Clinical Outcomes of Maitland's Mobilization in Patients With Myofacial Chronic Neck Pain

Myofacial neck pain is a common musculoskeletal problem caused by presence of trigger points and local and referred pain patterns. Chronic neck pain is responsible for the involvement of joints, ligaments, fascia and connective tissue as well. The objective of this study was to assess the impacts of Maitland's mobilization in patients with myofacial chronic neck pain. Maitland's mobilization is one of the most common manual therapy approaches used by physiotherapists. Maitland's techniques involve the application of passive and accessory oscillatory movements to spinal and vertebral joints to treat pain and stiffness.

In this randomized, placebo treatment controlled trial, 30 patients consecutively aged 25-45 years meeting inclusion criteria were isolated into two groups. The study group was treated with Maitland's mobilization consistently for 8 weeks while the control group got placebo treatment for a similar time frame. Visual analog Scale (VAS), Neck disability index (NDI) and cervical range of motion (ROM) questionnaire was filled by patients before, intermediate and after the intervention to evaluate the severity of pain, functional ability and range of motion.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

Myofascial Pain Syndrome of Neck Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

25 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Riphah IU

Lahore, 54000, Pakistan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

Patients age between 25-45 years old,
Bilateral pain involving the upper trapezius and elevator muscle of the scapula;
Duration of pain of at least 3 months;
A pain intensity corresponding to at least 2 cm on a 10 cm visual analogue scale (VAS); -Neck pain with symptoms provoked by either neck postures or neck movement;
Pain localized at least in the cervical and occipital regions but not in the orofacial region; --Neck disability index (NDI) greater than or equal to 15 points;
Restricted cervical range of movements (flexion, extension, rotation, and side-bending); ---Presence of bilateral MTrPs in upper trapezius and levator scapulae muscles were included in this study.

Exclusion criteria

A history of traumatic injuries (e.g., contusion, fracture, and whiplash injury);
Systemic diseases such as fibromyalgia, systemic erythematous lupus and arthritis;
Neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia);
Concomitant medical diagnosis of any primary headache (tension type or migraine);
Cervical spine surgery; and clinical diagnosis of cervical radiculopathy or myelopathy

Treatment and study plan

Maitland's mobilization

Other

Maitland's techniques involve the application of passive and accessory oscillatory movements to spinal and vertebral joints to treat pain and stiffness.It has Five grades

Traditional Physical therapy

Other

BASELINE TREATMENT INCLUDES TENS and Hot PACKS

Primary outcomes

Visual Analogue Scale

Time frame: 2 months

Its a pain rating Scale Scoring between 0-10.O means no pain 10 means worse pain
Neck disability Index

Time frame: 2 months

Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'.

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Important dates

Study start: 2020
Primary completion: 2020
Study completion: 2020
First posted: Dec 9, 2020
Registry last updated: Dec 9, 2020

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.

Published trials that share one or more normalized conditions with this study.

Completed