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Completed

NCT Number: NCT05557747

Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

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Key information

Conditions

Chronic Mechanical Neck Pain

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

FACULTY OF PHYSICAL THERAPY, cairo university

Giza, Egypt

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
  • Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
  • patients with age range from 18 to 45 years old.
  • patients with body mass index less than 30 kg/m2.
  • Exclusion Criteria:
  • previous spine surgery
  • pregnancy.
  • Diabetic patients
  • Hypertensive patients
  • Patients were excluded if neck pain was associated with cervical radiculopathy
  • whiplash injuries or severe headaches
  • cervical spine fracture
  • vertebro-basilar insufficiency.
  • red flags suggesting of cancer, infection, vascular insufficiency
  • Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Treatment and study plan

cervicothoracic junction mobilization in form of Maitland mobilization

Other

Group A: will receive cervicothoracic junction mobilization mobilization in form of 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) for 3 sessions/week over 4 weeks periods.

autogenic muscle Energy Technique

Other

the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle.

The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold

Conventional physical therapy

Other

conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods

Primary outcomes

  1. change in neck pain

    Time frame: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure

    change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment

Secondary outcomes

  1. cervical ROM and cervical prorprioception

    Time frame: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure

    cervical ROM and cervical prorprioception will be measured by cervical ROM device pre treatment and post treatment

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Cervicothoracic Junction Mobilization Versus Autogenic Muscle Energy Technique in Patients With Chronic Mechanical Neck Pain

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Sep 28, 2022
Registry last updated
Aug 28, 2023

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

View the official ClinicalTrials.gov record (opens in a new tab)

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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