Comparative Effects of Oscillatory Mobilizations and Mckenzie Retraction Exercises on Mechanical Neck Pain

NCT ID: NCT05404659

Last Updated: 2022-06-03

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 26 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-05-25
• Study Completion Date: 2023-01-25

Brief Summary

The neck pain is a public health problem and a common source of disability in the general population. Its exact pathology remains obscure, but the source of symptoms has been asserted to involve mechanical dysfunction of the cervical spine, particularly the zygoapophysial joints. Among the diversity of neck pain, mechanical neck pain is the most common type, with the pain primarily confined in the area on the posterior aspect of the neck that can be exacerbated by neck movements or by sustained neck postures. The usual clinical presentation of this mechanical neck pain is a reduction in mobility of either a single segment or multiple segments of the cervical spine in association with pain. This study will be a randomized control trial and will be conducted at Arif Memorial Teaching Hospital Lahore. The study will be completed within the time duration of six months. Convenience sampling technique will be used to collect data. A sample size of 30 patients(15 in each group) which will fulfill inclusion criteria will be taken in the study. Participants will be divided into two groups. Both Groups will be given conventional physical therapy and postural correction education. Group A will be provide oscillatory mobilizations. The following grades will be use: grades I and II for pain and grades III and IV to increase joint range of motion. This oscillatory mobilization will perform at a rate of 2-3 oscillations per second. and a frequency of 3-4 mobilization of the joint lasting approximately 30 sec each.

The rest time between each mobilization will be one minute for 5 days a week for four weeks , while group B will be treat withmckenzie retraction exercises in which foursets of 10-15 repetitions with 1-2 minutes rest between each set for 5 days a week during four weeks. Data will collect by using tools like numeric pain rating scale to measure pain, universal goniometer will be use for range of motion and disability level will be record pre and post treatment by using neck disability index. Then data will analyzed by using SPSS.

Conditions

Mechanical Neck Pain

Study Design

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

Study Groups

Oscillatory Mobilizations

Group Type: ACTIVE_COMPARATOR

Oscillatory Mobilization

Intervention Type: OTHER

conventional physical therapy treatment, postural correction and maitland's oscillatory mobilizitions.

Mckenzie Retraction Exercises

Group Type: EXPERIMENTAL

Mckenzie Retraction Exercises

Intervention Type: OTHER

conventional physical therapy treatment, postural correction and Mckenzie retraction exercises.

Interventions

Oscillatory Mobilization

conventional physical therapy treatment, postural correction and maitland's oscillatory mobilizitions.

Intervention Type: OTHER

Mckenzie Retraction Exercises

conventional physical therapy treatment, postural correction and Mckenzie retraction exercises.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Patient with primary complaint of non specific neck pain. Pain of sufficient intensity (greater than 2 out of 10 on numerical pain scale) · Pain and stiffness for at least 2 weeks Pain aggravated by neck movement ·

Exclusion Criteria

History of orthopedic surgery to the neck and shoulder and Temporo-mandibular Joint neurological symptoms due to cervical dysfunction History of Carcinoma Progressive neurological deficits

• Minimum Eligible Age: 18 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

Saba Rafique, Phd*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Arif Memorial Teaching Hospital

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Central Contacts

Imran Amjad, Phd

Role: CONTACT

imran.amjad@riphah.edu.pk

+923324390125

Facility Contacts

Saba Rafique, Phd*

Role: primary

saba.rafique@riphah.edu.pk

+923034045433

References

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Reference Type: BACKGROUND

PMID: 32400728 (View on PubMed)

Hassan F, Osama M, Ghafoor A, Yaqoob MF. Effects of oscillatory mobilization as compared to sustained stretch mobilization in the management of cervical radiculopathy: A randomized controlled trial. J Back Musculoskelet Rehabil. 2020;33(1):153-158. doi: 10.3233/BMR-170914.

Reference Type: BACKGROUND

PMID: 31127753 (View on PubMed)

Shabbir M, Arshad N, Naz A, Saleem N. Clinical outcomes of maitland mobilization in patients with Myofascial Chronic Neck Pain: A randomized controlled trial. Pak J Med Sci. 2021 Jul-Aug;37(4):1172-1178. doi: 10.12669/pjms.37.4.4220.

Reference Type: BACKGROUND

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Reference Type: BACKGROUND

PMID: 34454582 (View on PubMed)

Young IA PT, DSc, Dunning J PT, DPT, Butts R PT, PhD, Mourad F PT, DPT, Cleland JA PT, PhD. Reliability, construct validity, and responsiveness of the neck disability index and numeric pain rating scale in patients with mechanical neck pain without upper extremity symptoms. Physiother Theory Pract. 2019 Dec;35(12):1328-1335. doi: 10.1080/09593985.2018.1471763. Epub 2018 Jun 1.

Reference Type: BACKGROUND

PMID: 29856244 (View on PubMed)

Kanlayanaphotporn R, Chiradejnant A, Vachalathiti R. The immediate effects of mobilization technique on pain and range of motion in patients presenting with unilateral neck pain: a randomized controlled trial. Arch Phys Med Rehabil. 2009 Feb;90(2):187-92. doi: 10.1016/j.apmr.2008.07.017.

Reference Type: BACKGROUND

PMID: 19236972 (View on PubMed)

Osama M, Tassadaq N, Malik RJ. Effect of muscle energy techniques and facet joint mobilization on spinal curvature in patients with mechanical neck pain: A pilot study. J Pak Med Assoc. 2020 Feb;70(2):344-347. doi: 10.5455/JPMA.14189.

Reference Type: BACKGROUND

PMID: 32063632 (View on PubMed)

Buyukturan O, Buyukturan B, Sas S, Kararti C, Ceylan I. The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study. Pain Res Manag. 2018 May 15;2018:2856375. doi: 10.1155/2018/2856375. eCollection 2018.

Reference Type: BACKGROUND

PMID: 29861800 (View on PubMed)

Other Identifiers

REC/RCR&AHS/22/0124

Identifier Type: -

Identifier Source: org_study_id