction Mobilization Technique
Eccentric Muscle Energy Technique
Arm Description
It is a part of manual therapy technique. 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) is given.For central PA glide, a central pressure angled towards the participant's head was given with overlapping thumbs of the therapist placed on the spinous process of C7. Dosage: Glide would be given according to the nature, intensity and severity of the patient's pain. 30 sec bouts with 3 sets & 2 reps. Total 2-3 min duration. 2 sessions per week for 3 weeks.
Eccentric muscle energy technique would be applied to the patient's cervical spine. The cervical spine would be brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then patient would be asked to push their heads into the direction opposite that of the barrier. Dosage: The therapist provided isometric resistance for 3- 5 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. This is applied for generalized cervical movements in each plane like Flexion, Extension, Side Bending & Rotation. 3-5 repetitions with 2-3 sets were performed. Total duration: 3-5 min 2 sessions per week for 3 weeks.
Outcomes
Primary Outcome Measures
Visual Analogue Scale
A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. It is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom, pain, health) orientated from the left (worst) to the right (best). Test-retest reliability has been shown to be good, but higher among literate (r= 0.94)
Neck Disability Index (NDI)
This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Patient-completed, condition-specific, functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Each section is scored on a 0 to 5 rating scale, in which zero means "no pain" and 5 means "Worst imaginable pain". It has highest score of 50.
Cervical Goniometer
A goniometer is an instrument which measures the available range of motion atjoint. Goniometer have different types; the most use is the universal standard goniometer, which is either made with plastic or metal tool. It consists of a stationary arm, a movable arm and a fulcrum.
Secondary Outcome Measures
Full Information
NCT ID
NCT05410067
First Posted
June 4, 2022
Last Updated
June 7, 2022
Sponsor
Riphah International University
1. Study Identification
Unique Protocol Identification Number
NCT05410067
Brief Title
Cervicothoracic Junction Mobilization Versus Eccentric Muscle Energy Technique in Mechanical Cervical Pain
Official Title
Effects of Cervicothoracic Junction Mobilization Versus Eccentric Muscle Energy Technique in the Treatment of Mechanical Cervical Pain
Study Type
Interventional
2. Study Status
Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
September 1, 2021 (Actual)
Primary Completion Date
May 25, 2022 (Actual)
Study Completion Date
May 25, 2022 (Actual)
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
Yes
5. Study Description
Brief Summary
To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on mechanical cervical pain.
To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on cervical disability.
To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on cervical ROM.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Pain
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
Participant
Allocation
Randomized
Enrollment
36 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cervicothoracic Junction Mobilization Technique
Arm Type
Experimental
Arm Description
It is a part of manual therapy technique. 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) is given.For central PA glide, a central pressure angled towards the participant's head was given with overlapping thumbs of the therapist placed on the spinous process of C7.
Dosage:
Glide would be given according to the nature, intensity and severity of the patient's pain. 30 sec bouts with 3 sets & 2 reps. Total 2-3 min duration. 2 sessions per week for 3 weeks.
Arm Title
Eccentric Muscle Energy Technique
Arm Type
Experimental
Arm Description
Eccentric muscle energy technique would be applied to the patient's cervical spine. The cervical spine would be brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then patient would be asked to push their heads into the direction opposite that of the barrier.
Dosage:
The therapist provided isometric resistance for 3- 5 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. This is applied for generalized cervical movements in each plane like Flexion, Extension, Side Bending
& Rotation. 3-5 repetitions with 2-3 sets were performed. Total duration: 3-5 min 2 sessions per week for 3 weeks.
Intervention Type
Other
Intervention Name(s)
Cervicothoracic Junction Mobilization Technique
Intervention Description
It is a part of manual therapy technique. Patient would be in prone position with his forehead in the palm of the therapist. 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) is given. For central PA glide, a central pressure angled towards the participant's head was given with overlapping thumbs of the therapist placed on the spinous process of C7. The therapist's thumbs were placed on the posterior surface of the articular process to be mobilized (C7 on the side of restriction), and anteriorly directed oscillatory pressure was applied for unilateral PA mobilization.
Intervention Type
Other
Intervention Name(s)
Eccentric Muscle Energy Technique
Intervention Description
Eccentric muscle energy technique would be applied to the patient's cervical spine. The cervical spine would be brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then patient would be asked to push their heads into the direction opposite that of the barrier.
Primary Outcome Measure Information:
Title
Visual Analogue Scale
Description
A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. It is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom, pain, health) orientated from the left (worst) to the right (best). Test-retest reliability has been shown to be good, but higher among literate (r= 0.94)
Time Frame
3 Weeks
Title
Neck Disability Index (NDI)
Description
This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Patient-completed, condition-specific, functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Each section is scored on a 0 to 5 rating scale, in which zero means "no pain" and 5 means "Worst imaginable pain". It has highest score of 50.
Time Frame
3 Weeks
Title
Cervical Goniometer
Description
A goniometer is an instrument which measures the available range of motion atjoint. Goniometer have different types; the most use is the universal standard goniometer, which is either made with plastic or metal tool. It consists of a stationary arm, a movable arm and a fulcrum.
Time Frame
3 Weeks
10. Eligibility
Sex
Female
Gender Based
Yes
Gender Eligibility Description
Diagnosed with mechanical cervical pain.
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Participants falling in this category would be recruited into the study.
Females
Age between 18-45 years.
Diagnosed with mechanical cervical pain.
Exclusion Criteria:
Participant failing to fall in this category would be excluded of the study.
Pregnant Females
Any previous history of trauma or surgery
Diagnosed with mechanical cervical pain due to disc herniation, radiculopathy or any other cervical malignancy.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Waqar Ahmad Awan, PhD
Organizational Affiliation
Riphah International University
Official's Role
Principal Investigator
Facility Information:
Facility Name
Riphah international University
City
Islamabad
State/Province
ICT
ZIP/Postal Code
44000
Country
Pakistan
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Cervicothoracic Junction Mobilization Versus Eccentric Muscle Energy Technique in Mechanical Cervical Pain
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