Additional Effects of Maitland Mobilization With Mckenzie Exercises on Kinesiophobia and Range of Motion in Upper Cross Syndrome

NCT ID: NCT06108635

Last Updated: 2023-10-31

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

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-02-15

Study Completion Date

2024-02-10

Brief Summary

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Upper cross syndrome is a postural condition that is characterized by muscle imbalance in neck region. It is described as a pattern of crossed tightness in trapezius, levator scapulae and pectoralis major and minor with crossed weakness in neck flexors,rhomboids,serratus anterior weakness due to poor working habits and inappropriate ergonomics. It has multiple treatment options and manual therapy is on of them. Maitland mobilizations are widely used for upper cross syndrome. However limited literature is available on the additional effects of Maitland mobilizations with Mckenzie exercises in upper cross syndrome.

Detailed Description

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Upper cross syndrome is a postural condition that is experinced by 32.43% in desk workers. It is one of the most prevelant leading cause of neck pain and musculoskeletal conditions that has a major impact on a person life by effecting activities of daily living.Neck pain ranked 21st among Global burden of diseses and fourth highest overall for all disabilities. Prevelance of neck pain in Pakistan is 62%. Neck pain has a strong positive correlation with kinesiophobia. Kinesiophobia is a strong predictor of pain intensity,proprioception and functional performance. Patients with upper cross syndrome presents with forward head posture, protracted and elongated shoulders,khyphosis of thoracic spine,winging of scapula and decreased thoracic spine mobility. Upper cross syndrome occurs due to poor faulty posture, extensive use of mobile,laptops,watching T.V,driving and all the other activities that encourages this postural stance.

This study will be a Randomized Control Trial conducted in rehab opd of Fauji Foundation hospital. Both genders with age 18-45 years who had diagnosed with upper cross syndrome will be recruited into two groups using non probability purposive sampling technique. Sample size has been calculated by using open epi sample calculator and it is calculated to be 28. Patients with primary neck pain complain referred to rehab opd of FFH and local physiotherapy clinics of Rawalpindi/Islamabad will be recruited according to the eligibility criteria. Participants will be briefed regarding study objectives, study procedures, risks and benefits of treatment, voluntarily participation and right to withdraw. After taking informed consent,basic demographics, baseline assessment, participants will be randomly allocated into the two groups using sealed enveloped method. Group A(controlled group) will be recieving moist heat therapy(15 minutes hot pack) and Mckenzie exercise(5 reps x 2 sets in week 1 then progressed to 10 reps x 3 sets in week 2) . While group B will be given Maitland mobilization (Central glidewith grade i and ii mobilizations in week 1 and then progressed to grade iii and iv in week 2) with Mckenzie exercises along with moist heat therapy. Before and after the intoduction of intervention kinesiophobia,range of motion and pain will be assessed before and after the treatment.Frequency: thrice biweekly for 2 weeks for a total of 6 treatment sessions.

Conditions

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Upper Cross Syndrome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Parallel Group Randomized Control Trial
Primary Study Purpose

PREVENTION

Blinding Strategy

SINGLE

Outcome Assessors
A single blinded study will be used in which data analyzer will be blind.

Study Groups

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Group A

McKenzie exercises with moist heat therapy will be given as intervention to experimental group. 2 sets of 5 reps will be given then progressed to 3 sets of 10 repetitions .Participants will be given Hot pack for 15 minutes.

Group Type ACTIVE_COMPARATOR

McKenzie Exercises

Intervention Type PROCEDURE

These can be performed in sitting and the protocol includes,

1. Retraction and extension
2. Retraction and extension with rotation
3. Postural correction

There will be 2 sets of 5 repetitions in week 1 and 3 sets of 10 repetitions in week 2 followed by alternative days in a week. Each set is 30 seconds and each repetition is given in 2 seconds.

Heat Therapy

Intervention Type PROCEDURE

Moist heat therapy with hot pack.

Group B

The patients will be given Maitland mobilization (central glide on effected cervical spinous process) with McKenzie exercises. Grade i and ii mobilizations will be given in week 1 and then progressed to grade iii and iv in week 2. The total time duration will be 25-30 minutes. Participants will be given Hot pack for 15 minutes.

Group Type EXPERIMENTAL

McKenzie Exercises

Intervention Type PROCEDURE

These can be performed in sitting and the protocol includes,

1. Retraction and extension
2. Retraction and extension with rotation
3. Postural correction

There will be 2 sets of 5 repetitions in week 1 and 3 sets of 10 repetitions in week 2 followed by alternative days in a week. Each set is 30 seconds and each repetition is given in 2 seconds.

Maitland mobilization

Intervention Type PROCEDURE

The grade I and II Maitland mobilizations are given in week 1 and then progressed to grade III and IV in week 2

Heat Therapy

Intervention Type PROCEDURE

Moist heat therapy with hot pack.

Interventions

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McKenzie Exercises

These can be performed in sitting and the protocol includes,

1. Retraction and extension
2. Retraction and extension with rotation
3. Postural correction

There will be 2 sets of 5 repetitions in week 1 and 3 sets of 10 repetitions in week 2 followed by alternative days in a week. Each set is 30 seconds and each repetition is given in 2 seconds.

Intervention Type PROCEDURE

Maitland mobilization

The grade I and II Maitland mobilizations are given in week 1 and then progressed to grade III and IV in week 2

Intervention Type PROCEDURE

Heat Therapy

Moist heat therapy with hot pack.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Age group:18-45 years with diagnosed upper cross syndrome
* Both males and females
* Neck pain with a score between 4-8 in NPRS
* Able to provide informed consent and understand therapists instruction

Exclusion Criteria

* History of Cervical or upper limb fracture
* Vertibrobasilar insufficiency
* Cervical spine surgery
* Spinal infections and tumors
* Osteoporosis
* Metabolic disorders
* Rheumatiod Arthritis
* Inflammatory Arthritis
Minimum Eligible Age

18 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Foundation University Islamabad

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Hira Nawaz, DPT,MS-MSKPT

Role: CONTACT

03165311943

Facility Contacts

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Marwa Asim, DPT,OMPT

Role: primary

03335339457

Other Identifiers

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FUI/CTR/2023/19

Identifier Type: -

Identifier Source: org_study_id

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