Effect of Deep Neck Flexors Biofeedback Training and Post Isometric Relaxation in Chronic Mechanical Neck Pain

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

45 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-11-01

Study Completion Date

2024-06-01

Brief Summary

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This study will be conducted to explore the superiority of effectiveness between Muscle energy technique combined with Deep Neck Flexors training, MET alone, or DNF training alone in terms of pain intensity, neck function, forward head posture, cervical range of motion and Deep Neck Flexors Muscles endurance in patients with chronic mechanical neck pain(CMNP).

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Detailed Description

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Patients will be grouped into three groups; each group composed of 15 patients suffering from CMNP. The personal history of each patient who participated in the study will be collected, the patient will receive an oral explanation of the procedures and signed a consent form . The weight and height of each patient will be obtained using the standard weight scale. The pain intensity level will be assessed via a visual analogue scale (VAS). The disability level will be assessed via neck disability index (NDI). The forward head posture will be assessed via photographic method of Craniovertebral angle (CVA) and the angle will be calculated by using kinovea software. The range of motion will be assessed via universal goniometer (UG). The endurance of the neck muscles will be assessed via pressure biofeedback unit (PBU). Assessment will be done before treatment and after 12 treatment sessions.

Conditions

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Deep Neck Flexors Training Post Isometric Relaxation

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Group A (n=15) will be treated by Post Isometric Relaxation, infrared radiation and continuous ultrasound for 12 sessions (3 sessions per week for four weeks).

Group B (n=15) will be treated by DNF training, infrared radiation and continuous ultrasound for 12 sessions (3 sessions per week for four weeks) Group C (n=15) will be treated by Post Isometric Relaxation combined DNF training, infrared radiation and continuous ultrasound for 12 sessions (3 sessions per week for four weeks)

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

All the patients will be blinded to group allocation by ensuring that they were unaware of the exercise performed by the other group. To maintain the blinding, the intervention sessions will be delivered separately to members of each treatment group, The allocation will be conducted by another researcher before the baseline.

Study Groups

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Group A

(n=15) will be treated by Post Isometric Relaxation, infrared radiation and continuous ultrasound for 12 sessions (3 sessions per week for four weeks).

Group Type EXPERIMENTAL

therapeutic ultra sound

Intervention Type DEVICE

continuous US waves of 1 MHz frequency and 1-1.5 W/cm2 power

infra red radiation

Intervention Type DEVICE

(R 125, 250watt, Philips)

post isometric relaxation

Intervention Type OTHER

sustained contraction followed by relaxation

Group B

(n=15) will be treated by DNF training, infrared radiation and continuous ultrasound for 12 sessions (3 sessions per week for four weeks)

Group Type EXPERIMENTAL

pressure biofeedback

Intervention Type DEVICE

uninﬂated pressure sensor will be kept below the neck suboccipital

therapeutic ultra sound

Intervention Type DEVICE

continuous US waves of 1 MHz frequency and 1-1.5 W/cm2 power

infra red radiation

Intervention Type DEVICE

(R 125, 250watt, Philips)

Group C

(n=15) will be treated by Post Isometric Relaxation combined DNF training, infrared radiation and continuous ultrasound for 12 sessions (3 sessions per week for four weeks)

Group Type EXPERIMENTAL

pressure biofeedback

Intervention Type DEVICE

uninﬂated pressure sensor will be kept below the neck suboccipital

therapeutic ultra sound

Intervention Type DEVICE

continuous US waves of 1 MHz frequency and 1-1.5 W/cm2 power

infra red radiation

Intervention Type DEVICE

(R 125, 250watt, Philips)

post isometric relaxation

Intervention Type OTHER

sustained contraction followed by relaxation

Interventions

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pressure biofeedback

uninﬂated pressure sensor will be kept below the neck suboccipital

Intervention Type DEVICE

therapeutic ultra sound

continuous US waves of 1 MHz frequency and 1-1.5 W/cm2 power

Intervention Type DEVICE

infra red radiation

(R 125, 250watt, Philips)

Intervention Type DEVICE

post isometric relaxation

sustained contraction followed by relaxation

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

1. Age group 20-40 years of female and male patient.
2. Patient with neck pain duration more than 3 months and less than one year.
3. Subjects who could not maintain blood pressure at increments of 24 mmHg from the initial 20 mm Hg
4. Patients who have moderate neck pain and disability scoring 15 to 24 from 50 on neck disability index. .
5. Pain intensity more than 3 and less than 7 on visual analogue scale (VAS)
6. CVA less than 49°

Exclusion Criteria

1. People with severe neck pain. (Disability scoring more than 25 on Neck Disability Index)
2. If they are participated in a neck rehabilitation program over the last 6 months
3. Major circulatory or respiratory disorder
4. Pregnant women or 3 months postnatal
5. Patient with structural instability and degenerative conditions of cervical spine.
6. Body Mass Index more than 30.
7. Post traumatic or infective conditions.
8. Any surgeries around cervical spine
9. Vertigo patient
10. Un-cooperative patient (Gupta et al., 2022).

Minimum Eligible Age

20 Years

Maximum Eligible Age

40 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No