<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20230316057740N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2023-09-08</date_registration>
      <primary_sponsor>Muhammad Institute of Medical And Allied Sciences, Multan,</primary_sponsor>
      <public_title>INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION VERSUS CYRIAX TECHNIQUE FOR MUSCULAR NECK PAIN IN LABORATORY WORKERS</public_title>
      <acronym>muscular  neck pain</acronym>
      <scientific_title>EFFECTIVENESS OF INSTRUMENT ASSISTED SOFT TISSUE MOBILIZATION VERSUS CYRIAX TECHNIQUE FOR MUSCULAR NECK PAIN IN LABORATORY WORKERS</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2023-07-27</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>96</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/71617</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: No, Randomization description: A total of 96 participants will be randomly divided into two groups by the lottery method. Each member of the population will be assigned a number, after which numbers will be selected at random, Blinding description: Data analyzer was unaware of the results. Data analyzer was unaware of the treatments received by group-A and group-B. Data analyzer was blinded to the results.</study_design>
      <phase>N/A</phase>
      <hc_freetext>Muscular Neck Pain.</hc_freetext>
      <i_freetext>Intervention 1: Intervention group: Group-A will be treated with Instrument assisted soft tissue mobilization for about 5 to 7 minutes of duration. This technique is done by specially made devices which used to perform soft tissue mobilization. These devices are available in different shapes and sizes. Gel is applied to treatment area before the proceedings. Gently massage done with special devices for about 5 to 7 minutes. The duration of the treatment is (06 weeks). The frequency of the treatment is 03 times a week and each session lasted for about 10 minutes. Intervention 2: Intervention group: Group-B will be treated with cyriax deep friction massage for about 5 to 7 minutes. Gel applied to treatment surfaces before session. Gently manual massage given to patients.  The duration of the treatment is (06 weeks). The frequency of the treatment is 03 times a week and each session lasted for about 10 minutes.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Undecided - It is not yet known if there will be a plan to make this available</results_IPD_plan>
      <results_IPD_description>Justification or reason for indecision in sharing IPD is There is no further information</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Muhamad Usman</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>HBL street, Sabzazar metro station, Bosan road Multan, Pakistan.</address>
        <city>Multan</city>
        <country1>Pakistan</country1>
        <zip>60700</zip>
        <telephone>+92 314 6185862</telephone>
        <email>muhammaddaniyaljabbarali@gmail.com</email>
        <affiliation>Muhammad Institute of Medical and Allied Sciences, Multan.</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Muhamad Usman</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>HBL street, Sabzazar metro station, Bosan road Multan, Pakistan.</address>
        <city>Multan</city>
        <country1>Pakistan</country1>
        <zip>60700</zip>
        <telephone>+92 314 6185862</telephone>
        <email>muhammaddaniyaljabbarali@gmail.com</email>
        <affiliation>Muhammad Institute of Medical and Allied Sciences, Multan.</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>	Both Male and Female
	Age 18-45years
	Neck pain on visual analogue scale(VAS) 4-8 (moderate cases)
	Subacute or chronic cases (4-12 weeks)</inclusion_criteria>
      <agemin>18 years</agemin>
      <agemax>45 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>	Not willing to participate
	Joint with history of trauma, fracture and degenerative joint disease
	Tumor and rheumatic disease
	Patient diagnose with any bony lesion
	Skin infection
	Vestibular balance disorder</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code>M54.0</hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword>Muscular Neck Pain</hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Treatment - Other</i_code>
      <i_code>Treatment - Other</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Intervention group: Group-A will be treated with Instrument assisted soft tissue mobilization for about 5 to 7 minutes of duration. This technique is done by specially made devices which used to perform soft tissue mobilization. These devices are available in different shapes and sizes. Gel is applied to treatment area before the proceedings. Gently massage done with special devices for about 5 to 7 minutes. The duration of the treatment is (06 weeks). The frequency of the treatment is 03 times a week and each session lasted for about 10 minutes.</i_keyword>
      <i_keyword>Intervention group: Group-B will be treated with cyriax deep friction massage for about 5 to 7 minutes. Gel applied to treatment surfaces before session. Gently manual massage given to patients.  The duration of the treatment is (06 weeks). The frequency of the treatment is 03 times a week and each session lasted for about 10 minutes.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Pain. Timepoint: before and after treatment (06 weeks). Method of measurement: Numeric Pain Rating Scale (NPRS).</prim_outcome>
      <prim_outcome>Range of motion. Timepoint: before and after treatment (06 weeks). Method of measurement: Gonoimeter.</prim_outcome>
      <prim_outcome>Functional disability. Timepoint: before and after treatment (06 weeks). Method of measurement: Neck Disability Index (NDI).</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome>Functionality. Timepoint: before and after treatment (06 weeks). Method of measurement: NDI (Neck Disability Index).</sec_outcome>
      <sec_outcome>Pain. Timepoint: before and after treatment (06 weeks). Method of measurement: NPRS (Numeric Pain Rating Scale).</sec_outcome>
      <sec_outcome>Range of motion. Timepoint: before and after treatment (06 weeks). Method of measurement: Goniometry.</sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>Muhammad Institute Of Medical and Allied Sciences, Multan</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2023-03-02</approval_date>
        <contact_name>The Institutional Ethical Committee of Muhammad Institute of Medical and Allied Sciences, Multan.</contact_name>
        <contact_address>HBL street, Sabzazar metro station, Bosan road Multan, Pakistan. Multan Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
