Effect of MET With and Without MCTE in Mechanical Neck Pain

NCT ID: NCT06750211

Last Updated: 2024-12-27

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-07-04
• Study Completion Date: 2025-01-08

Brief Summary

Work had to be done previously on METs and MCTE techniques, but no study has compared both techniques together to make it more comprehensible. The rationale of this will be to find out the combined effect of motor control therapeutic exercises and muscle energy technique for the treatment of pain, range of motion and disability associated with mechanical neck pain. This study will be effective for the clinicians to treat patients of mechanical neck pain.

Detailed Description

Therapeutic exercises and manual therapy were shown to be useful in managing pain and lowering disability in patients with non-specific chronic neck pain (NCNP). However, little studies investigated the benefits of muscle energy technique and motor control therapeutics exercise on mechanical neck pain (MNP). The current research fulfill this gap by comparing the short and long term benefits of muscle energy technique with and without motor control therapeutic exercises (MCTE) with the grail of determining best approach for lowering pain and disability in mechanical neck pain patients.

Conditions

Mechanical Neck Pain

Keywords

Neck pain; Range of motion; Muscle energy technique; Motor control therapeutic exercise

Study Design

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

Study Groups

METs

Hot pack along with Neck isometrics and muscle energy technique protocol

Group Type: ACTIVE_COMPARATOR

METs

Intervention Type: OTHER

• Hot pack for 10 minutes.
• Neck isometrics with 10 second hold.
• Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion.
• Muscle energy technique protocol: The individual was in a position of supine. The therapist was at the edge of bed, near the participants head. the therapist positioned the joint at the point of beginning range of motion resistance when performing a given movement. When the therapist felt restriction, positioned the cervical spine in that region and apply the resistive force. Patient was instructed to contract isometrically for five seconds without exceeding the therapist force. thereafter, therapist counterforce gradually reduced and patient was asked to relaxed. Therapist move the joint into new point of barrier and same protocol repeated three times.

Patient came thrice per week for a total of 4 weeks.

MCTE along with METs

MCTE included cranio-cervical flexion, cranio-cervical extension, co-contraction of flexion and extension and synergistic exercise of neck flexor along with hot pack, neck isometrics and muscle energy technique protocol

Group Type: EXPERIMENTAL

MCTE along with METs

Intervention Type: OTHER

▪ Hot pack for 10 minutes.

• Neck isometrics with 10 second hold.
• Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion.
• After it was treated with motor control therapeutic exercises together with muscle energy technique. Motor control therapeutic exercises included cranio-cervical flexor exercises, cranio-cervical extensor exercises, co contraction of flexor and extensor and synergy exercise for strengthening deep neck flexor. Exercises were performed in three sets with 10 repetitions with an approximate duration of 10 to 20 minutes. They were advised to perform at home once in a day, five times in a week for a duration of 4 weeks.

All exercises were performed three times per week for total of 4 weeks.

Interventions

METs

• Hot pack for 10 minutes.
• Neck isometrics with 10 second hold.
• Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion.
• Muscle energy technique protocol: The individual was in a position of supine. The therapist was at the edge of bed, near the participants head. the therapist positioned the joint at the point of beginning range of motion resistance when performing a given movement. When the therapist felt restriction, positioned the cervical spine in that region and apply the resistive force. Patient was instructed to contract isometrically for five seconds without exceeding the therapist force. thereafter, therapist counterforce gradually reduced and patient was asked to relaxed. Therapist move the joint into new point of barrier and same protocol repeated three times.

Patient came thrice per week for a total of 4 weeks.

Intervention Type: OTHER

MCTE along with METs

▪ Hot pack for 10 minutes.

• Neck isometrics with 10 second hold.
• Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion.
• After it was treated with motor control therapeutic exercises together with muscle energy technique. Motor control therapeutic exercises included cranio-cervical flexor exercises, cranio-cervical extensor exercises, co contraction of flexor and extensor and synergy exercise for strengthening deep neck flexor. Exercises were performed in three sets with 10 repetitions with an approximate duration of 10 to 20 minutes. They were advised to perform at home once in a day, five times in a week for a duration of 4 weeks.

All exercises were performed three times per week for total of 4 weeks.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• • Subjects were between 20 and 50 years old.

• Pain in cervical or neck region with no radiating pain in one or both upper limbs.
• Pain minimum of 3 months.
• Neck disability index (NDI) score of should be at least 10%.
• Forward head posture.

Exclusion Criteria

• • Neck pain associated with vertigo.

• Irradiated neck pain.
• Vertebral fracture.
• Osteoporosis.
• Previous neck injury.
• Red flags (night pain, severe muscle loss, loss of involuntary control.
• Subjects with difficulty in communication or understanding.

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Saba Rafique, phd

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Riphah college of rehabilitation and allied health sciences

Lahore, , Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Imran Amjad, Phd

Role: CONTACT

Phone: 03324390125

Email: imran.amjad@riphah.edu.pk

Facility Contacts

saba Rafique, phd

Role: primary

References

Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr;93(3):281-290. doi: 10.1007/s00420-019-01480-x. Epub 2019 Oct 25.

Reference Type: BACKGROUND

PMID: 31654125 (View on PubMed)

Bernal-Utrera C, Gonzalez-Gerez JJ, Anarte-Lazo E, Rodriguez-Blanco C. Manual therapy versus therapeutic exercise in non-specific chronic neck pain: a randomized controlled trial. Trials. 2020 Jul 28;21(1):682. doi: 10.1186/s13063-020-04610-w.

Reference Type: BACKGROUND

PMID: 32723399 (View on PubMed)

Martin-Gomez C, Sestelo-Diaz R, Carrillo-Sanjuan V, Navarro-Santana MJ, Bardon-Romero J, Plaza-Manzano G. Motor control using cranio-cervical flexion exercises versus other treatments for non-specific chronic neck pain: A systematic review and meta-analysis. Musculoskelet Sci Pract. 2019 Jul;42:52-59. doi: 10.1016/j.msksp.2019.04.010. Epub 2019 Apr 20.

Reference Type: BACKGROUND

PMID: 31030111 (View on PubMed)

Parikh P, Santaguida P, Macdermid J, Gross A, Eshtiaghi A. Comparison of CPG's for the diagnosis, prognosis and management of non-specific neck pain: a systematic review. BMC Musculoskelet Disord. 2019 Feb 14;20(1):81. doi: 10.1186/s12891-019-2441-3.

Reference Type: BACKGROUND

PMID: 30764789 (View on PubMed)

Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.

Reference Type: BACKGROUND

PMID: 28826164 (View on PubMed)

Other Identifiers

REC/RCR & AHS/24/0115

Identifier Type: -

Identifier Source: org_study_id