Effectiveness of Alexander technique combined with Mulligan technique in the management of non-specific neck pain: A single blind randomized controlled trial
To determine the effectiveness of alexander technique combined with mulligan technique (SNAGS) in the management of non-specific neck pain
Design
A two-arm, parallel-group, single-blind, randomized controlled clinical trial, 84 participants.
Settings and conduct
Maqsood Medical Complex (MMC)
Participants/Inclusion and exclusion criteria
Inclusion Criteria: Participants with non-specific neck pain; Participants with age 18-40 years; Both genders.
Exclusion Criteria: History of any surgery to neck, shoulder, and upper back; History of fracture or any trauma in the neck, shoulder, and upper back; history of any neoplasm or malignancy; Cervical radiculopathy.
Intervention groups
Group A (experimental group): Subjects will receive alexander technique along with Mulligan technique and isometric exercises. Procedure: The alexander technique will include education of patients about mind-body training that helped to correct their posture and it will last for 30 minutes. The mulligan technique will include sustained natural apophyseal glides (SNAGS) to the cervical spine along with active motion followed by overpressure. For the improvement of flexion and extension, central SNAGS will be given to the patients and for improvement of side-bending and rotation, unilateral SNAGS will be given. The procedure will be administered in 3 sets with 10 repetitions for 20 minutes
Neck isometrics will include pressing of the palm against the forehead, side of the head and back of the head while resistance will be provided by the muscle of the neck, holding it for 10 seconds then relax and repeating it for 5 times.
Group B (control group): Subjects will receive mulligan technique and isometric exercises only.
Main outcome variables
Pain intensity using Visual Analog Scale (VAS)
Disability using Neck Disability Index (NDI)
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20211022052833N1
Registration date:2021-11-23, 1400/09/02
Registration timing:registered_while_recruiting
Last update:2021-11-23, 1400/09/02
Update count:0
Registration date
2021-11-23, 1400/09/02
Registrant information
Name
Aatik Arsh
Name of organization / entity
Khyber Medical University
Country
Pakistan
Phone
+92 937 576111
Email address
aatikarsh@kmu.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2021-11-20, 1400/08/29
Expected recruitment end date
2022-02-28, 1400/12/09
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effectiveness of Alexander technique combined with Mulligan technique in the management of non-specific neck pain: A single blind randomized controlled trial
Public title
Physical therapy for the management of neck pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Participants with non-specific neck pain
Participants with age 18-40 years
Both genders
Exclusion criteria:
History of any surgery to neck, shoulder and upper back
History of fracture or any trauma in neck, shoulder and upper back
Any history of neoplasm or malignancy
Cervical radiculopathy
Age
From 18 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
84
Randomization (investigator's opinion)
Randomized
Randomization description
Subjects will be allocated randomly into treatment group and control group through simple random sampling by flip the coin method.
Blinding (investigator's opinion)
Single blinded
Blinding description
Current study will be a single blind study. The assessor will be blinded in this clinical trial. Assessor will be only responsible for collecting pre and post treatment data. He/she will not be involved in randomizing the subjects or delivering the intervention, thus he/she will have no idea about subjects allocated to which group.
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethical Committee Khyber Medical University
Street address
Phase 5 Hayatabad Peshawar Pakistan
City
Peshawar
Postal code
25000
Approval date
2021-03-18, 1399/12/28
Ethics committee reference number
DIR/KMU-AS&RB/EA/001346
Health conditions studied
1
Description of health condition studied
neck pain
ICD-10 code
ICD-10 code description
neck pain
Primary outcomes
1
Description
Pain
Timepoint
Before intervention and after 4 weeks of intervention
Method of measurement
Visual analogue scale
2
Description
Disability
Timepoint
Before intervention and after 4 weeks of intervention
Method of measurement
Neck disability index
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: Subjects will receive alexander technique along with Mulligan technique and isometric exercises. Procedure: The alexander technique session will include education of patient about mind-body training that will help to correct their posture and it will last for 30 minutes. The mulligan technique will include sustained natural apophyseal glides (SNAGs) to the cervical spine along with active motion followed by overpressure. For the improvement of flexion and extension central SNAGS will be given to the patients and for improvement of side-bending and rotation, unilateral SNAGS will be given. The procedure will be administered in 3 sets with 10 repetitions for 20 minutes. Neck isometrics will include pressing of the palm against the forehead, side of the head and back of the head while resistance will be provided by the muscle of the neck, holding it for 10 seconds then relax and repeating it for 5 times.
Category
Rehabilitation
2
Description
Control group: Subjects will receive mulligan technique and isometric exercises only.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Maqsood Medical Complex Peshawar Pakistan
Full name of responsible person
Dr. Sana Fatima
Street address
Dalazak Road, Main City Peshawar
City
Peshawar
Postal code
25000
Phone
+92 91 9217266
Email
sfpreciousprayer74@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Khyber Medical University
Full name of responsible person
Mujeeb Ur Rehman
Street address
Phase 5 Hayatabad Peshawar Pakistan
City
Peshawar
Postal code
25000
Phone
+92 91 5813015
Email
mujeeb.rahman@kmu.edu.pk
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Khyber Medical University
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Khyber Medical University
Full name of responsible person
Aatik Arsh
Position
Assistant Professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Phase 5 Hayatabad Peshawar Pakistan
City
Peshawar
Province
Khyber Pakhtunkhwa
Postal code
25000
Phone
+92 91 9217266
Email
aatikarshkmu@yahoo.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Khyber Medical University
Full name of responsible person
Aatik Arsh
Position
Assistant Professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Phase 5 Hayatabad Peshawar Pakistan
City
Peshawar
Province
Khyber Pakhtunkhwa
Postal code
25000
Phone
+92 344 6997046
Fax
Email
aatikarshkmu@yahoo.com
Person responsible for updating data
Contact
Name of organization / entity
Khyber Medical University
Full name of responsible person
Aatik Arsh
Position
Assistant Professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
Phase 5 Hayatabad Peshawar Pakistan
City
Peshawar
Province
--- Select One ---
Postal code
25000
Phone
+92 344 6997046
Fax
Email
aatikarshkmu@yahoo.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Yes - There is a plan to make this available
Study Protocol
Yes - There is a plan to make this available
Statistical Analysis Plan
Yes - There is a plan to make this available
Informed Consent Form
Yes - There is a plan to make this available
Clinical Study Report
Yes - There is a plan to make this available
Analytic Code
Yes - There is a plan to make this available
Data Dictionary
Yes - There is a plan to make this available
Title and more details about the data/document
All the data related to trial will be available on research specific social media websites such as Researchgate and academia
When the data will become available and for how long
It is expected that data will be available after March 2022. It will remain available.
To whom data/document is available
People working in academia and businesses can apply to receive it.
Under which criteria data/document could be used
Principal investigator will be responsible to decided it.
From where data/document is obtainable
Researchgate and academia (from profile page of prinicpal investigator)
What processes are involved for a request to access data/document
Researchers can directly obtained it from Researchgate or academia (from profile page of prinicpal investigator)