Effects Of Global Postural Re-Education (GPR) On Patients With Non-Specific Neck Pain.

NCT ID: NCT05021497

Last Updated: 2024-12-17

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-02-15
• Study Completion Date: 2023-07-10

Brief Summary

Pain is an "unpleasant sensory and emotional experience (associated with actual or potential tissue damage". Chronic pain is a sensation of hyperalgia to muscles, ligaments and skin on both active and passive movements. Chronic pain has a tendency to prevent people from working and exercising

Detailed Description

Neck pain is a very common clinical condition which equals the economic, social cost and level of disability to that of low back pain.Mechanical neck pain that occurs without an identifiable underlying disease and anatomical abnormality is termed as "non-specific" neck pain (NS-NP).Mechanical neck pain commonly arises insidiously and is generally multifactorial in origin.Two most common complains associated with chronic specific and non-specific neck pain are Kinesiophobia (fear of movement) and Postural asymmetry (forward head posture). Medical, surgical and physical therapy treatments are recommended for addressing chronic non-specific neck pain. Within the scope of physical therapy conventional management consist of many different techniques such as therapeutic exercises, electrotherapy, Pilates, yoga and manual therapy. Manual therapy is among the most common used method for treating musculoskeletal conditions including chronic neck pain. Manual therapy consists of stretching techniques, joint mobilization/manipulation, isometric/dynamic strengthening exercises and fascial manipulation or release. Global Postural Re-education (GPR) is an alternative therapeutic strategy based on the concept that postural muscles are organized in the form of 'muscle chains' located on the anterior and posterior aspect of the spine. It involves the global stretching of the anti-gravitational muscles and the kinetic muscle chains.

Conditions

Neck Pain

Keywords

Pain; Range of motion; Kinesiophobia; Forward head posture

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Global Positional Re-education

Global Positional Re-education

Group Type: EXPERIMENTAL

Global Positional Re-education

Intervention Type: OTHER

A series of gentle active movements and postures aimed at realigning joints and stretching shortened muscles. GPR includes 8 therapeutic postures in lying, sitting and standing.

Conventional Physical Therapy Program

Conventional therapy will consist of a combination of manual techniques

Group Type: ACTIVE_COMPARATOR

Conventional Physical Therapy Program

Intervention Type: OTHER

Axial traction will be given for 5 minutes, followed by mobilization of the muscle fascia along with static stretching of the scalene, levator scapulae, upper trapezius, sternocleidomastoid and pectoralis minor muscles.

Interventions

Global Positional Re-education

A series of gentle active movements and postures aimed at realigning joints and stretching shortened muscles. GPR includes 8 therapeutic postures in lying, sitting and standing.

Intervention Type: OTHER

Conventional Physical Therapy Program

Axial traction will be given for 5 minutes, followed by mobilization of the muscle fascia along with static stretching of the scalene, levator scapulae, upper trapezius, sternocleidomastoid and pectoralis minor muscles.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Chronic non-specific neck pain ≥ 3 months.
• No prior medication and Physical Therapy interventions from last 3 months.
• Pain: moderate level (6 on NPRS).

Exclusion Criteria

• History of any trauma .
• History of any psychological condition.
• Specific causes of Neck Pain (e.g., systemic, rheumatic, neuromuscular diseases).
• Presence of central and peripheral neurological sign.
• Spinal surgery

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Maria Khalid, MSOMPT

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Islamabad Physiotherapy and Rehabilitation Centre (IPRC)

Islamabad, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/00941 Faisal Saeed

Identifier Type: -

Identifier Source: org_study_id