Progressive Muscle Relaxation Vs Muscle Energy Technique on Nonspecific Neck Pain in Prolonged Computer Users.

NCT ID: NCT06918535

Last Updated: 2026-01-08

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

RECRUITING

Clinical Phase

NA

Total Enrollment

60 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-04-22

Study Completion Date

2026-04-30

Brief Summary

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The objective of this randomized controlled trial is to assess the potential effectiveness of Progressive muscle relaxation technique (PMRT) vs Muscle energy technique (MET) as an intervention for releasing trigger points in SCM and upper trapezius in prolonged computer users. The study will be conducted in a workplace setting, where desk-type computer users are expected to regularly engage in their professional activities for ≥ 6 hours throughout the day, intermittently. This study will be conducted at the Outpatient Physiotherapy department of Sindh Institute of Physical Medicine and Rehabilitation, Karachi among 60 patients with nonspecific chronic neck pain on the basis of non-probability purposive sample technique. After taking informed consent, all participants will be randomly allocated into two groups through a investigator (blinded) the same investigator will be screening the individuals, doing baseline assessment, and post treatment assessment while another investigator will be providing intervention. Group 1 will receive Progressive muscle relaxation technique while Group 2 will receive Muscle Energy Technique on sternocleidomastoid and upper trapezius bilaterally. Patients will also be blinded. A total of 12 sessions will be provided. Outcomes will be assessed at baseline and post treatment after 2 weeks intervention.

Detailed Description

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Conditions

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Neck Pain Chronic Neck Pain

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

It is a randomized controlled trial. Total 60 patients will be recruited, 30 in each group that includes 6 patients as a dropout in both groups. There will be one interventional group and one control group. Treatment will be allocated using a random number sheet generated by SPSS software version 23. Participants are assigned to one of two groups in parallel for the duration of the study.
Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors
Outcomes assessor involved in the clinical trial will be prevented from having knowledge of the interventions assigned to individual participants. Participants will also be masked as both treatments are almost similar.

Study Groups

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Group A (Intervention)

To start Progressive Muscle Relaxation Technique with deep breathing, individuals will be trained to sit in a comfortable position with or without eyes opening. It will involve relaxing neck muscles through a two-step process. First, participants will be commanded to tense the particular SCM and upper trapezius muscle by active contraction along with deep breathing (deeply and slowly inhaling through the nose). Then, they will be commanded to squeeze the muscles as hard as they can, holding for 5-10 seconds, after that employees will be asked to relax the muscle for 10-15 seconds while relaxing the muscle employees will be asked to exhale slowly through the mouth (5 repetitions for each side). Intervention will be given for 30 minutes for 6 days a week for 2 weeks.

Group Type EXPERIMENTAL

Progressive Muscle Relaxation Technique

Intervention Type OTHER

Progressive Muscle Relaxation (PMR) is a relaxation technique that involves systematically tensing and then relaxing different muscle groups in the body to reduce physical tension and stress. Developed by Edmund Jacobson in the 1930s, PMR aims to promote deep relaxation by increasing awareness of muscle tension and learning to release it. The technique is typically performed in a quiet environment, starting from the feet and progressing upward or vice versa. It is commonly used for stress management, pain relief, anxiety reduction, and improving overall well-being.

Group B (Control)

Muscle Energy Technique with deep breathing

* Trapezius Muscle: The therapist will position the patient supine, supporting the back of the patient's head with one hand and placing the other on the clavicle. The head will be bent forward, rotated, and bent toward the same side to test for flexibility, and then brought midway between the initial and fully rotated positions. The patient will breathe in, hold their breath, and perform isometric (20% of max force) while the therapist provides resistance for 6-7 seconds, followed by a stretch during exhalation, to be repeated 3-4 times.
* Sternocleidomastoid Muscle: The patient will be supine with a cushion under the shoulder, tilting the head slightly back. The therapist will place one hand on the mastoid and the other on the sternum. The patient will rotate the head to the opposite side, lift it while holding breath while the therapist provides resistance for 6-7 second

Group Type ACTIVE_COMPARATOR

Muscle Energy Technique

Intervention Type OTHER

Muscle Energy Technique (MET) is a manual therapy approach that uses the patient's voluntary muscle contractions against a controlled resistance provided by the therapist to improve musculoskeletal function. It is commonly used to lengthen shortened muscles, improve joint mobility, and reduce pain. MET works by engaging the target muscles in an isometric or isotonic contraction, followed by a relaxation phase, allowing for a greater stretch or repositioning of the joint. It is frequently used in physiotherapy for conditions such as muscle tightness, joint restrictions, and postural imbalances.

