- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04872335
Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy
Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy for Chronic Neck Pain Among the Electronic Gadgets Users.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
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Lahore, Pakistan, 54000
- Riphah IU
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Punjab
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Lahore, Punjab, Pakistan, 54000
- Riphah International University
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:• Subjects with an age range of 15 to 65 years having Chronic neck pain for more than 3 months and subjects having a baseline NDI score of atleast 20% (10 points).
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Exclusion Criteria:
• Cervical stenosis
- History of traumatic Injury
- Previous surgery related to cervical spine
- Hypermobility
- Cancer
- Inflammatory rheumatologic diseases
- Severe psychological disorders
- Being pregnant and
- Intervention including exercise or physical therapy in the last 3 months.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Gong's Mobilization
Subjects received gong's mobilization three times in a week for 4 weeks.
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Group A received Gong's mobilization and common treatnent (TENs,Hot pack and cervical stretches).
Gong's mobilization which is concurrent application of Apophyseal joint gliding and end range passive physiological movements while the subject's cervical postures are passively Neutral in order to induce Normal Cervical Extension.
The Subjects in Group A were treated three times in a week for 4 weeks.
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Experimental: Gradually Graded Exercise Therapy
Subjects received gradually graded exercise therapy three times in a week for 4 weeks.
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The Subjects in Group B were received Exercise Therapy and common treatment (TENs, Hot pack and cervical stretches) three times in a week continue for 4 weeks . Each exercise session will take 30 min. It will be consisted of 5 min warm-up exercises, 20 min stabilization exercises, 5 min cool-down, and stretching exercises including neck and shoulder girdle muscles. The aim of Exercise program was to create a neutral spine and activate deep muscles of the cervical spine. The patients were educated to maintain neutral spine during the exercises and throughout the day as much as possible. Scapulothoracic stabilization exercises were included_ specific exercises for the muscles affecting scapular orientation related to neck pain. The subjects were educated to maintain the positions and contractions during the exercises including scapular retraction, eccentric scapular retraction, and combined scapular retraction with shoulder lateral rotation, forward punch, and dynamic hug. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Pain Intensity by 'Numeric Pain Rating Scale'
Time Frame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Change in pain from baseline was measured at 12th session.
The Numerical Pain Rating Scale (NPRS) is an 11 point pain scale that is completed by subject himself, under the supervision of researcher.
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Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Change in Neck disability Index 'NDI' score
Time Frame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Change in Neck disability Index score 'NDI' from baseline was measured at 12th session.
This questionnaire or tool has been designed to give us information as to how neck pain of the subject has affected his/her ability to manage in everyday life.
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Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Cervical Range of Motion (ROM) measured by Universal Goniometer.
Time Frame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Change in Cervical Range of motion (ROM) from baseline was measured at 12th session.
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Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Change in Craniovertebral angle CVA measured from a digitized, lateral-view photograph of each subject.
Time Frame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Change in Craniovertebral angle (CVA) from baseline was measured at 12th session.
Craniovertebral angle (CVA) is a factor that significantly influences pain in those individuals with a forward head posture (FHP).
Craniovertebral angle (CVA) (the angle between the horizontal line passing through C7 and a line extending from the tragus of the ear to C7).
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Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Collaborators and Investigators
Sponsor
Publications and helpful links
General Publications
- Celenay ST, Kaya DO, Akbayrak T. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Man Ther. 2016 Feb;21:144-50. doi: 10.1016/j.math.2015.07.003. Epub 2015 Jul 15.
- Kim DH, Kim CJ, Son SM. Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion. Osong Public Health Res Perspect. 2018 Dec;9(6):309-313. doi: 10.24171/j.phrp.2018.9.6.04.
- Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26.
- McLean SM, Klaber Moffett JA, Sharp DM, Gardiner E. A randomised controlled trial comparing graded exercise treatment and usual physiotherapy for patients with non-specific neck pain (the GET UP neck pain trial). Man Ther. 2013 Jun;18(3):199-205. doi: 10.1016/j.math.2012.09.005. Epub 2012 Oct 22.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- REC/Lhr/20/0104
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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