Back to results

Muscle Energy Technique and Facet Joint Mobilization in Chronic Neck Pain.

Primary Purpose

Chronic Neck Pain

Status

Completed

Phase

Not Applicable

Locations

Pakistan

Study Type

Interventional

Intervention

Muscle energy Technique

About this trial

This is an interventional treatment trial for Chronic Neck Pain focused on measuring cervical pain, chronic neck pain,, Muscle energy technique,, Facet join mobilization,, cervical lordosis,, cervical curve

Eligibility Criteria

35 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

Chronic patients (more than 12 weeks)
Male and female patients
Patients having recurrence of neck pain at least once in the last month.
Patients from the age group of 35-50 years.
Patients having mechanical neck pain ranging from 4-8 on Numeric Pain Rating Scale (NPRS).
Cervical straightening on X-rays.
Limited &painful cervical Rang of motion (ROMs)

Exclusion Criteria:

Any recent history of trauma, active inflammation, Tumor, vertebra-basilar insufficiency and cervical myelopathy & radiculopathy.
No history of serious underlying pathology, nerve root compromise, structural changes and deformities, genetic spinal disorders or previous spinal surgery

Sites / Locations

HIT Taxila Cantt Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

Arm Label

Experimental Group (1): Muscle energy techniques,Moist Hot pack and TENS.

Experimental Group (2): Facets joint mobilizations, Moist Hot pack and TENS.

Control Group:Conventional Therapy (Stretching, strengthening , Moist Hot pack and TENS)

Arm Description

Experimental group included Moist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45C.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle.These pre and post intervention values were mentioned in questionnaire. The participants were administered with muscle energy technique (PIR) and data was collected again 2 and 4 weeks after the interventions.

Experimental group includedMoist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45οC.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle. These pre and post intervention values were mentioned in questionnaire. The participants were administered with Facet joint mobilization (UPA & SNAGS) and data was collected again 2 and 4 weeks after the interventions.

Control group includedMoist Hot pack of 14/15' over cervical region for 15 mins. Hydro collator Temperature according to standardized hot pack is 40-45οC.Conventional TENS applied for 10 mins. Baseline NPRS, NDI, Cervical ROMs, and posterior tangent angle. These pre and post intervention values were mentioned in questionnaire. The participants were administered with Conventional (sustained stretching and isometric strengthening) physical therapy and data was collected again 2 and 4 weeks after the interventions.

Outcomes

Primary Outcome Measures

Cervical Lordosis Measurement (posterior tangent method)

measure cervical lordosis by drawing tangent line along posterior border of C2 to C7 vertebra and measuring posterior tangent angle on lateral radio graph of cervical spine.At baseline and 4 weeks after baseline

Numeric pain rating scale

Will utilize for measurement of neck pain intensity.Minimum pain score is labeled as "zero" and maximum pain score is labeled as "10".At baseline, 2 and 4 weeks after baseline.

Secondary Outcome Measures

Neck disability index:

Will utilize for measurement of functional disability level among patients with chronic neck pain.At baseline, 2 and 4 weeks after baseline

Cervical goniometry:

Will utilize to measure range of motions for all movement at cervical spine with the help of valid & reliable tool, goniometer.At baseline, 2 and 4 weeks after baseline

Full Information

NCT ID

NCT05040477

First Posted

August 5, 2021

Last Updated

July 7, 2023

Sponsor

Riphah International University

1. Study Identification

Unique Protocol Identification Number

NCT05040477

Brief Title

Muscle Energy Technique and Facet Joint Mobilization in Chronic Neck Pain.

Official Title

Comparison of Muscle Energy Technique and Facet Joint Mobilization in the Patient With Chronic Neck Pain.

Study Type

Interventional

2. Study Status

Record Verification Date

July 2023

Overall Recruitment Status

Completed

Study Start Date

August 30, 2020 (Actual)

Primary Completion Date

May 15, 2021 (Actual)

Study Completion Date

July 31, 2021 (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

Studies a U.S. FDA-regulated Device Product

Data Monitoring Committee

Yes

5. Study Description

Brief Summary

The purpose of the study is to compare the muscle energy technique, facet joint mobilization and conventional physical therapy in individuals with chronic neck pain on cervical lordosis, cervical range of motions, numeric pain rating scale and NDI. A randomized control trial was conducted at physiotherapy department of HIT hospital, Taxila Cantt. The sample size was 105 calculated through open-epi tool. The participants were divided into three interventional groups, experimental group (1), experimental group (2), and control group (3) each having 35 participants. The study duration was six months. Sampling technique applied was Purposive sampling for recruitment and group randomization using sealed envelope method. Only 35 to 50 years participants with 4-8 pain intensity on NPRS in cervical region were included in the study. Goniometer, Posterior tangent method on lateral radiographs for cervical curve and Self structured Questionnaire. Data was collected at baseline then 2 and 4 weeks after the application of interventions. Data analyzed through SPSS version 21.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Chronic Neck Pain

Keywords

cervical pain, chronic neck pain,, Muscle energy technique,, Facet join mobilization,, cervical lordosis,, cervical curve

7. Study Design

Primary Purpose

Treatment

Study Phase

Not Applicable

Interventional Study Model

Parallel Assignment

Masking

Participant

Allocation

Randomized

Enrollment

105 (Actual)

8. Arms, Groups, and Interventions

Arm Title

Experimental Group (1): Muscle energy techniques,Moist Hot pack and TENS.

