Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

NCT ID: NCT05557747

Last Updated: 2023-08-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 60 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-11-01
• Study Completion Date: 2023-07-30

Brief Summary

This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

Conditions

Chronic Mechanical Neck Pain

Study Design

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

Study Groups

Group A:cervicothoracic junction mobilization

Group A: patients will receive cervicothoracic junction mobilization and conventional physical therapy program for 3 sessions/week over 4 weeks periods

Group Type: EXPERIMENTAL

cervicothoracic junction mobilization in form of Maitland mobilization

Intervention Type: OTHER

Group A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods.

conventional physical therapy

Intervention Type: OTHER

conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods

Group B:autogenic muscle Energy Technique

Group B: will receive autogenic muscle Energy Technique and conventional physical therapy program for 3 sessions/week over 4 weeks periods.

Group Type: EXPERIMENTAL

autogenic muscle Energy Technique

Intervention Type: OTHER

the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle.

The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold

conventional physical therapy

Intervention Type: OTHER

conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods

Group C:conventional physical therapy

Group C: will receive conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods.

Group Type: ACTIVE_COMPARATOR

conventional physical therapy

Intervention Type: OTHER

conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods

Interventions

cervicothoracic junction mobilization in form of Maitland mobilization

Group A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods.

Intervention Type: OTHER

autogenic muscle Energy Technique

the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle.

The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold

Intervention Type: OTHER

conventional physical therapy

conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
• Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
• patients with age range from 18 to 45 years old.
• patients with body mass index less than 30 kg/m2.

Exclusion Criteria

• previous spine surgery
• pregnancy.
• Diabetic patients
• Hypertensive patients
• Patients were excluded if neck pain was associated with cervical radiculopathy
• whiplash injuries or severe headaches
• cervical spine fracture
• vertebro-basilar insufficiency.
• red flags suggesting of cancer, infection, vascular insufficiency
• Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Cairo University

OTHER

Sponsor Role: lead

Responsible Party

Hoda Ibrahim Abbas Mousa

principal investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

FACULTY OF PHYSICAL THERAPY, cairo university

Giza, , Egypt

Countries

Egypt

Other Identifiers

P.T.REC/012/003839

Identifier Type: -

Identifier Source: org_study_id