]>
IRCT20190717044238N5 IRCT 2023-03-06 Riphah International University Lahore Sustained Natural Apophyseal Glides and Thoracic Posture Correction Technique on Mechanical Neck Pain Effects of Sustained Natural Apophyseal Glides with and without Thoracic Postural Correction Techniques on Pain, Range of Motion and Disability in Patients with Mechanical Neck Pain 2023-03-01 anticipated 28 Complete https://irct.ir/trial/68770 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Patients will be assigned to either control or treatment group by random selection using a computer-generated table of random numbers. These numbers will be placed inside sealed envelopes. Another individual, who is not involved in the research, will then open these envelopes and assign the patients to their respective groups based on the instructions provided, Blinding description: A skilled and experienced physiotherapist, who is not connected to the study, will making assessments on outcomes or gathering data on outcome variables. 3 Mechanical neck pain. Intervention 1: Intervention group: Group A will receive conventional therapy (Hot pack and Transcutaneous Electrical Nerve Stimulation) along sustained natural apophyseal glides. Sustained facet glide with movement will be applied at the facet joint between cervical C3 to C7. It will be performed in sitting or standing position of the patient. Sustained Natural Apophyseal Glides involves application of accessory passive glide to cervical vertebrae by a physiotherapist while the patient will simultaneously perform an active movement. Glide given is in the direction of the plane of facet joints, and technique is usually performed in weight-bearing position like standing, sitting etc. Patients in control group will receive treatment for alternate days, 3 days a week for 6 weeks. Intervention 2: Intervention group: Group B will receive conventional therapy same as group A with sustained natural apophyseal glides and thoracic posture correction technique. Thoracic postural correction technique includes active as well as therapist-facilitated stretches. Active stretches will be thoracic extension in sitting, Wall angle stretch and Corner stretch, while the therapist-facilitated stretches will be seated mid-thoracic stretch and prone mid thoracic stretch. Stretches will be maintained for 15- 20 seconds with 10 repetitions of each stretch per session. Patients in control group will receive treatment for alternate days, 3 days a week for 6 weeks. Yes - There is a plan to make this available What will be shared: Consent Form in its original format with no information about any participant study protocol- how the intervention was given to both groups When: Data would be available after the completion of the research at the end of 2023 To whom: People working in an academic and clinical setting can have access to the above-mentioned information/documents Conditions: Data can only be used for Research Purposes Where to obtain: Data can be asked for at the following email address: rameenqayyum95@gmail.com How to obtain: One can ask for data at the given email address and it would be provided after knowing the general implications of sharing that particular data. Comments:
public Rameen Qayyum
26-D Architect Society Lahore
Lahore Pakistan 54782 +92 322 4109195 rameenqayyum95@gmail.com Riphah International University scientific Dr. Fareeha Amjad
Riphah International University Madar e Millat Road, Quaid e Azam Industrial Estate Lahore, Punjab
Lahore Pakistan 54000 +92 334 3372779 fari_fairy22@yahoo.com Riphah International University Pakistan Individuals having localized pain or stiffness in spine or both combined b/w C3 to C7 without upper limbs radiculopathy Patients with chronic neck pain >3 months Pain reported on NPRS score ˃3 in neck region with limited or painful range of motion Painful and limited cervical range of motion 18 years 70 years Both Tuberculosis, carcinoma, heart disease, osteoporosis Neural disorders Any trauma or localized infection in neck region, cervical stenosis, metabolic diseases in bone and joint Hyper flexibility Open sores Ongoing radiotherapy, chemotherapy, steroid therapy or anticoagulants Allergy to hot pack Patients with history of surgery in cervical spine region with in a year M54.2 Cervicalgia Treatment - Other Treatment - Other Intervention group: Group A will receive conventional therapy (Hot pack and Transcutaneous Electrical Nerve Stimulation) along sustained natural apophyseal glides. Sustained facet glide with movement will be applied at the facet joint between cervical C3 to C7. It will be performed in sitting or standing position of the patient. Sustained Natural Apophyseal Glides involves application of accessory passive glide to cervical vertebrae by a physiotherapist while the patient will simultaneously perform an active movement. Glide given is in the direction of the plane of facet joints, and technique is usually performed in weight-bearing position like standing, sitting etc. Patients in control group will receive treatment for alternate days, 3 days a week for 6 weeks Intervention group: Group B will receive conventional therapy same as group A with sustained natural apophyseal glides and thoracic posture correction technique. Thoracic postural correction technique includes active as well as therapist-facilitated stretches. Active stretches will be thoracic extension in sitting, Wall angle stretch and Corner stretch, while the therapist-facilitated stretches will be seated mid-thoracic stretch and prone mid thoracic stretch. Stretches will be maintained for 15- 20 seconds with 10 repetitions of each stretch per session. Patients in control group will receive treatment for alternate days, 3 days a week for 6 weeks. Functional disability. Timepoint: 6 weeks. Method of measurement: Neck Disability Index is a self-report questionnaire designed to determine how neck pain affects a patient’s daily life and the disability of patients with neck pain. It consists of 10 questions that ask about activities of daily living. More the score, the more significant the disability. The sample questionnaire is attached at the end. Four sections relate to subjective symptoms, and the remaining 6 sections relate to activities of daily living. Each unit is scored from 0 to 5 points, giving a maximum score of 50. The total score of the neck disability index ranges from 0 to 50 points. Pain. Timepoint: 6 weeks. Method of measurement: Patient level of pain will be assessed using this scale. This scale ranges from 0 to 10. 0 indicates “no pain” and 10 indicates “worst pain”. Range of motion. Timepoint: 6 weeks. Method of measurement: Changes from the Baseline ROM range of Motion of Cervical spine will be taken with the Help of Goniometer. Riphah International University Lahore Approved 2023-01-02 Riphah College of Rehabilitation and Allied Health Sciences Lahore F83G+V25, Madar-e-Millat Road, Quaid-e-Azam Industrial Estate Quaid e Azam Industrial Estate, Lahore, Punjab Lahore Punjab Pakistan