Effects of Maitland's Antero-Posterior Versus Lateral Mobilizations on Cardiovascular Responses

NCT ID: NCT05186584

Last Updated: 2022-04-18

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 62 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-12-01
• Study Completion Date: 2022-04-30

Brief Summary

This study will be a randomized control trial and will be conducted in Polyclinic Hospital Islamabad & Rawal Dental and General Hospital Rawalpindi. A sample of 62 participants will be taken. Patients will be divided into two equal groups of 31 participants in each group, group Randomization will be done through flip coin method. Patients in group A will receive Maitland's antero-posterior Mobilization, while Patients in group B will receive Maitland's lateral mobilizations. 4 sessions of treatment will be given for 2 weeks with interval of 3 days, 4 days and 7 days between 1st & 2nd session, 2nd & 3rd session and 3rd & 4th session, respectively. The outcome measures will be OMRON Automatic Blood Pressure Monitor, Numeric pain rating scale(NPRS) and Global Rating of Change questionare will be measured at baseline and at the end of 4th session. Data will be analyzed by SPSS 25.

Conditions

Neck Pain

Study Design

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

Study Groups

MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION

Patients in this group will receive Maitland's Antero-Posterior Mobilization.

Group Type: EXPERIMENTAL

MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION

Intervention Type: OTHER

Group A will receive the 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set (total 75 oscillations) for AP mobilizations at most symptomatic segment, with 10 seconds rest between sets. Most symptomatic segment is that segment of cervical spine at which patient will feel greatest pain by palpation.

For AP mobilizations, patient will lye supine and therapist will stand by his head. Therapist will make broad contact with the thumb, at the costal process of the vertebrae to be mobilized and spread fingers around adjacent neck for stability. Shoulder will be positioned above the joint being treated. Gentle oscillatory Anteroposterior pressure will be performed by the therapist's arm and trunk.

MAITLAND'S LATERAL MOBILIZATION

Patients in this group will receive Maitland's Lateral Mobilization.

Group Type: EXPERIMENTAL

MAITLAND'S LATERAL MOBILIZATION

Intervention Type: OTHER

Group B will receive the same sets (i.e. 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set) for lateral mobilizations at most symptomatic segment, with 10 sec rest between each set. For lateral mobilization, patient will lye supine and therapist will stand by his head. Therapist will place the anterolateral aspect 2nd metacarpophalangeal joint over the lateral aspect of transverse process of most symptomatic segment. Gentle lateral oscillations towards the asymptomatic side will be provided by the therapist.

Interventions

MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION

Group A will receive the 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set (total 75 oscillations) for AP mobilizations at most symptomatic segment, with 10 seconds rest between sets. Most symptomatic segment is that segment of cervical spine at which patient will feel greatest pain by palpation.

For AP mobilizations, patient will lye supine and therapist will stand by his head. Therapist will make broad contact with the thumb, at the costal process of the vertebrae to be mobilized and spread fingers around adjacent neck for stability. Shoulder will be positioned above the joint being treated. Gentle oscillatory Anteroposterior pressure will be performed by the therapist's arm and trunk.

Intervention Type: OTHER

MAITLAND'S LATERAL MOBILIZATION

Group B will receive the same sets (i.e. 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set) for lateral mobilizations at most symptomatic segment, with 10 sec rest between each set. For lateral mobilization, patient will lye supine and therapist will stand by his head. Therapist will place the anterolateral aspect 2nd metacarpophalangeal joint over the lateral aspect of transverse process of most symptomatic segment. Gentle lateral oscillations towards the asymptomatic side will be provided by the therapist.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Participants falling in this category would be recruited into the study.
• Age 25 to 55 years
• Pain in neck with no known cause for > 3 months
• Resting systolic blood pressure between 90 to 139 mmHg
• resting diastolic blood pressure between 60 to 88 mmHg
• resting heart rate between 60 to 100 beats/min
• no prior exposure to antero-posterior and lateral mobilizations

Exclusion Criteria

• Participants falling in this category would be excluded from the study.
• age <25 and >55
• current smokers
• history of fainting spells, diabetes mellitus, spinal surgery and whiplash injury( in last 6 months)
• taking medications for blood thinning, diabetes mellitus
• having neurologic or cardiovascular disease, radiating pain, cervicogenic headaches
• movement coordination impairment
• athletes
• unable to read and write

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 55 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Waqar Ahmed Awan, PhD

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Rawal General Hospital Rawalpindi

Rawalpindi, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Waqar Ahmed Awan, PhD

Role: CONTACT

waqar.ahmed@riphah.edu.pk

+92-3335348846

Facility Contacts

Sajjad Ali, MS-OMPT

Role: primary

Sajjad.ali@riphah.edu.pk

+923145757092

MS-OMPT*

Role: backup

Other Identifiers

Ayesha Afsar

Identifier Type: -

Identifier Source: org_study_id