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Completed

NCT Number: NCT05040477

Muscle Energy Technique and Facet Joint Mobilization in Chronic Neck Pain.

The purpose of the study is to compare the muscle energy technique, facet joint mobilization and conventional physical therapy in individuals with chronic neck pain on cervical lordosis, cervical range of motions, numeric pain rating scale and NDI. A randomized control trial was conducted at physiotherapy department of HIT hospital, Taxila Cantt. The sample size was 105 calculated through open-epi tool. The participants were divided into three interventional groups, experimental group (1), experimental group (2), and control group (3) each having 35 participants. The study duration was six months. Sampling technique applied was Purposive sampling for recruitment and group randomization using sealed envelope method. Only 35 to 50 years participants with 4-8 pain intensity on NPRS in cervical region were included in the study. Goniometer, Posterior tangent method on lateral radiographs for cervical curve and Self structured Questionnaire. Data was collected at baseline then 2 and 4 weeks after the application of interventions. Data analyzed through SPSS version 21.

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Key information

Conditions

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

Age range

35 year–50 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

HIT Taxila Cantt Hospital

Rawalpindi, Punjab Province, 46000, Pakistan

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Chronic patients (more than 12 weeks)
  • Male and female patients
  • Patients having recurrence of neck pain at least once in the last month.
  • Patients from the age group of 35-50 years.
  • Patients having mechanical neck pain ranging from 4-8 on Numeric Pain Rating Scale (NPRS).
  • Cervical straightening on X-rays.
  • Limited &painful cervical Rang of motion (ROMs)

Exclusion criteria

  • Any recent history of trauma, active inflammation, Tumor, vertebra-basilar insufficiency and cervical myelopathy & radiculopathy.
  • No history of serious underlying pathology, nerve root compromise, structural changes and deformities, genetic spinal disorders or previous spinal surgery

Treatment and study plan

Muscle Energy Technique

Other

Muscle Energy technique was used to increase the strength of weak muscles,relaxation of tightened muscles in result mobilizes the restricted joint segments.MET's group received 3-5 repetition of post isometric relaxation (PIR).

Treatment through Facet Joint Mobilization based on 3 sets of 15 repetitions of unilateral poster-anterior glide (UPA) using initially grade I & II mobilizations followed by grade III of mitland glides on selected tender segments and 5 repetitions of extension sustained natural apophyseal glides (SNAGs) on hypo mobile segments.

Conventional therapy comprising of stretching and isometric strengthening exercises in combination with TENS and heat therapy.

Other names: Facet Joint Mobilization, Conventional Therapy

Primary outcomes

  1. Cervical Lordosis Measurement (posterior tangent method)

    Time frame: 4 week

    measure cervical lordosis by drawing tangent line along posterior border of C2 to C7 vertebra and measuring posterior tangent angle on lateral radio graph of cervical spine.At baseline and 4 weeks after baseline

  2. Numeric pain rating scale

    Time frame: 4 week

    Will utilize for measurement of neck pain intensity.Minimum pain score is labeled as "zero" and maximum pain score is labeled as "10".At baseline, 2 and 4 weeks after baseline.

Secondary outcomes

  1. Neck disability index:

    Time frame: 4 week

    Will utilize for measurement of functional disability level among patients with chronic neck pain.At baseline, 2 and 4 weeks after baseline

  2. Cervical goniometry:

    Time frame: 4 week

    Will utilize to measure range of motions for all movement at cervical spine with the help of valid & reliable tool, goniometer.At baseline, 2 and 4 weeks after baseline

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparison of Muscle Energy Technique and Facet Joint Mobilization in the Patient With Chronic Neck Pain.

Important dates

Study start
2020
Primary completion
2021
Study completion
2021
First posted
Sep 10, 2021
Registry last updated
Jul 10, 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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