Skip to main content
OpenTrials
Completed

NCT Number: NCT05618951

Effects of Transverse Thoracic Mobilization With and Without Lower Trapezius Strengthening Exercises

Mechanical neck pain is a common musculoskeletal problem, worldwide. Patients with neck pain often have subjective complaints of muscle stiffness, tension, or tightness in addition to their pain located between the occiput and the third thoracic vertebra Approximately 68% of the total population has experienced neck pain at least once in their lifetime, and it easily transforms into a chronic state (that persists for more than 3 months). In today's society, this is conspicuous in many laborers due to the increased use of computers, where the neck and shoulders are maintained in static abnormal postures to look at the computer screens and become vulnerable to cause neck pain. The aim of the study is to determine the comparative effects of transverse thoracic mobilization with and without lower trapezius strengthening exercises on pain, disability and range of motion in patients with mechanical neck pain.

Completed

Looking for future studies?

Notify Me

Key information

Conditions

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

Age range

18 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Syed Medical Complex and Islam Hospital

Sialkot, Punjab Province, 51410, Pakistan

About this study

A Randomized controlled trial will be conducted in physiotherapy outpatient department of Syed Medical Complex and Islam Hospital, Sialkot. Non-probability consecutive sampling will be used to collect the data. Sample size of 20 subjects with age group between 18 to 40 years will be taken. Data will be collected by using tools Numeric Pain Rate Scale (NPRS) for pain, Neck Disability Index (NDI) for disability and Universal Goniometer (UG) for range of motion of neck. An informed consent will be taken. A total of 20 subjects will be selected by following inclusion and exclusion criteria and will equally divided in to two groups by random number generator table. Both groups will come thrice per week for a total of 4 weeks. The data will be analyzed using SPSS software version 25. After assessing normality of data by Shapiro-Wilk test, it will be decided either parametric or non-parametric test will be used within a group or between two groups

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Males and females between the age range of 18-40 years with mechanical neck pain for at least 3months.
  • Examination- Symptoms provoked by neck movement and/or palpation of neck musculature.
  • Trapezius Strength Test -To assess lower trapezius muscle strength, patient in prone with shoulder 120 degree abducted and resist the shoulder extension diagonally.

Exclusion criteria

  • Osteoporosis
  • Tumors
  • Vertebral fractures
  • Diagnosed psychological disorders
  • Neck pain associated with vertigo
  • History of cervical and thoracic spine injury
  • Cervical radiculopathy
  • Traumatic neck injury
  • Shoulder surgery

Treatment and study plan

Lower Trapezius Strengthening Exercises

Other

Lower Trapezius strengthening exercise includes:

  • Latissimus pull down
  • Prone V- raise
  • Modified Prone Cobra

Other names: Standardized Physical Therapy

Primary outcomes

  1. Numeric Pain Rate Scale (NPRS)

    Time frame: follow up at 4th week

    The Numeric Pain Rating Scale (NPRS) is a unidimensional measure of pain intensity in adults, including those with chronic pain. The NPRS is a segmented numeric version in which a respondent selects a whole number (0-10 integers) that best reflects the intensity of pain.

    The 11-point numeric scale ranges from '0' representing one pain extreme (e.g. "no pain") to '10' representing the other pain extreme (e.g. "pain as bad as you can imagine" or "worst pain imaginable"). The NPRS takes <1 minute to complete The NPRS is a valid and reliable scale to measure pain intensity.

  2. Universal Goniometer (UG)

    Time frame: follow up at 4th week

    A goniometer is an instrument that measures the available range of motion at a joint. To measure the range of motion physical therapists most commonly use a goniometer. It is necessary that a single notation system is used in goniometry. The neutral zero method (0 to 180- degree system) is the most widely used method. The same goniometer should always be used to reduce the chances of instrumental error.

  3. Neck Disability Index (NDI)

    Time frame: follow up at 4th week

    This questionnaire has been designed to give information about neck pain and the ability to manage it in everyday life. Participants will answer every section and mark only the one box that applies in each section. If two or more statements are in any section related to the participant, mark only one box that is relevant closely. The questionnaire has 10 items concerning pain and activities of daily living, including personal care, lifting, reading, headaches, concentration, work status, driving, sleeping and recreation. Each item is scored out of 5 (with the 'no disability' response given a score of 0), giving a total score of for the questionnaire 50. Higher scores represent more significant disabilities. The result can be expressed as a percentage or raw scores (out of 50).

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Effects of Transverse Thoracic Mobilization With and Without Lower Trapezius Strengthening Exercises on Pain, Disability and Range of Motion in Patients With Mechanical Neck Pain

Important dates

Study start
2022
Primary completion
2023
Study completion
2023
First posted
Nov 16, 2022
Registry last updated
Apr 20, 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.

Related clinical trials

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