Effects of Thrust Versus Non-Thrust Thoracic Manipulation on Mechanical Neck Pain.

Neck Pain Clinical Trial

Official title:

Effects of Thrust Versus Non-Thrust Thoracic Manipulation on Mechanical Neck Pain.

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05542875
• Other study ID #: FUI/CTR/2022/15
• Status: Active, not recruiting
• Phase: N/A
• Start date: March 1, 2022
• Est. completion date: January 30, 2023

Study information

• Verified date: September 2022
• Source: Foundation University Islamabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Neck pain ranks as the 4th leading cause of disability, with high prevalence of mechanical neck pain in young population. As high as 30% of %. Individuals suffering from neck often report difficulty in performance of daily life, absence from work and decreased productivity. Several manual therapy treatment approaches are used for mechanical neck pain. The focus of this study is to compare the effectiveness of thrust and non-thrust thoracic manipulation for the treatment of mechanical neck pain in young population

Description:

craniovertebral angle, cervical range of motion and pain will be noted for each participant.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 24
• Est. completion date: January 30, 2023
• Est. primary completion date: December 30, 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 24 Years

Eligibility

Inclusion Criteria

• Both genders

• Age: 18-24 years

• Symptoms <30 days

• FABQPA score <12

• Increased upper thoracic spine kyphosis (visual estimate)

• CVA < 48 Degrees

Exclusion Criteria

• Symptoms distal to shoulder

• Aggravation of symptoms with looking up

• Radiating lower back pain

• Neurological deficit

• Previous surgery

• Spondylolisthesis

• Spinal stenosis

• Inflammatory disease

• Vertebrobasilar artery insufficiency

• Pregnancy

Related Conditions & MeSH terms

• Neck Pain

Intervention

Procedure:
• Thrust Manipulation
Prone thoracic extension manipulation technique will be applied from T2 - T6 to participants of Group A (Experimental group). Intervention will be applied on alternate days with a total of 4 treatment sessions
• Non-Thrust manipulation
Maitland grade III or IV thoracic 0manipulation will be given to participants of Control group from T1 to T6. Posterior to anterior glide over spinous process will be maintained for 30 seconds. Intervention will be applied on alternate days with a total of 4 treatment sessions
• Standard Treatment
Standard treatment protocol includes moist heat, TENS and Post isometric relaxation technique. Standard treatment will be given to both groups on every session. Standard treatment consists of: Superficial Moist Heat (Device): Superficial moist heat will me applied for 10 minutes on Upper Trapezius TENS (Device): TENS will be applied for 10 minutes at 80-100Hz, the electrodes will be placed at upper trapezius. Post-isometric Relaxation (procedure/surgery): 5-10 repetions of Post Isometric relaxation technique will be applied on various muscle groups which include Upper trapezius, levator scapulae, sternocleidomastoid and scalenes.

Locations

Country	Name	City	State
Pakistan	Foundation University College of Physical Therapy	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Foundation University Islamabad

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Craniovertebral Angle	Craniovertebral Angle wll be measured using Goniometer. CVA >48 is considered normal, CVA <48 is considered as Forward head posture. Immovable arm of the goniometer will be placed at the C7 spinous process and the movable arm at the tragus of the ear making an angle between the two lines, normal of which is 49.9 and angle less than that is considered as abnormal. Data will be collected directly from participants using Gomiometer before initiation of treatment and after 4th session.	8 days
Secondary	Cervical Range of Motion	Cervical Range of motion will be measured using bubble inclinometer. Measurement will be taken before the initiation of treatment and after 4Th treatment session. Increase in Cervical ROM will be considered a positive outcome.	8 days
Secondary	Pain intensity	Pain will be assessed using Numeric pain rating scale which comprises of 11 points where point (0) signifies no pain and point (10) signifies worst imaginable pain. Measurement will be taken before the initiation of treatment and after 4Th treatment session. Low score for the NPRS will be considered a positive outcome.	8 days