Bowen's Technique In Postural Neck Pain Among Dentist

NCT ID: NCT04852913

Last Updated: 2021-08-06

Study Results

Results pending

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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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

58 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-10-17

Study Completion Date

2021-07-10

Brief Summary

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No previous randomized control trial has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck Neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on Neck pain. Thus, this study aims to answer the question: bowmen's technique is effective for improving Neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Detailed Description

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Bowen technique may be used for relaxation of tightening muscles in poor posture. The findings suggest that Bowen Therapy has inconsistent immediate effects on postural control and pain threshold in healthy subjects. Further studies are needed using symptomatic participants. No previous randomized control trial, to our knowledge, has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on neck pain. Thus, this study aims to answer the question: Bowen's technique is effective for improving neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Conditions

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Neck Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Bowen's Technique

Bowen's Technique The session lasted for 20 minutes, 3 sessions/week 6th week

Group Type EXPERIMENTAL

Bowen's Technique

Intervention Type OTHER

The thumb of the therapist was placed on the top of the targeted muscle (upper trapezius, levator scapulae, tight pectoralis and sternocleidomastoid, longissimus capitis, splenius capitis cervical multifidus). The skin was carried away gently from the spine without disturbing the muscle. The thumb was then hooked into the lateral aspect of the muscle to form a pressure on the muscle. Then the thumb was flattened in the medial direction, when this happened the muscle would plop or 15 respond in some way. Heating pad + TENS will be given The session lasted for 20 minutes 3sessions/week for 6th week

Conventional Physical Therapy

Conventional Physical Therapy with myofascial release The session lasted for 20 minutes, 3 sessions/week 6th week

Group Type ACTIVE_COMPARATOR

Convention Physical Therapy

Intervention Type OTHER

Myofascial Release + Active Range of Motion Deep transverse friction was given for 10 minutes followed by myofascial stretching of muscle for 3 times, each holding for 90 seconds. Then myofascial release was given using ulnar border of both palms of the therapist.

Active range of motion exercises will be given 10 reps with 5 seconds hold. Heating pad + Transcutaneous Electrical Nerve Stimulator (TENS) will be given The session lasted for 20 minutes 3sessions/week for 6th week

Interventions

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Bowen's Technique

The thumb of the therapist was placed on the top of the targeted muscle (upper trapezius, levator scapulae, tight pectoralis and sternocleidomastoid, longissimus capitis, splenius capitis cervical multifidus). The skin was carried away gently from the spine without disturbing the muscle. The thumb was then hooked into the lateral aspect of the muscle to form a pressure on the muscle. Then the thumb was flattened in the medial direction, when this happened the muscle would plop or 15 respond in some way. Heating pad + TENS will be given The session lasted for 20 minutes 3sessions/week for 6th week

Intervention Type OTHER

Convention Physical Therapy

Myofascial Release + Active Range of Motion Deep transverse friction was given for 10 minutes followed by myofascial stretching of muscle for 3 times, each holding for 90 seconds. Then myofascial release was given using ulnar border of both palms of the therapist.

Active range of motion exercises will be given 10 reps with 5 seconds hold. Heating pad + Transcutaneous Electrical Nerve Stimulator (TENS) will be given The session lasted for 20 minutes 3sessions/week for 6th week

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Both male and females
* Age between 25-50 years. ( House officers and Assistant professor)
* Working hours \>5 hours.
* History of cervical pain \>2 months.
* Year of practice =\<1 year
* Treated more than 5 patient a day

Exclusion Criteria

* Cervical fracture
* Cervical radiculopathy
* Any surgery to neck and shoulder
* Rheumatoid arthritis
* Sever pain according to Numeric pain rating scale (NPRS)
* Long term anticoagulant or corticosteroid therapy
Minimum Eligible Age

25 Years

Maximum Eligible Age

50 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Nazish Rafique, MSPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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Bakhtawar Amin Physiotherapy and Rehabilitation Center

Multan Khurd, Punjab Province, Pakistan

Site Status

Ibn e Sina hospital

Multan Khurd, Punjab Province, Pakistan

Site Status

Nishtar Medical Hospital

Multan Khurd, Punjab Province, Pakistan

Site Status

Salma Medical Center

Multan Khurd, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Dalal P, Kage V. Comparison Of Ischaemic Compression, Myofascial Release And BowenS Technique In Non Specific Neck Pain-A Randomized Clinical Trial. Indian Journal of Applied Research. 2020;10(1).

Reference Type BACKGROUND

Nitsure P, Kothari N. THE EFFECTIVENESS OF BOWEN TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL OUTCOMES IN SUBJECT WITH ACUTE TRAPEZITIS-A PILOT STUDY. Romanian Journal of Physical Therapy/Revista Romana de Kinetoterapie. 2015;21(36).

Reference Type BACKGROUND

Al Wazzan KA, Almas K, Al Shethri SE, Al-Qahtani MQ. Back & neck problems among dentists and dental auxiliaries. J Contemp Dent Pract. 2001 Aug 15;2(3):17-30.

Reference Type BACKGROUND
PMID: 12167924 (View on PubMed)

Gupta BD, Aggarwal S, Gupta B, Gupta M, Gupta N. Effect of Deep Cervical Flexor Training vs. Conventional Isometric Training on Forward Head Posture, Pain, Neck Disability Index In Dentists Suffering from Chronic Neck Pain. J Clin Diagn Res. 2013 Oct;7(10):2261-4. doi: 10.7860/JCDR/2013/6072.3487. Epub 2013 Oct 5.

Reference Type BACKGROUND
PMID: 24298492 (View on PubMed)

Abiodun-Solanke IM, Agbaje JO, Ajayi DM, Arotiba JT. Prevalence of neck and back pain among dentists and dental auxiliaries in South-western Nigeria. Afr J Med Med Sci. 2010 Jun;39(2):137-42.

Reference Type BACKGROUND
PMID: 21117410 (View on PubMed)

Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr;93(3):281-290. doi: 10.1007/s00420-019-01480-x. Epub 2019 Oct 25.

Reference Type BACKGROUND
PMID: 31654125 (View on PubMed)

Pargali N, Jowkar N. Prevalence of musculoskeletal pain among dentists in Shiraz, Southern Iran. Int J Occup Environ Med. 2010 Apr;1(2):69-74.

Reference Type BACKGROUND
PMID: 23022788 (View on PubMed)

Other Identifiers

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REC/00857 Nida Aslam

Identifier Type: -

Identifier Source: org_study_id

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