Additional Effect of Cranial Base Release on Cervical Range and Proprioception in Patients With Mechanical Neck Pain

Neck Pain Clinical Trial

Official title:

Additional Effect of Cranial Base Release on Cervical Range and Proprioception in Patients With Mechanical Neck Pain

Clinical Trial Details — Status: Active, not recruiting

Administrative data

• NCT number: NCT05777408
• Other study ID #: FUI/CTR/2023/3
• Status: Active, not recruiting
• Phase: N/A
• Start date: January 1, 2023
• Est. completion date: July 1, 2023

Study information

• Verified date: March 2023
• Source: Foundation University Islamabad
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Mechanical Neck pain is the second most commonly occurring musculoskeletal disorder worldwide, ranking 4th in overall disability. It is referred to as Nonspecific generalized neck pain with mechanical characteristics with a primary location between the supranuchal line and the first thoracic spinous process, includingpatients suffering from mechanical neck pain are reported to have several impairments, including pain, reduced cervical ROM, neck disability, and proprioceptive dysfunction. The treatment indicated involves the use of electrotherapy and thermal modalities. In addition, the use of different manual therapy techniques is advocated; however, the most effective management is still debatable. Evidence suggests that Natural Apophyseal glides have a significant positive effect on mechanical neck pain patients. So the study will identify the additional effect of cranial base release with natural apophyseal glides in alleviating pain and its effects on proprioception.

Recruitment information / eligibility

• Status: Active, not recruiting
• Enrollment: 20
• Est. completion date: July 1, 2023
• Est. primary completion date: June 1, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 40 Years

Eligibility

Inclusion Criteria:

• Patients diagnosed with mechanical neck pain having reproducible non-specific neck pain with a primary location between the supranuchal line and the first thoracic spinous process
• Male and Female
• Age 18-40 years
• Pain severity on NPRS >3
• Neck Disability score of 20% or above
• Problem not older than 2 months

Exclusion Criteria:

• Patients with history of
• Recent significant trauma (including whiplash)
• Radiculopathy
• Cervical fracture
• Neck surgery
• Dizziness, vertigo
• Myelopathy, Malignancy
• Metabolic disease
• Diagnosed Osteoporosis, Rheumatoid arthritis
• Long-term corticosteroid and/or painkiller drug use

Related Conditions & MeSH terms

• Neck Pain

Intervention

Procedure:
• Conventional Physical Therapy
15 mins of TENS (frequency 100 Hz, phase duration 50 µs) with moist heat over the area of pain Isomeric Stretching of neck muscles followed by neck isometrics
• Natural Apophyseal glides
-Will be applied in sitting position Therapist right hand would cradle the head such that the little finger would rest on the spinous process of the vertebra that is to be mobilized. The other hands thumb would be used to apply over pressure. Direction of force will be parallel to highly irritable-grossly restricted cervical facet joints. Intervention would involve 3 sets of 20 repetitions in 15minutes, 3 days a week for 2 weeks comprising of total 6 session.
• Cranial Base Release
Will be performed in lying position. therapist fingers will contact the sub occipital muscles and upward pressure would be given until the tissues and muscles relax. it will be given once daily for 3 days a week and will continue for 2 weeks

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	Change in Pain	Pain will be measured on Numeric Pain Rating Scale.	2 weeks
Primary	Change in ROM	Cervical rotation will be measured through CROM device	2 weeks
Primary	Change in Cervical Proprioception	Will be measured from Laser Pointer Method	2 weeks