Effects of Manual IC With and Without SCS on SCM Tightness With FHP

NCT ID: NCT06108882

Last Updated: 2023-10-31

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 42 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-05-08
• Study Completion Date: 2024-01-08

Brief Summary

The aim of this study is to compare the effects of Manual Ischemic Compression with and without Strain Counterstrain technique on CVA, ROM, pain and disability among FHP individuals with SCM tightness.

Detailed Description

Forward head posture is defined by excessive extension at upper cervical spine(C1-C3) and flexion at lower cervical spine (C4-C7) that increases cranial rotation angle and decreases craniovertebral angle (CVA) because of the altered relative position of the head with respect to the line of gravity. The bubble inclinometer is a gravity-based tool used to measure the cervical range of motion and to assess SCM muscle length. FHP also leads to muscles imbalance and SCM tightness as well. The Numerical Pain Rating Scale (NPRS) are most frequently used to quantify pain intensity and NDI for neck disability.

A RCT study compare the effects of IC and SCS in patients with upper trapezius trigger points. For four weeks, the therapy was given three days a week. As an outcome indicator, the NPRS, NDI, and cervical lateral flexion were used. The outcome measures were evaluated at baseline, after the second week, and after the fourth week: The ischemic compression and strain counterstrain intervention, which lasted for four weeks, significantly improved cervical range of motion, reduced pain intensity, and reduced cervical disability. However, the intergroup comparison revealed that both interventions were equally effective, and none of them outperformed the others.

Most of the studies compared digital ischemic compression as a common treatment with dry needling or other soft tissue mobilizations specially to treat trapezius trigger points but there are few studies specifically investigating comparative effects of Manual Ischemic Compression with and without Strain Counterstrain for management purpose of muscle tightness in individuals with FHP. While various treatment options exist for FHP, limited research directly compares the comparative outcomes of Strain Counterstrain and Ischemic Compression techniques. Due to lack of comparative evidence regarding the efficacy of these specific interventions, there is a need to bridge this gap by investigating and comparing the effectiveness of these interventions by using highly reliable and valid outcome measures in order to provide healthcare professionals and individuals with evidence-based guidance for optimal FHP management and SCM tightness.

Conditions

Neck Pain

Study Design

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

Study Groups

Manual Ischemic Compression with Strain Counter Strain technique

Participants in this group will receive Manual Ischemic Compression with Strain Counter Strain technique.

Group Type: EXPERIMENTAL

Experimental: Manual Ischemic Compression with Strain Counter Strain technique

Intervention Type: OTHER

The duration of intervention will be 6 weeks, 3 sessions a week, a total of 18 sessions will be given to the study participants. Each session will last for 30 to 45 minutes.

Manual Ischemic Compression

Participants in this group will receive only Manual Ischemic Compression

Group Type: ACTIVE_COMPARATOR

Active Comparator: Manual Ischemic Compression

Intervention Type: OTHER

The duration of intervention will be 6 weeks, 3 sessions a week, a total of 18 sessions will be given to the study participants. Each session will last for 30 to 45 minutes.

Interventions

Experimental: Manual Ischemic Compression with Strain Counter Strain technique

The duration of intervention will be 6 weeks, 3 sessions a week, a total of 18 sessions will be given to the study participants. Each session will last for 30 to 45 minutes.

Intervention Type: OTHER

Active Comparator: Manual Ischemic Compression

The duration of intervention will be 6 weeks, 3 sessions a week, a total of 18 sessions will be given to the study participants. Each session will last for 30 to 45 minutes.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Neck pain (Numeric Pain Rating Scale >3)
• Craniovertebral angle (CVA) less than 51
• Shortened SCM muscle

Exclusion Criteria

• Neck pain with whiplash or headache, neurological disorder
• History of previous head, neck, cervical spine or shoulder surgery
• Infection or inflammatory arthritis in the cervical spine
• History of cervical radiculopathy

• Diagnosed fibromyalgia and myopathy
• History of cancer

• Minimum Eligible Age: 25 Years
• Maximum Eligible Age: 40 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, Masters

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Amina Physiotherapy and Rehab Center, Nusrat Rashid Medical Complex

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Imran Amjad, Phd

Role: CONTACT

imran.amjad@riphah.edu.pk

03324390125

Facility Contacts

Saba Rafique, Masters

Role: primary

saba.rafique@riphah.edu.pk

+923034045433

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Other Identifiers

REC/RCR & AHS/23/0147

Identifier Type: -

Identifier Source: org_study_id