]>
IRCT2014100119358N1 IRCT 2014-12-08 Shiraz University of Medical Sciences The effect of scapulothorasic joint mobilization on treatment of patients with neck pain Evaluation of the effect of scapulothorasic joint mobilization on pain intensity, pinch strength and upper limb function in patients with mechanical neck pain 2014-09-23 anticipated 46 Complete https://irct.ir/trial/17320 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment. N/A Mechanical neck pain. Intervention 1: Intervention group: In the intervention group patients receive routine physical therapy treatment protocol for neck pain for 5 sessions over a week. The routine physical therapy treatment protocol contained: Transcutaneous electrical nerve stimulation: conventional mode, frequency 100 Hz, tolerable intensity for 20 min over the pain site; Hot pack: for 20 minutes on the neck; exercise therapy: - the patient place both hands on the forehead and press the forehead into the palms while not moving. - The patient press the back of the head into both hands. - the patient press one hand against the side of the head and attempt to side-bend, as if trying to bring the ear toward the shoulder but not allowing motion, this exercise done for both left and right side. Each patient does exercises 20 times in a day and holds contraction to 6 seconds. The intensity of the contraction must be maximum; scapulothorasic joint mobilization: In intervention group, mobilization techniques applied in the direction of the limited movements of scapula (Retraction, Depression, Elevation, Upward Rotation and Downward Rotation). Patient sleeps on the sound side, close to the edge of the bed. Her head is on the pillow and hips and knees are bent. The therapist stands in front of the patient's hip and bends on it, so that the patient's ileum taken by therapist's axilla. Then each of the techniques done on the intervention group. These techniques applied Sustained with grade 4. Each technique consists of 10 sets of 10 repetitions with 30 seconds rest between each set. Each movement hold 5 seconds and there are 3 seconds rest between each movement in each set. Patients in intervention group receive 5 sessions scapulothorasic joint mobilization in a week. Intervention 2: Control group: In the control group patients receive routine physical therapy treatment protocol for neck pain for 10 sessions over a week. The routine physical therapy treatment protocol contained: Transcutaneous electrical nerve stimulation: conventional mode, frequency 100 Hz, tolerable intensity for 20 min over the pain site; Hot pack: for 20 minutes on the neck; exercise therapy: - the patient place both hands on the forehead and press the forehead into the palms while not moving. - The patient press the back of the head into both hands. - the patient press one hand against the side of the head and attempt to side-bend, as if trying to bring the ear toward the shoulder but not allowing motion, this exercise done for both left and right side. Each patient does exercises 20 times in a day and holds contraction to 6 seconds. The intensity of the contraction must be maximum. Control group receive 5 treatment sessions in a week.
public Zeinab Shirzadi
School of Rehabilitation Sciences, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
Shiraz Iran (Islamic Republic of) +98 71 3627 1552 shirzadi.zeinab@gmail.com Shiraz University of Medical Sciences scientific Dr. Zahra Rojhani Shirazi
School of Rehabilitation Sciences, Abiverdi 1 Avenue, Chamran Blvd, Shiraz
Shiraz Iran (Islamic Republic of) +98 71 3627 1552 rojhaniz@sums.ac.ir Shiraz University of Medical Sciences Iran (Islamic Republic of) Inclusion criteria: Complaint of mechanical neck pain (general pain in the neck that induced with movement or constant holding of neck and palpation of the neck muscles); age between 20-50 years; neck disability index between 10 to 45 percent; duration of the involvement more than three months; incorrect position of scapula and scapular dyskinesia. Exclusion criteria: History of whiplash injury; Surgery in the neck or upper limb; serious pathology (eg malignant tumor, infection, inflammatory disorders or fracture); any disease or disorder of the central nervous system including: stroke, MS and ...; any disease of peripheral nervous system which may affect the study results such as: neuropathies, carpal tunnel syndrome, Guyan tunnel syndrome and cervical radiculopathy. 20 years 50 years Both M95.3 Acquired deformity of neck Rehabilitation Rehabilitation Intervention group: In the intervention group patients receive routine physical therapy treatment protocol for neck pain for 5 sessions over a week. The routine physical therapy treatment protocol contained: Transcutaneous electrical nerve stimulation: conventional mode, frequency 100 Hz, tolerable intensity for 20 min over the pain site; Hot pack: for 20 minutes on the neck; exercise therapy: - the patient place both hands on the forehead and press the forehead into the palms while not moving. - The patient press the back of the head into both hands. - the patient press one hand against the side of the head and attempt to side-bend, as if trying to bring the ear toward the shoulder but not allowing motion, this exercise done for both left and right side. Each patient does exercises 20 times in a day and holds contraction to 6 seconds. The intensity of the contraction must be maximum; scapulothorasic joint mobilization: In intervention group, mobilization techniques applied in the direction of the limited movements of scapula (Retraction, Depression, Elevation, Upward Rotation and Downward Rotation). Patient sleeps on the sound side, close to the edge of the bed. Her head is on the pillow and hips and knees are bent. The therapist stands in front of the patient's hip and bends on it, so that the patient's ileum taken by therapist's axilla. Then each of the techniques done on the intervention group. These techniques applied Sustained with grade 4. Each technique consists of 10 sets of 10 repetitions with 30 seconds rest between each set. Each movement hold 5 seconds and there are 3 seconds rest between each movement in each set. Patients in intervention group receive 5 sessions scapulothorasic joint mobilization in a week. Control group: In the control group patients receive routine physical therapy treatment protocol for neck pain for 10 sessions over a week. The routine physical therapy treatment protocol contained: Transcutaneous electrical nerve stimulation: conventional mode, frequency 100 Hz, tolerable intensity for 20 min over the pain site; Hot pack: for 20 minutes on the neck; exercise therapy: - the patient place both hands on the forehead and press the forehead into the palms while not moving. - The patient press the back of the head into both hands. - the patient press one hand against the side of the head and attempt to side-bend, as if trying to bring the ear toward the shoulder but not allowing motion, this exercise done for both left and right side. Each patient does exercises 20 times in a day and holds contraction to 6 seconds. The intensity of the contraction must be maximum. Control group receive 5 treatment sessions in a week. Pain intensity. Timepoint: before and immediately after the first session and at the end of the course of treatment. Method of measurement: Pain Numeric Rating Scale. Maximum grip strength. Timepoint: before and immediately after the first session and at the end of the course of treatment. Method of measurement: Newton scale with digital dynamometer. Pinch strength. Timepoint: before and immediately after the first session and at the end of the course of treatment. Method of measurement: Newton scale with Pinch Gage. Disability of upper limb. Timepoint: before and after intervention. Method of measurement: Disabilities of Arm, Shoulder and Hand questionnaire. Disability of neck. Timepoint: before and after intervention. Method of measurement: Neck Disability Index. Shiraz University of Medical Sciences Approved 2014-08-26 Shiraz University of Medical Sciences Central building of Shiraz University of Medical Sciences, Zand avenue, Shiraz Shiraz Iran (Islamic Republic of)