Arm Type

Experimental

Arm Description

Arm Title

Experimental Group (2): Facets joint mobilizations, Moist Hot pack and TENS.

Arm Type

Experimental

Arm Description

Arm Title

Control Group:Conventional Therapy (Stretching, strengthening , Moist Hot pack and TENS)

Arm Type

Active Comparator

Arm Description

Intervention Type

Other

Intervention Name(s)

Muscle energy Technique

Other Intervention Name(s)

Facet Joint Mobilization, Conventional Therapy

Intervention Description

Muscle Energy technique was used to increase the strength of weak muscles,relaxation of tightened muscles in result mobilizes the restricted joint segments.MET's group received 3-5 repetition of post isometric relaxation (PIR). Treatment through Facet Joint Mobilization based on 3 sets of 15 repetitions of unilateral poster-anterior glide (UPA) using initially grade I & II mobilizations followed by grade III of mitland glides on selected tender segments and 5 repetitions of extension sustained natural apophyseal glides (SNAGs) on hypo mobile segments. Conventional therapy comprising of stretching and isometric strengthening exercises in combination with TENS and heat therapy.

Primary Outcome Measure Information:

Title

Cervical Lordosis Measurement (posterior tangent method)

Description

Time Frame

4 week

Title

Numeric pain rating scale

Description

Will utilize for measurement of neck pain intensity.Minimum pain score is labeled as "zero" and maximum pain score is labeled as "10".At baseline, 2 and 4 weeks after baseline.

Time Frame

4 week

Secondary Outcome Measure Information:

Title

Neck disability index:

Description

Will utilize for measurement of functional disability level among patients with chronic neck pain.At baseline, 2 and 4 weeks after baseline

Time Frame

4 week

Title

Cervical goniometry:

Description

Will utilize to measure range of motions for all movement at cervical spine with the help of valid & reliable tool, goniometer.At baseline, 2 and 4 weeks after baseline

Time Frame

4 week

10. Eligibility

Sex

All

Minimum Age & Unit of Time

35 Years

Maximum Age & Unit of Time

50 Years

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Chronic patients (more than 12 weeks) Male and female patients Patients having recurrence of neck pain at least once in the last month. Patients from the age group of 35-50 years. Patients having mechanical neck pain ranging from 4-8 on Numeric Pain Rating Scale (NPRS). Cervical straightening on X-rays. Limited &painful cervical Rang of motion (ROMs) Exclusion Criteria: Any recent history of trauma, active inflammation, Tumor, vertebra-basilar insufficiency and cervical myelopathy & radiculopathy. No history of serious underlying pathology, nerve root compromise, structural changes and deformities, genetic spinal disorders or previous spinal surgery

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Lal Gul Khan, MS

Organizational Affiliation

Riphah International University

Official's Role

Principal Investigator

Facility Information:

Facility Name

HIT Taxila Cantt Hospital

City

Rawalpindi

State/Province

Punjab

ZIP/Postal Code

46000

Country

Pakistan

12. IPD Sharing Statement

Plan to Share IPD

Citations:

PubMed Identifier

24259936

Citation

Borisut S, Vongsirinavarat M, Vachalathiti R, Sakulsriprasert P. Effects of strength and endurance training of superficial and deep neck muscles on muscle activities and pain levels of females with chronic neck pain. J Phys Ther Sci. 2013 Sep;25(9):1157-62. doi: 10.1589/jpts.25.1157. Epub 2013 Oct 20.

Results Reference

background

PubMed Identifier

25410083

Citation

Akhter S, Khan M, Ali SS, Soomro RR. Role of manual therapy with exercise regime versus exercise regime alone in the management of non-specific chronic neck pain. Pak J Pharm Sci. 2014 Nov;27(6 Suppl):2125-8.

Results Reference

background

Citation

3. Gautam R, Dhamija JK, Puri A, Trivedi P, Sathiyavani D, Nambi G. Comparison of Maitland and Mulligan mobilization in improving neck pain, ROM and disability. Int J Physiother Res. 2014;2(3):561-6.

Results Reference

background

PubMed Identifier

21177034

Citation

Andersen LL, Saervoll CA, Mortensen OS, Poulsen OM, Hannerz H, Zebis MK. Effectiveness of small daily amounts of progressive resistance training for frequent neck/shoulder pain: randomised controlled trial. Pain. 2011 Feb;152(2):440-446. doi: 10.1016/j.pain.2010.11.016. Epub 2010 Dec 21.

Results Reference

background

Citation

5. Sutjana IDP, Erg M, PFK S, Erg A, Sutjana IDP, Irfan M, et al. Pemberian Teknik Mulligan Dan Soft Tissue Mobilization Lebih Baik Daripada Hanya Soft Tissue Mobilization Dalam Meningkatkan Lingkup Gerak Sendi Ekstensi, Rotasi, Lateral Fleksi Cervical Pada Mechanical Neck Pain. Sport and Fitness Journal. 2013;1(2).

