Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

Chronic Mechanical Neck Pain Clinical Trial

Official title:

Cervicothoracic Junction Mobilization Versus Autogenic Muscle Energy Technique in Patients With Chronic Mechanical Neck Pain

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT05557747
• Other study ID #: P.T.REC/012/003839
• Status: Completed
• Phase: N/A
• Start date: November 1, 2022
• Est. completion date: July 30, 2023

Study information

• Verified date: August 2023
• Source: Cairo University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 60
• Est. completion date: July 30, 2023
• Est. primary completion date: July 30, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 45 Years

Eligibility

Inclusion criteria:

• Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
• Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
• patients with age range from 18 to 45 years old.
• patients with body mass index less than 30 kg/m2.
• Exclusion Criteria:
• previous spine surgery
• pregnancy.
• Diabetic patients
• Hypertensive patients
• Patients were excluded if neck pain was associated with cervical radiculopathy
• whiplash injuries or severe headaches
• cervical spine fracture
• vertebro-basilar insufficiency.
• red flags suggesting of cancer, infection, vascular insufficiency
• Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Related Conditions & MeSH terms

• Chronic Mechanical Neck Pain
• Neck Pain

Intervention

Other:
• cervicothoracic junction mobilization in form of Maitland mobilization
Group A: will receive cervicothoracic junction mobilization mobilization in form of 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) for 3 sessions/week over 4 weeks periods.
• autogenic muscle Energy Technique
the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle. The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold
• conventional physical therapy
conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods

Locations

Country	Name	City	State
Egypt	FACULTY OF PHYSICAL THERAPY, cairo university	Giza

Sponsors (1)

Lead Sponsor	Collaborator
Cairo University

Country where clinical trial is conducted

Egypt, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	change in neck pain	change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment	Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure
Secondary	cervical ROM and cervical prorprioception	cervical ROM and cervical prorprioception will be measured by cervical ROM device pre treatment and post treatment	Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure