Muscle Energy Technique Versus Mulligan Technique for Treating Neck Pain in Breast Feeding Women

The purpose of this study will determine the effect of muscle energy technique versus mulligan technique on neck pain in breastfeeding women.

Study Overview

• Status: Recruiting
• Conditions: Neck Pain; Breast Feeding
• Intervention / Treatment: Other: Muscle Energy Technique; Other: Mulligan Technique

Detailed Description

Conservative treatments used to manage neck pain are numerous and include usual medical care ( face to face interview, education, reassurance, medication, ergonomic and stay active advice), various forms of exercise, massage, and acupuncture among others, but a lack of evidence regarding their relative efficacy was found.

More research is needed to determine specific exercise programs that can decrease neck pain in breastfeeding women. So, this study will be conducted to determine clinical evidence of the effectiveness of muscle energy technique versus mulligan technique on neck pain, which constituted a great problem facing the mother during the breastfeeding period.

• Study Type: Interventional
• Enrollment (Anticipated): 32
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Heba Elbasiony, Physical Therapist; Phone Number: +201007065666; Email: mheba7033@gmail.com

Study Locations

• Egypt
  • Dokki, Egypt
    • Recruiting
    • Faculty of Physical Therapy Cairo University
    • Contact: Heba Elbasiony; Phone Number: +201007065666; Email: mheba7033@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 25 years to 35 years (Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: Female

Description

Inclusion Criteria:

• Patients will be examined by a physician before the study and will be chosen according to the following criteria:
• All patients will be in the breastfeeding period at least 6 weeks after delivery.
• All patients will be clinically diagnosed with neck pain (with no neurological or rheumatological problem).
• Their ages will range from 25-35years.
• Their BMI will be less than 30 kg/m².
• Their parity will not be more than 3 times.

Exclusion Criteria:

• The patients will be excluded if they have any of the followings:

  1. Any contraindication to spinal mobilization (e.g., inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities).
  2. Positive neurological examination (presence of positive motor reflex, or sensory abnormalities indicating spinal root compression).
  3. Cervical spine surgery or stenosis, metabolic or systemic disorder, or cancer.
  4. Associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from the costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Double

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Muscle Energy Technique group; Patients in the group (B) will receive muscle energy technique on tonic muscles in the neck (sternocleidomastoid, scalenes, levator scapulae, and upper trapezius) in addition to strengthening exercise for deep cervical flexors and advice to correct positions three times per week for 4 weeks. The aim of the Muscle Energy Technique in the context of NP is to decrease pain, improve movement, motor control, and function and thereby reduce disability. A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body thus alleviating the patient's signs and symptoms.	Other: Muscle Energy Technique; A biomechanical correction approach can lead to the normalization of spinal curvatures and a decrease in the compressional and tensional stress on joints and soft tissues of the body.
Experimental: Mulligan Technique group; Patient in group A will receive specialized SNAGs technique adapted from Mulligan (2005), in addition to strengthening exercise for DNF muscles and advice to correct position three times per week for 4 weeks.	Other: Mulligan Technique; The patient will be in a supportive low back chair, thus cervical region will be in a vertical position (Weight-bearing position) with the therapist position will be behind the patient.; Then the therapist will move the spinous process up in the direction that must follow the apophyseal joint plane under treatment, that is, toward the eye ball. While sustaining this pain-free accessory glide, the patient will be instructed to actively perform the physiological movement gradually until the end ROM with over pressure at the end of the range.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Assessing the change in Cervical pain level	Assessment via using Visual Analogue Scale that continuous data analysis and uses a 10 cm long with 0 (no pain) and 10 (worst pain). Patient will be asked to place a mark along the line to denote their level of pain.	Baseline and 4 weeks post-intervention
Assessing the change in Functional disability	Assessment via using Neck pain disability index questionnaire consists of 10 items each of them is scored from 0 to 5. The total maximum score is therefore 50.The original report provided scoring interval for interpretation, as; (0-4) = no disability, (5-14) mild, (15-24) moderate, (25-34) sever, (above34) complete disability.	Baseline and 4 weeks post-intervention
Assessing the change in Cervical Range Of Motion	Assessment via using Digital goniometer is valid and has good reliability for measuring cervical spine range of motion.	Baseline and 4 weeks post-intervention

Collaborators and Investigators

• Sponsor: Cairo University

Study record dates

Study Major Dates

• Study Start (Actual): March 1, 2021
• Primary Completion (Anticipated): June 15, 2021
• Study Completion (Anticipated): June 30, 2021

Study Registration Dates

• First Submitted: June 11, 2021
• First Submitted That Met QC Criteria: June 11, 2021
• First Posted (Actual): June 18, 2021

Study Record Updates

• Last Update Posted (Actual): June 18, 2021
• Last Update Submitted That Met QC Criteria: June 11, 2021
• Last Verified: June 1, 2021

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain; Mastodynia
• Other Study ID Numbers: HElbasiony_MSc

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