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NCT Number: NCT06750211

Effect of MET With and Without MCTE in Mechanical Neck Pain

Work had to be done previously on METs and MCTE techniques, but no study has compared both techniques together to make it more comprehensible. The rationale of this will be to find out the combined effect of motor control therapeutic exercises and muscle energy technique for the treatment of pain, range of motion and disability associated with mechanical neck pain. This study will be effective for the clinicians to treat patients of mechanical neck pain.

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Key information

Conditions

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

Age range

20 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Riphah college of rehabilitation and allied health sciences

Lahore, 54660, Pakistan

Location status: Recruiting

Location contact

Dr.Ali Raza, phd

SUB_INVESTIGATOR

Maham Javed, MS-OMPT

PRINCIPAL_INVESTIGATOR

saba Rafique, phd

CONTACT

[email protected]

About this study

Therapeutic exercises and manual therapy were shown to be useful in managing pain and lowering disability in patients with non-specific chronic neck pain (NCNP). However, little studies investigated the benefits of muscle energy technique and motor control therapeutics exercise on mechanical neck pain (MNP). The current research fulfill this gap by comparing the short and long term benefits of muscle energy technique with and without motor control therapeutic exercises (MCTE) with the grail of determining best approach for lowering pain and disability in mechanical neck pain patients.

Who can participate

Healthy volunteers accepted: Yes

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

Inclusion criteria

  • • Subjects were between 20 and 50 years old.
  • Pain in cervical or neck region with no radiating pain in one or both upper limbs.
  • Pain minimum of 3 months.
  • Neck disability index (NDI) score of should be at least 10%.
  • Forward head posture.

Exclusion criteria

  • • Neck pain associated with vertigo.
  • Irradiated neck pain.
  • Vertebral fracture.
  • Osteoporosis.
  • Previous neck injury.
  • Red flags (night pain, severe muscle loss, loss of involuntary control.
  • Subjects with difficulty in communication or understanding.

Treatment and study plan

METS

Other
  • Hot pack for 10 minutes.
  • Neck isometrics with 10 second hold.
  • Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion.
  • Muscle energy technique protocol: The individual was in a position of supine. The therapist was at the edge of bed, near the participants head. the therapist positioned the joint at the point of beginning range of motion resistance when performing a given movement. When the therapist felt restriction, positioned the cervical spine in that region and apply the resistive force. Patient was instructed to contract isometrically for five seconds without exceeding the therapist force. thereafter, therapist counterforce gradually reduced and patient was asked to relaxed. Therapist move the joint into new point of barrier and same protocol repeated three times.

Patient came thrice per week for a total of 4 weeks.

MCTE along with METs

Other

▪ Hot pack for 10 minutes.

  • Neck isometrics with 10 second hold.
  • Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion.
  • After it was treated with motor control therapeutic exercises together with muscle energy technique. Motor control therapeutic exercises included cranio-cervical flexor exercises, cranio-cervical extensor exercises, co contraction of flexor and extensor and synergy exercise for strengthening deep neck flexor. Exercises were performed in three sets with 10 repetitions with an approximate duration of 10 to 20 minutes. They were advised to perform at home once in a day, five times in a week for a duration of 4 weeks.

All exercises were performed three times per week for total of 4 weeks.

Primary outcomes

  1. Numeric pain scale rating

    Time frame: 4th week

    Changes from base line Pain intensity was assessed by Numeric Rating Scale (NRS). NRPS has fair to moderate reliability of test-retest in patients with Mechanical Neck Pain. The patient was required to indicate the number that represent his intensity of pain, in which 0 represents "no pain" and 10 represents "the worst pain imaginable". Numeric Pain Rating Scale is widely used subjective pain measure that has good test-retest reliability r = 0.79 - 0.96

Secondary outcomes

  1. Neck disability index

    Time frame: 4th week

    Changes from base line NDI is self-assessment tool for the specific functional status of patients with neck pain, consisting of ten components pain, personal hygiene, obesity, reading, headache, focus, work, travelling, sleeping, and leisure, each part is scored on an index of 0 to 5, with 0 representing "painless" and 5 representing the "worst pain imaginable". These points earned are added to the total score. The questionnaire was determined in percentage. The NDI disability categories are: 0-8% without disability, 10-28% mild, 30-48% moderate, 50-64% serious, and 70-100% complete. NDI has fair to moderate reliability of test-retest in patients, with inter-class correlation coefficient ranging from 0.50-0.98.

  2. ROM cervical spine (flexion)

    Time frame: 4th week

    Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer > 0.94. The concurrent validity of goniometer was good with ICC value of > 0.85. The goniometer will be used to measure flexion.

  3. ROM cervical spine (Extension)

    Time frame: 4th week

    Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer > 0.94. The concurrent validity of goniometer was good with ICC value of > 0.85. The goniometer will be used to measure extension.

  4. ROM cervical spine (Side flexion)

    Time frame: 4th week

    Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer > 0.94. The concurrent validity of goniometer was good with ICC value of > 0.85. The goniometer will be used to measure side flexion.

Study contacts

Contact information is provided by the study sponsor or research team.

Imran Amjad, Phd

CONTACT

[email protected]

03324390125

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Muscle Energy Techniques With and Without Motor Control Therapeutic Exercises on Pain, Range of Motion and Disability in Patients With Mechanical Neck Pain.

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Dec 27, 2024
Registry last updated
Dec 27, 2024

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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