The Effect of Scapulothoracic Mobilization on Cervical Pain and Range of Motion in Patients With Neck Pain and Scapular Dyskinesia
NCT ID: NCT03046160
Last Updated: 2017-02-08
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
NA
34 participants
INTERVENTIONAL
2016-04-30
2017-06-30
Brief Summary
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Detailed Description
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Sample: 34 participants with non-specific chronic neck pain (≥ 3 months)
Procedures:
Patients were screened for eligibility through inclusion and exclusion criteria. Consent forms were discussed thoroughly by the researcher to the patient and signed before the start of the study. Assessment will include the following: Detailed subjective information, and the data collection sheet demographic data (e.g., name, age, sex and side of scapular dyskinesia) (Appendix 5). Dyskinesia was identified using the Scapular Dyskinesis Test with 5 repetitions of active shoulder flexion and abduction, bilaterally, while holding a weight with either hand (1.4 kg for patients weighing less than 68.1 kg and 2.3 kg for patients weighing more than 68.1 kg). This test has good reliability and validity (McClure, Tate et al. 2009, Tate, McClure et al. 2009). Neck range of motion as well as active, passive and accessory movements were all assessed. Measurements were obtained three times. First time, at baseline from the patient interview and recorded on a data collection sheet and the second one was taken after completion of 3 sessions of treatment. The last measurement was taken at the end of all sessions.
Patients were assigned with random allocation to one of 2 groups using a computer-generated sequence of numbers by an independent therapist. The groups are: 1) Manual therapy (MWM) + tape (postural correction of scapular anterior tilt) and 2) Control (conventional treatment + tape (postural correction of scapular anterior tilt) groups. The manual therapy intervention was of grade III mobilizations with movement, performed by a certified Mulligan practitioner, in sitting for 6-10 repetitions for 3 sets. Home exercises including cervical retraction, scapular retraction, deep neck flexors strengthening and active range of motion exercises of neck in all directions were all done during the session and at home with 10 seconds hold for 10 repetitions for 5 times a day and were added in the same sequence in both groups. When the experimental group showed significantly improved results, some patients in the control group receive 2 extra sessions after all study measurements were obtained. Frequency of the sessions was carried out as 3 sessions/ week/ 30-60 minutes (Miller, Gross et al. 2010).
Manual Therapy Technique: The patient was sitting in a good relaxed posture with the therapist standing at the opposite side of the affected scapula. Reaching across the trunk, the palm of the left hand was over the clavicle with the right hand controlling the scapular glide. Both hands applied corrective gliding force (grade III) to reposition the scapula to the optimal position using an adduction force along with posterior and external rotations of the scapula. While maintaining this position, the subject was asked to move his neck through the restricted movement point of pain onset and return to starting point. When the technique was indicated, the patient was able to achieve a considerably greater range without pain. When needed, further modifications of the humeral head repositioning could be introduced. MWM were repeated 6-10 times before reassessing the movement independent of scapular repositioning. If the pain improved, further 3 sets of 6-10 repetitions were carried out.
Taping technique to correct anterior scapular tilt: A water-resistant active, elastic and adhesive kinesiotape was used I this study. An I-shaped elastic tape was applied over the muscle belly of the upper Trapezius (UT). The tape started with its anchor fixed anteriorly at the coracoid process and travelled posteriorly over the belly of upper Trapezius fibers and along the course of its lower fibers to get its final anchor at the thoracic spine.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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experimental group
where treatment will involve conventional and Manual therapy (Mobilization with movement)+ tape (postural correction of scapular anterior tilt)
1. The Manual therapy (Mobilization with movement)intervention was of grade III mobilizations with movement performed in sitting for 6-10 repetitions for 3 sets
2. tape (postural correction of scapular anterior tilt)
3. A program of 12 neck and scapular exercises.
Manual therapy (Mobilization with movement)
grade III mobilizations with movement, performed in sitting for 6-10 repetitions for 3 sets
neck and scapular exercises.
A program of 12 neck and scapular exercises.
corrective tape
elastic tape used to correct the anterior tilt of the scapula
control group
treatment will consist of the conventional approach+ tape (postural correction of scapular anterior tilt)
1. tape (postural correction of scapular anterior tilt)
2. A program of 12 neck and scapular exercises.
neck and scapular exercises.
A program of 12 neck and scapular exercises.
corrective tape
elastic tape used to correct the anterior tilt of the scapula
Interventions
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Manual therapy (Mobilization with movement)
grade III mobilizations with movement, performed in sitting for 6-10 repetitions for 3 sets
neck and scapular exercises.
A program of 12 neck and scapular exercises.
corrective tape
elastic tape used to correct the anterior tilt of the scapula
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
2. A history of neck pain lasting 3 months or more prior to study start.
3. A score of greater than or equal to 5/50 on the Neck Disability Index (NDI)(Vernon 2008, Vernon 2008)
4. Presence of scapular dyskinesia.
Exclusion Criteria
2. Cervical radiculopathy (compressed cervical nerve root on its way out of the spine, mainly could be manifested by pain, weakness, and sensory deficits (Corey and Comeau 2014)
3. Presence of a severe systemic disease (as fibromyalgia, Chronic fatigue syndrome, Diabetes mellitus, Hypertension, Grave's disease, Systemic lupus erythematous, Rheumatoid arthritis, Sickle cell disease) or any other widespread musculoskeletal pain syndromes.
4. Participation in an exercise program for the neck or scapular muscles in the 6 months preceding the study.
5. Consumption of stimulants (caffeine and nicotine) or analgesic drugs for at least 8 hours before the study.
6. Manual therapy contraindications (e.g., inflammatory joint disease, spinal cord pathology, infections, severe osteoporosis, cancer).
7. Whiplash injury/fracture.
25 Years
50 Years
ALL
No
Sponsors
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Imam Abdulrahman Bin Faisal University
OTHER
Responsible Party
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Abrar AlSadiq
Master Student
Locations
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Dammam Medical Complex
Dammam, Eastern Province, Saudi Arabia
Countries
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Central Contacts
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Facility Contacts
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Mohammad A AlSenni, bachelor
Role: primary
Other Identifiers
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IRB-PGS-2015-03-219
Identifier Type: -
Identifier Source: org_study_id
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