Back to resultsMuscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women
Primary Purpose
Neck Pain, Breast Feeding
Status
Unknown status
Phase
Not Applicable
Locations
Egypt
Study Type
Interventional
Intervention
Muscle Energy Technique
Mulligan Technique
Sponsored by
About this trial
This is an interventional treatment trial for Neck Pain
Eligibility Criteria
Inclusion Criteria:
- Patients will be examined by a physician before the study and will be chosen according to the following criteria:
- All patients will be in the breastfeeding period at least 6 weeks after delivery.
- All patients will be clinically diagnosed with neck pain (with no neurological or rheumatological problem).
- Their ages will range from 25-35years.
- Their BMI will be less than 30 kg/m².
- Their parity will not be more than 3 times.
Exclusion Criteria:
The patients will be excluded if they have any of the followings:
- Any contraindication to spinal mobilization (e.g., inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities).
- Positive neurological examination (presence of positive motor reflex, or sensory abnormalities indicating spinal root compression).
- Cervical spine surgery or stenosis, metabolic or systemic disorder, or cancer.
- Associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from the costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome.
Sites / Locations
- Faculty of Physical Therapy Cairo UniversityRecruiting
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
Muscle Energy Technique group
Mulligan Technique group
Arm Description
Patients in the group (B) will receive muscle energy technique on tonic muscles in the neck (sternocleidomastoid, scalenes, levator scapulae, and upper trapezius) in addition to strengthening exercise for deep cervical flexors and advice to correct positions three times per week for 4 weeks. The aim of the Muscle Energy Technique in the context of NP is to decrease pain, improve movement, motor control, and function and thereby reduce disability. A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body thus alleviating the patient's signs and symptoms.
Patient in group A will receive specialized SNAGs technique adapted from Mulligan (2005), in addition to strengthening exercise for DNF muscles and advice to correct position three times per week for 4 weeks.
Outcomes
Primary Outcome Measures
Assessing the change in Cervical pain level
Assessment via using Visual Analogue Scale that continuous data analysis and uses a 10 cm long with 0 (no pain) and 10 (worst pain). Patient will be asked to place a mark along the line to denote their level of pain.
Assessing the change in Functional disability
Assessment via using Neck pain disability index questionnaire consists of 10 items each of them is scored from 0 to 5. The total maximum score is therefore 50.The original report provided scoring interval for interpretation, as; (0-4) = no disability, (5-14) mild, (15-24) moderate, (25-34) sever, (above34) complete disability.
Assessing the change in Cervical Range Of Motion
Assessment via using Digital goniometer is valid and has good reliability for measuring cervical spine range of motion.
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT04930575
Brief Title
Muscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women
Official Title
Muscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women
Study Type
Interventional
2. Study Status
Record Verification Date
June 2021
Overall Recruitment Status
Unknown status
Study Start Date
March 1, 2021 (Actual)
Primary Completion Date
June 15, 2021 (Anticipated)
Study Completion Date
June 30, 2021 (Anticipated)
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
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study will determine the effect of muscle energy technique versus mulligan technique on neck pain in breastfeeding women.
Detailed Description
Conservative treatments used to manage neck pain are numerous and include usual medical care ( face to face interview, education, reassurance, medication, ergonomic and stay active advice), various forms of exercise, massage, and acupuncture among others, but a lack of evidence regarding their relative efficacy was found.
More research is needed to determine specific exercise programs that can decrease neck pain in breastfeeding women. So, this study will be conducted to determine clinical evidence of the effectiveness of muscle energy technique versus mulligan technique on neck pain, which constituted a great problem facing the mother during the breastfeeding period.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Neck Pain, Breast Feeding
7. Study Design
Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
InvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
32 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
Muscle Energy Technique group
Arm Type
Experimental
Arm Description
Patients in the group (B) will receive muscle energy technique on tonic muscles in the neck (sternocleidomastoid, scalenes, levator scapulae, and upper trapezius) in addition to strengthening exercise for deep cervical flexors and advice to correct positions three times per week for 4 weeks.
The aim of the Muscle Energy Technique in the context of NP is to decrease pain, improve movement, motor control, and function and thereby reduce disability.
A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body thus alleviating the patient's signs and symptoms.
Arm Title
Mulligan Technique group
Arm Type
Experimental
Arm Description
Patient in group A will receive specialized SNAGs technique adapted from Mulligan (2005), in addition to strengthening exercise for DNF muscles and advice to correct position three times per week for 4 weeks.
Intervention Type
Other
Intervention Name(s)
Muscle Energy Technique
Intervention Description
A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body.
Intervention Type
Other
Intervention Name(s)
Mulligan Technique
Intervention Description
The patient will be in a supportive low back chair, thus cervical region will be in a vertical position (Weight-bearing position) with the therapist position will be behind the patient.
Then the therapist will move the spinous process up in the direction that must follow the apophyseal joint plane under treatment, that is, toward the eye ball. While sustaining this pain-free accessory glide, the patient will be instructed to actively perform the physiological movement gradually until the end ROM with over pressure at the end of the range.
Primary Outcome Measure Information:
Title
Assessing the change in Cervical pain level
Description
Assessment via using Visual Analogue Scale that continuous data analysis and uses a 10 cm long with 0 (no pain) and 10 (worst pain). Patient will be asked to place a mark along the line to denote their level of pain.
Time Frame
Baseline and 4 weeks post-intervention
Title
Assessing the change in Functional disability
Description
Assessment via using Neck pain disability index questionnaire consists of 10 items each of them is scored from 0 to 5. The total maximum score is therefore 50.The original report provided scoring interval for interpretation, as; (0-4) = no disability, (5-14) mild, (15-24) moderate, (25-34) sever, (above34) complete disability.
Time Frame
Baseline and 4 weeks post-intervention
Title
Assessing the change in Cervical Range Of Motion
Description
Assessment via using Digital goniometer is valid and has good reliability for measuring cervical spine range of motion.
Time Frame
Baseline and 4 weeks post-intervention
10. Eligibility
Sex
Female
Gender Based
Yes
Gender Eligibility Description
Breast feeding women
Minimum Age & Unit of Time
25 Years
Maximum Age & Unit of Time
35 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria:
Patients will be examined by a physician before the study and will be chosen according to the following criteria:
All patients will be in the breastfeeding period at least 6 weeks after delivery.
All patients will be clinically diagnosed with neck pain (with no neurological or rheumatological problem).
Their ages will range from 25-35years.
Their BMI will be less than 30 kg/m².
Their parity will not be more than 3 times.
Exclusion Criteria:
The patients will be excluded if they have any of the followings:
Any contraindication to spinal mobilization (e.g., inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities).
Positive neurological examination (presence of positive motor reflex, or sensory abnormalities indicating spinal root compression).
Cervical spine surgery or stenosis, metabolic or systemic disorder, or cancer.
Associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from the costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Heba Elbasiony, Physical Therapist
Phone
+201007065666
Email
mheba7033@gmail.com
Facility Information:
Facility Name
Faculty of Physical Therapy Cairo University
City
Dokki
Country
Egypt
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Heba Elbasiony
Phone
+201007065666
Email
mheba7033@gmail.com
12. IPD Sharing Statement
Plan to Share IPD
No
Learn more about this trial
Muscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women
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