Interventions

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Progressive Muscle Relaxation Technique

Progressive Muscle Relaxation (PMR) is a relaxation technique that involves systematically tensing and then relaxing different muscle groups in the body to reduce physical tension and stress. Developed by Edmund Jacobson in the 1930s, PMR aims to promote deep relaxation by increasing awareness of muscle tension and learning to release it. The technique is typically performed in a quiet environment, starting from the feet and progressing upward or vice versa. It is commonly used for stress management, pain relief, anxiety reduction, and improving overall well-being.

Intervention Type OTHER

Muscle Energy Technique

Muscle Energy Technique (MET) is a manual therapy approach that uses the patient's voluntary muscle contractions against a controlled resistance provided by the therapist to improve musculoskeletal function. It is commonly used to lengthen shortened muscles, improve joint mobility, and reduce pain. MET works by engaging the target muscles in an isometric or isotonic contraction, followed by a relaxation phase, allowing for a greater stretch or repositioning of the joint. It is frequently used in physiotherapy for conditions such as muscle tightness, joint restrictions, and postural imbalances.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Persons using computer more than 6 hours throughout the day, intermittently both genders.
* Age between 20-45.
* Hypertonicity of trapezius muscle and SCM muscle. Specifically, those workers have neck pain and stiffness (including trouble tilting or turning head). Patients who reported small tightening and spasm at the posterior aspect of their neck are included, also associated with more diffuse neck pain patterns that included the following: headache, (upper back, neck and shoulder pain) numbness/ tingling in the hand/arm.
* Pain intensity of 2 on the NRS and presence of at least one latent trigger point in a taut band in the neck region.

Exclusion Criteria

* Recent trauma to the cervical region
Minimum Eligible Age

20 Years

Maximum Eligible Age

45 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Dow University of Health Sciences

OTHER

Sponsor Role collaborator

Sindh Institute of Physical Medicine and Rehabilitation

OTHER

Sponsor Role collaborator

IQRA University

OTHER

Sponsor Role lead

Responsible Party

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Syeda Waniya Riaz

Principal Investigator

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Syeda Waniya Riaz, PhD (scholar), MSAPT, DPT

Role: PRINCIPAL_INVESTIGATOR

IQRA University

Locations

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Sindh Institute of Physical Medicine and Rehabilitation

Karachi, Sindh, Pakistan

Site Status RECRUITING

Countries

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Pakistan

Central Contacts

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Syeda Waniya Riaz, PhD (scholar), MSAPT, DPT

Role: CONTACT

+923352783584

Aftab Ahmed Mirza Baig, PhD, MSAPT, DPT

Role: CONTACT

+923002739920

Facility Contacts

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Iram Shamsi, PhD (scholar), Mphil, DPT

Role: primary

+923012135230

References

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Related Links

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https://www.apa.org/topics/stress/body

Stress effects on the body \[Internet\]. American Psychological Association

https://www.scirp.org/reference/referencespapers?referenceid=1146522

Jacobson, E. Progressive relaxation. Chicago: University of Chicago Press. 1929.

https://www.medicalnewstoday.com/articles/progressive-muscle-relaxation-pmr

Progressive muscle relaxation: Benefits, techniques, and more \[Internet\]. MediLexicon International.

https://www.ncbi.nlm.nih.gov/books/NBK513238/

Norelli SK, Long A, Krepps JM. Relaxation Techniques. StatPearls \[Internet\]. Treasure Island (FL): StatPearls Publishing. 2021.

Other Identifiers

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IQRAU

Identifier Type: -

Identifier Source: org_study_id

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