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Effects of Manual Therapy Versus Stretching Exercise Versus Routine Physical Therapy on Work-related Pain, Among Chefs

Primary Purpose

Neck Pain

Status
Completed
Phase
Not Applicable
Locations
Pakistan
Study Type
Interventional
Intervention
Routine Physical Therapy
Manual Therapy And Routine Physical Therapy
Stretching Exercises And Routine Physical Therapy
Sponsored by
Riphah International University
About
Eligibility
Locations
Arms
Outcomes
Full info

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

18 Years - 60 Years (Adult)All SexesDoes not accept healthy volunteers

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

Arm Type

Experimental

Experimental

Experimental

Arm Label

Routine Physical Therapy

Manual Therapy And Routine Physical Therapy

Stretching Exercises And Routine Physical Therapy

Arm Description

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.

Outcomes

Primary Outcome Measures

Visual analog scale
A Visual Analogue Scale 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.
Neck disability index
The Neck Disability Index is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher Neck Disability Index score means the greater a patient's perceived disability due to neck pain
Bubble inclinometer
The Bubble Inclinometer precisely measures, tests and evaluates the ranges of motion of neck. While using, place the Inclinometer near the joint to be measured.

Secondary Outcome Measures

Full Information

First Posted
February 20, 2022
Last Updated
June 27, 2022
Sponsor
Riphah International University
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1. Study Identification

Unique Protocol Identification Number
NCT05261945
Brief Title
Effects of Manual Therapy Versus Stretching Exercise Versus Routine Physical Therapy on Work-related Pain, Among Chefs
Official Title
The Effects of Manual Therapy Versus Stretching Exercise Versus Routine Physical Therapy on Work-related Pain, Among Patients With Non-specific Chronic Neck Pain Working as Chefs: A Randomised Controlled Trial
Study Type
Interventional

2. Study Status

Record Verification Date
June 2022
Overall Recruitment Status
Completed
Study Start Date
March 1, 2021 (Actual)
Primary Completion Date
March 25, 2022 (Actual)
Study Completion Date
March 31, 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
The aim of this research is to analyze the effect of Mulligan technique versus stretching techniques and versus routine physical therapy on pain, range of motion and functional disability among restaurant chefs presenting with non-specific chronic pain.
Detailed Description
A Randomized Control Trail study will be conducted, at Riphah International University Faisalabad after the approval of synopsis. Purposive sampling will be used to enroll the patients. Patients will be selected according to the pre-defined inclusion and exclusion criteria. The patients who will meet the inclusion criteria are allocated into three groups. The patients of group A will receive Routine physical therapy only. Group B will receive manual therapy and routine physical therapy while Group C will receive stretching exercises and routine physical therapy. The outcomes will be measured by the Neck Disability Index, visual analogue scale and bubble inclinometer. The data of patients will be recorded pre-treatment and post-treatment. The comparison between pre-treatment and post-treatment data will be done after 3 months. Informed consent will be taken from each patient. Data entry and analysis will be done with Statistical Package of Social Sciences Version 20 software.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Pain
Keywords
Manual Therapy, Stretching Exercises, Routine Physical Therapy, Non Specific Chronic Neck Pain, Restaurant Chefs

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantOutcomes Assessor
Masking Description
Our study will be double-blinded, outcome assessor-blinded and patient- blinded. The assessor will be blinded to avoid being biased during the outcome assessment. And, participants will be blinded to avoid the their incompliance during sessions.
Allocation
Randomized
Enrollment
90 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Routine Physical Therapy
Arm Type
Experimental
Arm Description
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.
Arm Title
Manual Therapy And Routine Physical Therapy
Arm Type
Experimental
Arm Description
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.
Arm Title
Stretching Exercises And Routine Physical Therapy
Arm Type
Experimental
Arm Description
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.
Intervention Type
Other
Intervention Name(s)
Routine Physical Therapy
Intervention Description
Routine Physical Therapy treatment with hot pack, TENS, and ultrasound helps in improving and relaxing the muscle spasm and soft tissue elasticity along pain reduction.
Intervention Type
Other
Intervention Name(s)
Manual Therapy And Routine Physical Therapy
Intervention Description
Mulligan is consider one of the most effective technique of mobilization.it is also important treatment for neck pain so that many physiotherapist used mulligan by including several methods such as Natural Apophyseal Glides or Sustained Natural Apophyseal Glides.
Intervention Type
Other
Intervention Name(s)
Stretching Exercises And Routine Physical Therapy
Intervention Description
Regular stretching helps increase your range of motion in the joints, improves blood circulation and posture and alleviates muscular tension throughout the body.
Primary Outcome Measure Information:
Title
Visual analog scale
Description
A Visual Analogue Scale 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.
Time Frame
12th Week
Title
Neck disability index
Description
The Neck Disability Index is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher Neck Disability Index score means the greater a patient's perceived disability due to neck pain
Time Frame
12th Week
Title
Bubble inclinometer
Description
The Bubble Inclinometer precisely measures, tests and evaluates the ranges of motion of neck. While using, place the Inclinometer near the joint to be measured.
Time Frame
12th Week

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
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
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Muhammad Kashif
Organizational Affiliation
Riphah International University
Official's Role
Study Chair
Facility Information:
Facility Name
Ripah International University
City
Faisalabad
State/Province
Punjab
ZIP/Postal Code
38000
Country
Pakistan

12. IPD Sharing Statement

Plan to Share IPD
No

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Effects of Manual Therapy Versus Stretching Exercise Versus Routine Physical Therapy on Work-related Pain, Among Chefs

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