Effects of Maitland's Antero-Posterior Versus Lateral Mobilizations on Cardiovascular Responses

Neck Pain Clinical Trial

Official title:

Effects of Maitland's Antero-posterior Versus Lateral Mobilizations on Cardiovascular Responses in Non-Specific Chronic Neck Pain

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05186584
• Other study ID #: Ayesha Afsar
• Status: Recruiting
• Phase: N/A
• Start date: December 1, 2021
• Est. completion date: April 2022

Study information

• Verified date: April 2022
• Source: Riphah International University
• Contact: Waqar Ahmed Awan, PhD
• Phone: +92-3335348846
• Email: waqar.ahmed[@]riphah.edu.pk
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

This study will be a randomized control trial and will be conducted in Polyclinic Hospital Islamabad & Rawal Dental and General Hospital Rawalpindi. A sample of 62 participants will be taken. Patients will be divided into two equal groups of 31 participants in each group, group Randomization will be done through flip coin method. Patients in group A will receive Maitland's antero-posterior Mobilization, while Patients in group B will receive Maitland's lateral mobilizations. 4 sessions of treatment will be given for 2 weeks with interval of 3 days, 4 days and 7 days between 1st & 2nd session, 2nd & 3rd session and 3rd & 4th session, respectively. The outcome measures will be OMRON Automatic Blood Pressure Monitor, Numeric pain rating scale(NPRS) and Global Rating of Change questionare will be measured at baseline and at the end of 4th session. Data will be analyzed by SPSS 25.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 62
• Est. completion date: April 2022
• Est. primary completion date: April 2022
• Accepts healthy volunteers: No
• Gender: All
• Age group: 25 Years to 55 Years

Eligibility

Inclusion Criteria:

• Participants falling in this category would be recruited into the study.
• Age 25 to 55 years
• Pain in neck with no known cause for > 3 months
• Resting systolic blood pressure between 90 to 139 mmHg
• resting diastolic blood pressure between 60 to 88 mmHg
• resting heart rate between 60 to 100 beats/min
• no prior exposure to antero-posterior and lateral mobilizations

Exclusion Criteria:

• Participants falling in this category would be excluded from the study.
• age <25 and >55
• current smokers
• history of fainting spells, diabetes mellitus, spinal surgery and whiplash injury( in last 6 months)
• taking medications for blood thinning, diabetes mellitus
• having neurologic or cardiovascular disease, radiating pain, cervicogenic headaches
• movement coordination impairment
• athletes
• unable to read and write

Related Conditions & MeSH terms

• Neck Pain

Intervention

Other:
• MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION
Group A will receive the 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set (total 75 oscillations) for AP mobilizations at most symptomatic segment, with 10 seconds rest between sets. Most symptomatic segment is that segment of cervical spine at which patient will feel greatest pain by palpation. For AP mobilizations, patient will lye supine and therapist will stand by his head. Therapist will make broad contact with the thumb, at the costal process of the vertebrae to be mobilized and spread fingers around adjacent neck for stability. Shoulder will be positioned above the joint being treated. Gentle oscillatory Anteroposterior pressure will be performed by the therapist's arm and trunk.
• MAITLAND'S LATERAL MOBILIZATION
Group B will receive the same sets (i.e. 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set) for lateral mobilizations at most symptomatic segment, with 10 sec rest between each set. For lateral mobilization, patient will lye supine and therapist will stand by his head. Therapist will place the anterolateral aspect 2nd metacarpophalangeal joint over the lateral aspect of transverse process of most symptomatic segment. Gentle lateral oscillations towards the asymptomatic side will be provided by the therapist.

Locations

Country	Name	City	State
Pakistan	Rawal General Hospital Rawalpindi	Rawalpindi	Punjab

Sponsors (1)

Lead Sponsor	Collaborator
Riphah International University

Country where clinical trial is conducted

Pakistan, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	OMRON Automatic Blood Pressure Monitor	The Omron is an automatic digital device for professional blood pressure measurement at the upper arm level. It measures BP range of 0-299 mmHg	2 Weeks
Primary	OMRON Automatic heart rate Monitor	The Omron is an automatic digital device for professional heart rate range of 40 -180 beats/min	2 Weeks
Primary	Numeric Pain Rating Scale (NPRS)	It is a tool used for measuring intensity of pain. Patient select numeric from (0-10) that reflects his/her pain intensity. The reliability of tool is ICC = 0.67; [0.27 to 0.84])	2 Weeks
Primary	Global Rating of Change (GROC)	It is a scale commonly used in clinical research, particularly in the musculoskseletal area to measure a patient's improvement or deterioration over time, to determine the e?ect of an intervention .	2 Weeks