Efficacy of Mobilization With Post- Isometric Relaxation in Neck Pain Associated With Myofascial Trigger Points

NCT ID: NCT05684809

Last Updated: 2023-03-24

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 33 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2022-10-30
• Study Completion Date: 2023-02-15

Brief Summary

purpose of the study: to determine the effectiveness of cervical mobilization with PIR in reducing pain and improving neck ROM and function in people with mechanical neck pain associated with MTrPs

Detailed Description

This study will be based on a randomized controlled design which will be comparative in nature. Participants will be recruited using the convenience sampling method and will be randomly divided into two groups A and B respectively. Thirty participants of mechanical neck pain associated with upper Trapezius trigger point pain will be recruited from the Physiotherapy department, at the Najran University, Saudi Arabia. Study objectives and procedure will be properly explained and written informed consent will be obtained at the beginning of the study. All the participants will be randomly assigned into two equal groups A and B.

Group A will be receiving the hot pack, active Stretching, isometric exercise intervention, and PIR technique while group B will receive the hot pack, active Stretching, isometric exercise intervention, and cervical Mobilization.

Conditions

Mechanical Neck Pain

Study Design

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

Study Groups

Group A

in addition to Conventional treatment, PIR and cervical mobilization were given

Group Type: EXPERIMENTAL

Post Isometric relaxation Technique (PIR)

Intervention Type: OTHER

In PIR intervention, the patients were requested to lie down in a supine position and their neck was in a lateral flexion to the opposite side so that the target upper Trapezius muscle fibers would be in a lengthened position. The therapist performed a moderate isometric contraction (approximately 75% of maximal) of upper Trapezius muscles, held it for 5 seconds, then relaxed for 3 seconds before moving the cervical spine into the new barrier. In each session, this technique was repeated for four times, on alternate days for three weeks.

Cervical Mobilization (CM)

Intervention Type: OTHER

Cervical Mobilization was delivered in prone lying with their foreheads resting comfortably on his hands, and the chin was tucked in.The treatment session was done on alternate days (3 days a week) for 3 weeks, hence the total number of sessions were 9.

conventional treatment

Intervention Type: OTHER

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10-second relaxation) were given, and isometric exercise of the neck((10 repetitions of two sets with 10 seconds hold) alternate days for three weeks.

Group B

in addition to Conventional treatment, PIR were given

Group Type: ACTIVE_COMPARATOR

Post Isometric relaxation Technique (PIR)

Intervention Type: OTHER

In PIR intervention, the patients were requested to lie down in a supine position and their neck was in a lateral flexion to the opposite side so that the target upper Trapezius muscle fibers would be in a lengthened position. The therapist performed a moderate isometric contraction (approximately 75% of maximal) of upper Trapezius muscles, held it for 5 seconds, then relaxed for 3 seconds before moving the cervical spine into the new barrier. In each session, this technique was repeated for four times, on alternate days for three weeks.

conventional treatment

Intervention Type: OTHER

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10-second relaxation) were given, and isometric exercise of the neck((10 repetitions of two sets with 10 seconds hold) alternate days for three weeks.

Interventions

Post Isometric relaxation Technique (PIR)

In PIR intervention, the patients were requested to lie down in a supine position and their neck was in a lateral flexion to the opposite side so that the target upper Trapezius muscle fibers would be in a lengthened position. The therapist performed a moderate isometric contraction (approximately 75% of maximal) of upper Trapezius muscles, held it for 5 seconds, then relaxed for 3 seconds before moving the cervical spine into the new barrier. In each session, this technique was repeated for four times, on alternate days for three weeks.

Intervention Type: OTHER

Cervical Mobilization (CM)

Cervical Mobilization was delivered in prone lying with their foreheads resting comfortably on his hands, and the chin was tucked in.The treatment session was done on alternate days (3 days a week) for 3 weeks, hence the total number of sessions were 9.

Intervention Type: OTHER

conventional treatment

Hot Pack was given for twenty minutes, slow sustained stretching exercises ( 20 second hold, 10-second relaxation) were given, and isometric exercise of the neck((10 repetitions of two sets with 10 seconds hold) alternate days for three weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• age 20-40 years,
• having mechanical neck pain located in the neck or scapular regions along with 1-2 MTrPs which,
• on palpation replicated their chief complaints in the upper Trapezius muscle (unilateral).

Exclusion Criteria

• known cases of fibromyalgia syndrome,
• cervical radiculopathy or myelopathy,
• history of cervical spine surgery,
• congenital or acquired postural deformity, presence of MTrPs in bilateral upper Trapezius muscles,
• patients who received any treatment for their pain one month prior to the study.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 40 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Najran University

OTHER

Sponsor Role: lead

Responsible Party

Hashim Ahmed

Assistant Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Hashim Ahmed, PhD

Role: PRINCIPAL_INVESTIGATOR

Najran University

Locations

Hashim Ahmed

Najrān, Najran Region, Saudi Arabia

Hashim Ahmed

Najrān, Najran Region, Saudi Arabia

Countries

Saudi Arabia

Other Identifiers

444-42-20993-DS

Identifier Type: -

Identifier Source: org_study_id