Muscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women

NCT ID: NCT04930575

Last Updated: 2021-06-18

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 32 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-03-01
• Study Completion Date: 2021-06-30

Brief Summary

The purpose of this study will determine the effect of muscle energy technique versus mulligan technique on neck pain in breastfeeding women.

Detailed Description

Conservative treatments used to manage neck pain are numerous and include usual medical care ( face to face interview, education, reassurance, medication, ergonomic and stay active advice), various forms of exercise, massage, and acupuncture among others, but a lack of evidence regarding their relative efficacy was found.

More research is needed to determine specific exercise programs that can decrease neck pain in breastfeeding women. So, this study will be conducted to determine clinical evidence of the effectiveness of muscle energy technique versus mulligan technique on neck pain, which constituted a great problem facing the mother during the breastfeeding period.

Conditions

Neck Pain; Breast Feeding

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: DOUBLE

Study Groups

Muscle Energy Technique group

Patients in the group (B) will receive muscle energy technique on tonic muscles in the neck (sternocleidomastoid, scalenes, levator scapulae, and upper trapezius) in addition to strengthening exercise for deep cervical flexors and advice to correct positions three times per week for 4 weeks.

The aim of the Muscle Energy Technique in the context of NP is to decrease pain, improve movement, motor control, and function and thereby reduce disability.

A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body thus alleviating the patient's signs and symptoms.

Group Type: EXPERIMENTAL

Muscle Energy Technique

Intervention Type: OTHER

A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body.

Mulligan Technique group

Patient in group A will receive specialized SNAGs technique adapted from Mulligan (2005), in addition to strengthening exercise for DNF muscles and advice to correct position three times per week for 4 weeks.

Group Type: EXPERIMENTAL

Mulligan Technique

Intervention Type: OTHER

• The patient will be in a supportive low back chair, thus cervical region will be in a vertical position (Weight-bearing position) with the therapist position will be behind the patient.
• Then the therapist will move the spinous process up in the direction that must follow the apophyseal joint plane under treatment, that is, toward the eye ball. While sustaining this pain-free accessory glide, the patient will be instructed to actively perform the physiological movement gradually until the end ROM with over pressure at the end of the range.

Interventions

Muscle Energy Technique

A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body.

Intervention Type: OTHER

Mulligan Technique

• The patient will be in a supportive low back chair, thus cervical region will be in a vertical position (Weight-bearing position) with the therapist position will be behind the patient.
• Then the therapist will move the spinous process up in the direction that must follow the apophyseal joint plane under treatment, that is, toward the eye ball. While sustaining this pain-free accessory glide, the patient will be instructed to actively perform the physiological movement gradually until the end ROM with over pressure at the end of the range.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients will be examined by a physician before the study and will be chosen according to the following criteria:
• All patients will be in the breastfeeding period at least 6 weeks after delivery.
• All patients will be clinically diagnosed with neck pain (with no neurological or rheumatological problem).
• Their ages will range from 25-35years.
• Their BMI will be less than 30 kg/m².
• Their parity will not be more than 3 times.

Exclusion Criteria

• The patients will be excluded if they have any of the followings:

1. Any contraindication to spinal mobilization (e.g., inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities).

2. Positive neurological examination (presence of positive motor reflex, or sensory abnormalities indicating spinal root compression).

3. Cervical spine surgery or stenosis, metabolic or systemic disorder, or cancer.

4. Associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from the costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome.

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 35 Years
• Eligible Sex: FEMALE
• Accepts Healthy Volunteers: Yes

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Heba Mohamed Mohamed Mohamed El-Basiony

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Faculty of Physical Therapy Cairo University

Dokki, , Egypt

Site Status: RECRUITING

Countries

Egypt

Central Contacts

Heba Elbasiony, Physical Therapist

Role: CONTACT

mheba7033@gmail.com

+201007065666

Facility Contacts

Heba Elbasiony

Role: primary

mheba7033@gmail.com

+201007065666

Other Identifiers

HElbasiony_MSc

Identifier Type: -

Identifier Source: org_study_id