Neck Pain Clinical Trial
Official title:
Efficacy of Muscle Energy Technique and Deep Neck Flexors Training in Mechanical Neck Pain- A Randomized Clinical Trial
A long term habitual posture with abnormal loading of ligaments and muscles, leads to development of neck pain. 33 patients including 18 males and 15 females were selected and randomly allocated into three groups using sealed opaque envelope containing treatment allocation. Group A (n=11) received conventional treatment such as MHP (Moist Heat Pack), Static Stretching exercises, Cervical spine non-thrust mobilization, Cervical spine active ROM (Range of Motion) exercises and Postural exercises. Group B (n=11) received DNF training with conventional treatment. Group C (n=11) received Muscle Energy Technique (MET) in additional to conventional treatment. Primary outcome measure functional disabilities and secondary measure pain and ROM were recorded at baseline, 7th day and 14th day.One-way ANOVA was used for within group analysis. Repeated measure ANOVA followed by post hoc analysis was employed for between group comparisons. The results suggest that there was a significant improvement in mean change scores of Neck Disability Index (NDI), Visual Analogue Scale (VAS) and Range of Motion (ROM) .Both DNF training and MET have additional therapeutic effects over a standard care by reducing functional disabilities, pain and in improving ROM in mechanical neck pain patients.
According to Janda, postural muscles have tendency to get shorten, in both normal and
pathological conditions. Upper trapezius, levator scalpulae and scalene are most common
postural muscles. Additionally, longus colli and longus capitis (DNF) have important role in
postural support and their impaired activation leads to neck pain.
More recently, muscle based treatments approaches for MNP evolved from a passive treatment
technique such as myofascial release towards more active treatment technique such as MET and
DNF training.
Group A (N=11) received conventional treatment for 5 days per week for 2 weeks such as MHP
(Moist Heat Pack) for 20 minutes, Static Stretching exercises for upper trapezius, levator
scapulae and scalene muscle which is held for 10-30 seconds- repeated 3-5 times, Cervical
spine non-thrust mobilization (Grade 3) was given to each segment from C2-C7 was oscillated
for 10 repetitions, followed by a 10 seconds rest between segments, Cervical spine active
ROM (Range of Motion) exercises with 10 repetitions- 2-3 times a day and Postural exercises
were given as home programme.
Group B (N=11) received DNF training along with conventional treatment. In this programme,
emphasis was placed on first attaining the correct craniocervical flexion action, with
minimal activity of the superficial cervical flexor muscles. The craniocervical flexion
action involves a specific craniocervical movement (nodding - "yes" movement) of head such
that it remains in contact with the supporting surface. Once the correct action had been
achieved, participants were instructed in the use of the sphygmomanometer to guide the
training of the Craniocervical Flexors muscle contraction at the various incremental levels
of pressure (22 to 30 mmHg, progressively inner range positions).
Group C (N=11) received MET in additional to conventional treatment. MET was applied to
Upper trapezius, Levator scapulae and Scalene Following the 7-10 seconds isometric
contraction and complete relaxation of all elements, the stretch is maintained for 30
seconds. The effort and the counter-pressure should be modest (20% of available strength)
and painless. The process is repeated 3-5 times.
;
Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Status | Clinical Trial | Phase | |
---|---|---|---|
Completed |
NCT05293847 -
Postural Based Telerehabilitation in Mechanic Neck Pain
|
N/A | |
Completed |
NCT04060004 -
The Effects of Dry Needling on the Superficial Neck Musculature
|
N/A | |
Recruiting |
NCT06204627 -
TDCS* and Laterality Trainnning in Patients With Chronic Neck Pain
|
N/A | |
Active, not recruiting |
NCT05870371 -
The Effect of the Feldenkrais Method on Pain and Function in Patients With Chronic Neck Pain
|
N/A | |
Completed |
NCT06049316 -
Scapular Stabilization vs Functional Exercises on Chronic Neck Pain
|
N/A | |
Recruiting |
NCT05944354 -
Wearable Spine Health System for Military Readiness
|
||
Completed |
NCT02731014 -
Dry Needling for Patients With Neck Pain
|
N/A | |
Completed |
NCT03147508 -
Investigating Clinical Indicators of Spine Related Dysfunction Patterns. A Clinical Study on Neck Pain Patients.
|
||
Completed |
NCT02904668 -
Self-management Program in Chronic Neck Pain
|
N/A | |
Completed |
NCT02882061 -
Examination of Cervical Thoracic Differentiation Testing in Individuals With Neck Pain
|
N/A | |
Completed |
NCT02638987 -
EMG Activity Before, During and After Dry Needling
|
N/A | |
Active, not recruiting |
NCT02843269 -
Multiple-component Workplace FRamed Intervention to Decrease Occupational Muscle Pain - FRIDOM
|
N/A | |
Enrolling by invitation |
NCT02485795 -
Observational Study of the Impact of Genetic Testing on Healthcare Decisions and Care in Interventional Pain Management
|
N/A | |
Completed |
NCT02225873 -
The Effectiveness of Exercises Protocol in Management of Neck Pain
|
N/A | |
Completed |
NCT02245425 -
Comparison of Two Thoracic Manipulation Techniques to Improve Neck Pain
|
N/A | |
Completed |
NCT02235207 -
Effectiveness of Fustra—Exercise Program in Neck and Low Back Pain
|
N/A | |
Completed |
NCT02190890 -
Dry Needling Dosage in the Treatment of Myofascial Neck Pain
|
N/A | |
Completed |
NCT02051478 -
Thoracic Manipulation and Mobilization for Neck Pain
|
N/A | |
Completed |
NCT01938209 -
A Comparison of Seated Thoracic Manipulation and Targeted Supine Thoracic Manipulation on Cervical Flexion Motion and Pain
|
N/A | |
Completed |
NCT01233180 -
Effects of Gua Sha and Thermotherapy on Chronic Neck Pain
|
N/A |