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NCT Number: NCT04852913

Bowen's Technique In Postural Neck Pain Among Dentist

No previous randomized control trial has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck Neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on Neck pain. Thus, this study aims to answer the question: bowmen's technique is effective for improving Neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

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Key information

Conditions

Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

25 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Bakhtawar Amin Physiotherapy and Rehabilitation Center, Multan Khurd, Punjab Province, Pakistan

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About this study

Bowen technique may be used for relaxation of tightening muscles in poor posture. The findings suggest that Bowen Therapy has inconsistent immediate effects on postural control and pain threshold in healthy subjects. Further studies are needed using symptomatic participants. No previous randomized control trial, to our knowledge, has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on neck pain. Thus, this study aims to answer the question: Bowen's technique is effective for improving neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Both male and females
  • Age between 25-50 years. ( House officers and Assistant professor)
  • Working hours >5 hours.
  • History of cervical pain >2 months.
  • Year of practice =<1 year
  • Treated more than 5 patient a day

Exclusion criteria

  • Cervical fracture
  • Cervical radiculopathy
  • Any surgery to neck and shoulder
  • Rheumatoid arthritis
  • Sever pain according to Numeric pain rating scale (NPRS)
  • Long term anticoagulant or corticosteroid therapy

Treatment and study plan

Bowen's Technique

Other

The thumb of the therapist was placed on the top of the targeted muscle (upper trapezius, levator scapulae, tight pectoralis and sternocleidomastoid, longissimus capitis, splenius capitis cervical multifidus). The skin was carried away gently from the spine without disturbing the muscle. The thumb was then hooked into the lateral aspect of the muscle to form a pressure on the muscle. Then the thumb was flattened in the medial direction, when this happened the muscle would plop or 15 respond in some way. Heating pad + TENS will be given The session lasted for 20 minutes 3sessions/week for 6th week

Convention Physical Therapy

Other

Myofascial Release + Active Range of Motion Deep transverse friction was given for 10 minutes followed by myofascial stretching of muscle for 3 times, each holding for 90 seconds. Then myofascial release was given using ulnar border of both palms of the therapist.

Active range of motion exercises will be given 10 reps with 5 seconds hold. Heating pad + Transcutaneous Electrical Nerve Stimulator (TENS) will be given The session lasted for 20 minutes 3sessions/week for 6th week

Primary outcomes

  1. Modified Goniometer

    Time frame: 6th week

    Modified goniometer can be used to measure craniovertebral angle which is helpful to assess the level of postural disability like forward head posture. It provides an estimation of head on neck angle and position of upper cervical spine.

  2. Numerical Rating Scale

    Time frame: 6th week

    In a Numerical Rating Scale (NRS), patients circle the number between 0 and 10, 0 and 20 or 0 and 100 according to their pain intensity. It is numeric version of visual analog scale.

  3. Neck Disability Index

    Time frame: 6th week

    This is a standard instrument for measuring disability due to neck pain and it's a self-reported questionnaire. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Bowen's Technique In Postural Neck Pain Among Dentist

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Apr 21, 2021
Registry last updated
Aug 6, 2021

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

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This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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