Bowen's Technique In Postural Neck Pain Among Dentist

August 5, 2021 updated by: Riphah International University

Effects of Bowen's Technique In Postural Neck Pain Among Dentist

No previous randomized control trial has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck Neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on Neck pain. Thus, this study aims to answer the question: bowmen's technique is effective for improving Neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

Bowen technique may be used for relaxation of tightening muscles in poor posture. The findings suggest that Bowen Therapy has inconsistent immediate effects on postural control and pain threshold in healthy subjects. Further studies are needed using symptomatic participants. No previous randomized control trial, to our knowledge, has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on neck pain. Thus, this study aims to answer the question: Bowen's technique is effective for improving neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Study Type

Interventional

Enrollment (Actual)

58

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab
      • Multān, Punjab, Pakistan
        • Bakhtawar Amin Physiotherapy and Rehabilitation Center
      • Multān, Punjab, Pakistan
        • Ibn e Sina hospital
      • Multān, Punjab, Pakistan
        • Nishtar Medical Hospital
      • Multān, Punjab, Pakistan
        • Salma Medical Center

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

25 years to 50 years (ADULT)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Both male and females
  • Age between 25-50 years. ( House officers and Assistant professor)
  • Working hours >5 hours.
  • History of cervical pain >2 months.
  • Year of practice =<1 year
  • Treated more than 5 patient a day

Exclusion Criteria:

  • Cervical fracture
  • Cervical radiculopathy
  • Any surgery to neck and shoulder
  • Rheumatoid arthritis
  • Sever pain according to Numeric pain rating scale (NPRS)
  • Long term anticoagulant or corticosteroid therapy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: TREATMENT
  • Allocation: RANDOMIZED
  • Interventional Model: PARALLEL
  • Masking: DOUBLE

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
EXPERIMENTAL: Bowen's Technique
Bowen's Technique The session lasted for 20 minutes, 3 sessions/week 6th week
Other: Bowen's Technique
The thumb of the therapist was placed on the top of the targeted muscle (upper trapezius, levator scapulae, tight pectoralis and sternocleidomastoid, longissimus capitis, splenius capitis cervical multifidus). The skin was carried away gently from the spine without disturbing the muscle. The thumb was then hooked into the lateral aspect of the muscle to form a pressure on the muscle. Then the thumb was flattened in the medial direction, when this happened the muscle would plop or 15 respond in some way. Heating pad + TENS will be given The session lasted for 20 minutes 3sessions/week for 6th week
ACTIVE_COMPARATOR: Conventional Physical Therapy
Conventional Physical Therapy with myofascial release The session lasted for 20 minutes, 3 sessions/week 6th week
Other: Convention Physical Therapy

Myofascial Release + Active Range of Motion Deep transverse friction was given for 10 minutes followed by myofascial stretching of muscle for 3 times, each holding for 90 seconds. Then myofascial release was given using ulnar border of both palms of the therapist.

Active range of motion exercises will be given 10 reps with 5 seconds hold. Heating pad + Transcutaneous Electrical Nerve Stimulator (TENS) will be given The session lasted for 20 minutes 3sessions/week for 6th week

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Modified Goniometer
Time Frame: 6th week
Modified goniometer can be used to measure craniovertebral angle which is helpful to assess the level of postural disability like forward head posture. It provides an estimation of head on neck angle and position of upper cervical spine.
6th week
Numerical Rating Scale
Time Frame: 6th week
In a Numerical Rating Scale (NRS), patients circle the number between 0 and 10, 0 and 20 or 0 and 100 according to their pain intensity. It is numeric version of visual analog scale.
6th week
Neck Disability Index
Time Frame: 6th week
This is a standard instrument for measuring disability due to neck pain and it's a self-reported questionnaire. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score.
6th week

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (ACTUAL)

October 17, 2020

Primary Completion (ACTUAL)

June 15, 2021

Study Completion (ACTUAL)

July 10, 2021

Study Registration Dates

First Submitted

April 20, 2021

First Submitted That Met QC Criteria

April 20, 2021

First Posted (ACTUAL)

April 21, 2021

Study Record Updates

Last Update Posted (ACTUAL)

August 6, 2021

Last Update Submitted That Met QC Criteria

August 5, 2021

Last Verified

August 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/00857 Nida Aslam

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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