Results Reference

background

PubMed Identifier

29575212

Citation

Yoon SY, Moon HI, Lee SC, Eun NL, Kim YW. Association between cervical lordotic curvature and cervical muscle cross-sectional area in patients with loss of cervical lordosis. Clin Anat. 2018 Jul;31(5):710-715. doi: 10.1002/ca.23074. Epub 2018 Apr 14.

Results Reference

background

PubMed Identifier

23768023

Citation

Scheer JK, Tang JA, Smith JS, Acosta FL Jr, Protopsaltis TS, Blondel B, Bess S, Shaffrey CI, Deviren V, Lafage V, Schwab F, Ames CP; International Spine Study Group. Cervical spine alignment, sagittal deformity, and clinical implications: a review. J Neurosurg Spine. 2013 Aug;19(2):141-59. doi: 10.3171/2013.4.SPINE12838. Epub 2013 Jun 14.

Results Reference

background

PubMed Identifier

22319684

Citation

Page P. Current concepts in muscle stretching for exercise and rehabilitation. Int J Sports Phys Ther. 2012 Feb;7(1):109-19.

Results Reference

background

Citation

9. Chaitow L, Crenshaw K. Muscle energy techniques: Elsevier Health Sciences; 2006

Results Reference

background

Citation

10. Kage V, Bootwala F, Kudchadkar G. Effect of Bowen Technique versus Muscle Energy Technique on Asymptomatic Subjects with Hamstring Tightness: A Randomized Clinical Trial. International Journal of Medical Research & Health Sciences. 2017;6(4):102-8.

Results Reference

background

PubMed Identifier

25761188

Citation

Peng B, Pang X, Li D, Yang H. Cervical spondylosis and hypertension: a clinical study of 2 cases. Medicine (Baltimore). 2015 Mar;94(10):e618. doi: 10.1097/MD.0000000000000618.

Results Reference

background

PubMed Identifier

29861800

Citation

Buyukturan O, Buyukturan B, Sas S, Kararti C, Ceylan I. The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study. Pain Res Manag. 2018 May 15;2018:2856375. doi: 10.1155/2018/2856375. eCollection 2018.

Results Reference

background

Citation

13. Hing W, Hall T, Rivett DA, Vicenzino B, Mulligan B. The Mulligan Concept of Manual Therapy-eBook: Textbook of Techniques: Elsevier Health Sciences; 2015.

Results Reference

background

Citation

14. Maitland G, Bank K. Vertebral manipulation 2002. Butterworth Heinemann, Oxford

Results Reference

background

PubMed Identifier

32063632

Citation

Osama M, Tassadaq N, Malik RJ. Effect of muscle energy techniques and facet joint mobilization on spinal curvature in patients with mechanical neck pain: A pilot study. J Pak Med Assoc. 2020 Feb;70(2):344-347. doi: 10.5455/JPMA.14189.

Results Reference

background

Citation

16. Gupta S, Jaiswal P, Chhabra D. A comparative study between postisometric relaxation and isometric exercises in non-specific neck pain. Journal of exercise science and physiotherapy. 2008;4(2):88-94.

Results Reference

background

Citation

17. Sharma A, Angusamy R, Kalra S, Singh S. Efficacy of post-isometric relaxation versus integrated neuromuscular ischaemic technique in the treatment of upper trapezius trigger points. Indian Journal of Physiotherapy and Occupational Therapy. 2010;4(3):1-5.

Results Reference

background

Citation

18. Sharmila B. Isometric muscle energy technique and non-specific neck pain in secondary school teachers-results of an experimental study. Indian Journal of Physiotherapy and Occupational Therapy. 2014;8(2):58.

Results Reference

background

Citation

19. Mahajan R, Kataria C, Bansal K. Comparative effectiveness of muscle energy technique and static stretching for treatment of subacute mechanical neck pain. Int J Health Rehabil Sci. 2012;1(1):16-21.

Results Reference

background

Citation

20. Rana AA, Ahmad A, Gillani SA, Idrees MQ, Awan I. Effects of conventional physical therapy with and without muscle energy techniques for treatment of Upper Cross Syndrome. Rawal Medical Journal. 2020;45(1):127-32

Results Reference

background

Citation

21. Pragassame SA, Kurup VM, Kour J. Efficacy of sustained natural apophyseal glides mulligan technique on mobility and function in patients with cervical spondylosis: An experimental study. Journal of Natural Science, Biology and Medicine. 2020;11(2):128

Results Reference

background

Citation

22. Al Shehri A, Khan S, Shamsi S, Almureef SS. COMPARATIVE STUDY OF MULLIGAN (SNAGS) AND MAITLAND MOBILIZATION IN NECK PAIN. European Journal of Physical Education and Sport Science. 2018

Results Reference

background

Learn more about this trial

Muscle Energy Technique and Facet Joint Mobilization in Chronic Neck Pain.

We'll reach out to this number within 24 hrs