Instrument-Assisted Soft Tissue Mobilization Versus Muscle Energy Technique on Chronic Non-specific Neck Pain
Effect Of Instrument-Assisted Soft Tissue Mobilization Versus Muscle Energy Technique Over Sternocleidomastoid In Patients With Chronic Non-Specific Neck Pain
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Non-specific neck pain (NSNP) is the most common and the 4th leading cause of musculoskeletal disorder worldwide. It is estimated that about 70% of the population experiences neck pain throughout life, with an annual incidence of 15% to 50%0. It is seen more commonly in middle-aged females. It has been well established that NSNP is not only the risk factor for developing severe spinal pathologies and functional disability but that it is also associated with decreasing the quality of life and productivity of workers. Pain, which leads to functional limitations especially in the cervical region, is associated with a decrease in the activation of the deep cervical flexors such as the longus colli and longus capitis muscles, and an increase in the activation of the superficial cervical flexors, such as SCM and anterior scalene muscles.It is reported that in individuals with CNP, there is an increase in the activation of SCM and anterior scalene muscles, especially during isometric cervical flexion and dynamic upper limb movements. In their study, Falla et al. concluded that individuals with unilateral CNP had muscle fatigue in their ipsilateral SCM and anterior scalene muscles. Wang et al. reported postural imbalance in individuals with CNP due to an increased activation and tightening of the suboccipital, SCM, upper trapezius, pectoralis, and rotator cuff muscles. A study by Mostafa et al., (2021) stated that IASTM has a favorable effect than conventional treatment in reduction mechanical neck pain, improvement cervical range of motion &activity of daily living.
A Systematic Review by Sbardella et al., (2021) stated that all the studies analyzed show an effective improvement in the outcomes of pain, disability and joint function, which leads us to say that Muscle Energy Technique (MET) is certainly an effective and safe technique in the treatment of cervical pain.
this trail has three groups; one will receive IASTM+ conventional, the second will receive Muscle energy technique+ conventional and the third one will receive conventional treatment for four weeks
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: alaa saleh
- Phone Number: 01121746761
- Email: alaanaqib168@gmail.com
Study Locations
-
-
-
Cairo, Egypt, 00
- Alaa Mohamed Hassan Saleh
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The subjects are of both genders, aged between 18-35 years old .
- Subjects with Neck pain continued for at least the last 12 weeks .
- body mass index (18.5-24.9).
Exclusion Criteria:
- Any specific neck pathology as radiculopathy, rheumatoid arthritis, and systemic diseases
- Sensory problems at the mid or upper back .
- A tendency to hemorrhage or anticoagulation treatment. And nonsteroidal pain medication .
- Signs of severe pathology such as malignancy, fractures of the cervical spine, cervical radiculopathy or myelopathy, or vascular syndromes such as vertebrobasilar insufficiency .
- surgery of the cervical spine, whiplash trauma (in the past or recent, as cause of the complaint).
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: instrument-assisted soft tissue mobilization
the patients will receive instrument-assisted soft tissue mobilization twice a week for four weeks over sternocleidomastoid muscle bilaterally utilizing an M2T blade. The subject lay comfortably in supine position on a treatment table. After using alcohol swabs to clean the patient's skin and the blade, a lubricant (Vaseline) will be applied, and a sweeping technique will be utilized to administer a thorough yet comfortable soft tissue mobilization on the sternocleidomastoid from origin to insertion for roughly 3 minutes. conventional therapy the patients will receive hot back for 15 minutes, neck range of motion (ROM), chin tuck, stretches and strengthen exercise. |
instrument-assisted soft tissue mobilization
Other Names:
Muscle energy technique
|
|
Experimental: Muscle energy technique
the patients will receive post-isometric muscle relaxation(PIR) treatment for the sternocleidomastoid muscle, it will be applied from supine lying position with the head free from the plinth and held by the therapist's hand, the therapist placed one hand opposite the side of involvement muscle , The other hand is placed on the involved side of muscle . The patient pushed upward against the therapist's thumb on the forehead and looked up, then the patient will be asked to stop pushing and look down. After relaxation therapist will stretch the muscle for 30 seconds. This will be repeated 3 times bilaterally for 3 sessions per week for four weeks. conventional therapy the patients will receive hot back for 15 minutes, neck range of motion, chin tuck, stretches and strengthen exercise. |
instrument-assisted soft tissue mobilization
Other Names:
Muscle energy technique
|
|
Active Comparator: conventional therapy
the patients will receive conventional therapy three times a week for four weeks conventional therapy the patients will receive hot back for 15 minutes, neck range of motion (ROM), chin tuck, stretches and strengthen exercise.
|
instrument-assisted soft tissue mobilization
Other Names:
Muscle energy technique
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
pain intensity
Time Frame: up to four weeks
|
the scale that will be used is VAS ; each subject will be instructed to put point on line from no pain to tolerable pain
|
up to four weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
neck range of motion
Time Frame: up to four weeks
|
will be measured by cervical range of motion device (CROM)
|
up to four weeks
|
|
neck disability
Time Frame: up to four weeks
|
will be measured by Arabic version of neck disability index
|
up to four weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: alaa saleh, Cairo University
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
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
- P.T.REC/012/005583
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.