Comparative effects of positional release therapy and muscle energy technique on pain and functional disability in patients with chronic non-specific neck pain: a randomized controlled trial
Comparative effects of positional release therapy and muscle energy technique on pain and functional disability in patient with chronic non-specific neck pain.
Design
Randomized controlled trial with parallel group design of 58 patients, enrolled for three months and followed the treatment plan. Randomization was concealed.
Settings and conduct
Physical Therapy Department of Begum Akhtar Rukhsana Memorial Welfare Trust Lahore. Single blinded study. Participants was blinded as they dont konw which treatment was given to them.
Participants/Inclusion and exclusion criteria
Inclusion Criteria: Age 25-40 years, Both genders, Patients with pain level greater than or equals to 5/10 on visual analog scale, Neck pain lasting for more than 3 months.
Exclusion criteria: Previous history of spinal surgery, History of trauma to the neck , Spinal deformity, Specific neck pain as a result of malignancy, Narcotic drugs
Intervention groups
Group A:
Participants in group A received Routine Physical therapy with Muscle Energy Technique.
A submaximal (10-20%) contraction of the hypertonic muscle is performed away from the barrier for between 5 and 10 seconds and the therapist applies resistance in the opposite direction.
Group-B:
Participants in group B received Routine Physical Therapy with Positional Release Therapy.
The physiotherapist locates the marked trigger point and while maintaining contact, a light pressure with the clinician’s fingertip is applied creating slight dimpling of the skin and blanching of the clinician’s fingernail bed.
Main outcome variables
Pain was measured by Visual Analogue Scale(VAS)
Functional Disability measured by Neck Disability Index(NDI).
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20220126053834N1
Registration date:2022-05-27, 1401/03/06
Registration timing:registered_while_recruiting
Last update:2022-05-27, 1401/03/06
Update count:0
Registration date
2022-05-27, 1401/03/06
Registrant information
Name
Fiza Rehman
Name of organization / entity
University of lahore
Country
Pakistan
Phone
+92 332 3051333
Email address
pptm02193004@student.uol.edu.pk
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2022-05-20, 1401/02/30
Expected recruitment end date
2022-08-11, 1401/05/20
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Comparative effects of positional release therapy and muscle energy technique on pain and functional disability in patients with chronic non-specific neck pain: a randomized controlled trial
Public title
Effects Of Positional Release Therapy And Muscle Energy Technique on Pain and Functional Disability In Patients With Chronic Non-Specific Neck Pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Age 25-40 years
Both genders
Neck pain lasting for more than 3 months.
Patients with pain level greater than or equals to 5/10 on visual analog scale
Exclusion criteria:
Previous history of spinal surgery
History of trauma to the neck
Spinal deformity
Specific neck pain as a result of malignancy
Narcotic drugs
Age
From 25 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
58
Randomization (investigator's opinion)
Randomized
Randomization description
Diagnosed patients of chronic non-specific neck pain will be randomly assigned. Participants will be randomly divided using concealed allocation through opening sealed envelopes. Each envelope contains the program of treatment, either muscle energy technique or positional release therapy
Blinding (investigator's opinion)
Single blinded
Blinding description
The outcome assessor is blinded as he does not know about the treatment and which group is receiving what kind of treatment.
Placebo
Not used
Assignment
Parallel
Other design features
The participants consisted of 58 men and women aged 25-40 years with chronic non-specific neck pain. The duration of exercise was 3 months and treatment were performed under supervision.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethics Committee of University Of Lahore.
Street address
159 A opf phase 1 Lahore
City
Lahore
Postal code
5300
Approval date
2021-12-06, 1400/09/15
Ethics committee reference number
1RB-UOL-FAHS/1002/2021
Health conditions studied
1
Description of health condition studied
Chronic non specific neck pain
ICD-10 code
M54.2
ICD-10 code description
Cervicalgia
Primary outcomes
1
Description
disability and pain.
Timepoint
Before intervention then at 4th and 8th weeks
Method of measurement
Disability measured by Neck Disability Index (NDI) and Pain measured by Visual Analogue Scale (VAS).
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group1: Participants in group A received Routine Physical therapy with Muscle Energy Technique. The hypertonic muscle is taken to a length just short of pain, or to the point where resistance to movement is first noted.A submaximal (10-20%) contraction of the hypertonic muscle is performed away from the barrier for between 5 and 10 seconds and the therapist applies resistance in the opposite direction.The hypertonic muscle is taken to a length just short of pain, or to the point where resistance to movement is first noted.
Category
Rehabilitation
2
Description
Intervention group 2: Participants in group B received Routine Physical Therapy with Positional Release Therapy. The physiotherapist locates the marked trigger point and while maintaining contact, a light pressure with the clinician’s fingertip is applied creating slight dimpling of the skin and blanching of the clinician’s fingernail bed. The participant is asked to remain completely relaxed during the 90 second treatment. After passing the recommended 90 seconds the neck is returned to the starting position. This procedure is repeated immediately 2 more times in tender points immediately adjacent to the first one. Following treatment, the same dependent variable measurements will be taken.
Category
Rehabilitation
Recruitment centers
1
Recruitment center
Name of recruitment center
Physical Therapy Department of Begum Akhtar Rukhsana Memorial Welfare Trust Lahore
Full name of responsible person
Dr Ammar
Street address
PGSHF 79 B lahore
City
Lahore
Postal code
5300
Phone
+92 318 4365119
Email
fizzarehman000@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
University of Lahore
Full name of responsible person
Dr Filza Shaukat
Street address
179 Johar town Lahore
City
Lahore
Postal code
5300
Phone
+92 347 6753446
Email
filzashaukat21@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
University of Lahore
Proportion provided by this source
100
Public or private sector
Private
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
University Of Lahore
Full name of responsible person
Dr Filza Shaukat
Position
Assistant professor
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
179Johar town Lahore.
City
Lahore
Province
Punjab
Postal code
5300
Phone
+92 347 6753446
Email
filzashaukat21@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
University of lahore
Full name of responsible person
Fiza Rehman
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Punjab government servant housing foundation phase 1 House no 79b lahore Pakistan
City
Lahore
Province
Punjab
Postal code
5300
Phone
+92 332 3051333
Fax
Email
Pptm02193004@student.uol.edu.pk
Person responsible for updating data
Contact
Name of organization / entity
University of lahore
Full name of responsible person
Fiza Rehman
Position
Student
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
Punjab government servant housing foundation phase 1 House no 79b lahore Pakistan
City
Lahore
Province
Punjab
Postal code
5300
Phone
+92 332 3051333
Fax
Email
Pptm02193004@student.uol.edu.pk
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Not applicable
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available