Cervicothoracic Junction Mobilization Versus Eccentric Muscle Energy Technique in Mechanical Cervical Pain

Neck Pain Clinical Trial

Official title:

Effects of Cervicothoracic Junction Mobilization Versus Eccentric Muscle Energy Technique in the Treatment of Mechanical Cervical Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05410067
• Other study ID #: Ayesha Sadiq
• Status: Completed
• Phase: N/A
• Start date: September 1, 2021
• Est. completion date: May 25, 2022

Study information

• Verified date: June 2022
• Source: Riphah International University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

1. To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on mechanical cervical pain. 2. To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on cervical disability. 3. To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on cervical ROM.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 36
• Est. completion date: May 25, 2022
• Est. primary completion date: May 25, 2022
• Accepts healthy volunteers: No
• Gender: Female
• Age group: 18 Years to 45 Years

Eligibility

Inclusion Criteria:

• Participants falling in this category would be recruited into the study.

1. Females

2. Age between 18-45 years.

3. Diagnosed with mechanical cervical pain.

Exclusion Criteria:

• Participant failing to fall in this category would be excluded of the study.

1. Pregnant Females

2. Any previous history of trauma or surgery

3. Diagnosed with mechanical cervical pain due to disc herniation, radiculopathy or any other cervical malignancy.

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• Cervicothoracic Junction Mobilization Technique
It is a part of manual therapy technique. Patient would be in prone position with his forehead in the palm of the therapist. Maitland mobilization to the C7- T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions unilateral PA glide) is given. For central PA glide, a central pressure angled towards the participant's head was given with overlapping thumbs of the therapist placed on the spinous process of C7. The therapist's thumbs were placed on the posterior surface of the articular process to be mobilized (C7 on the side of restriction), and anteriorly directed oscillatory pressure was applied for unilateral PA mobilization.
• Eccentric Muscle Energy Technique
Eccentric muscle energy technique would be applied to the patient's cervical spine. The cervical spine would be brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then patient would be asked to push their heads into the direction opposite that of the barrier.

Locations

Country	Name	City	State
Pakistan	Riphah international University	Islamabad	ICT

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Visual Analogue Scale	A Visual Analogue Scale (VAS) is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. It is a straight horizontal line of fixed length, usually 100 mm. The ends are defined as the extreme limits of the parameter to be measured (symptom, pain, health) orientated from the left (worst) to the right (best). Test-retest reliability has been shown to be good, but higher among literate (r= 0.94)	3 Weeks
Primary	Neck Disability Index (NDI)	This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life. Patient-completed, condition-specific, functional status questionnaire with 10 items including pain, personal care, lifting, reading, headaches, concentration, work, driving, sleeping and recreation. Each section is scored on a 0 to 5 rating scale, in which zero means "no pain" and 5 means "Worst imaginable pain". It has highest score of 50.	3 Weeks
Primary	Cervical Goniometer	A goniometer is an instrument which measures the available range of motion atjoint. Goniometer have different types; the most use is the universal standard goniometer, which is either made with plastic or metal tool. It consists of a stationary arm, a movable arm and a fulcrum.	3 Weeks