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Effects of Graston Technique Versus Soft Tissue Release on Neck Pain and Range of Motion. (GT vs MSTR)

16. maj 2026 opdateret af: Wajeeha Nadeem, Green International University

Comparative Effects of Graston Technique and Manual Soft Tissue Release on Pain and Range of Motion in Patients With Tension Neck Syndrome

This study compares two manual therapy techniques for treating tension neck syndrome: Graston Technique and Manual Soft Tissue Release. Tension neck syndrome causes neck pain, stiffness, and reduced range of motion.

Participants will be assigned to receive either Graston Technique or Manual Soft Tissue Release for a set number of sessions. Researchers will measure changes in neck pain and range of motion before and after treatment to see which technique is more effective.

The purpose is to provide evidence on the best manual therapy approach for improving neck pain and movement in patients with tension neck syndrome.

Studieoversigt

Detaljeret beskrivelse

Tension neck syndrome is a common musculoskeletal condition characterized by neck pain, muscle tightness, and limited cervical range of motion. Manual therapy interventions such as Graston Technique and Manual Soft Tissue Release are widely used in physiotherapy practice, but direct comparative evidence between them is limited.

This interventional study aims to compare the effects of Graston Technique versus Manual Soft Tissue Release on pain intensity and cervical range of motion in patients diagnosed with tension neck syndrome.

Participants will be randomly assigned to one of two intervention groups. Group 1 will receive Graston Technique, and Group 2 will receive Manual Soft Tissue Release. Both interventions will be delivered by qualified physiotherapists according to a standardized protocol. Outcomes including pain, measured by the Numeric Pain Rating Scale, and cervical range of motion, measured by goniometry, will be assessed at baseline and post-intervention.

The study will help determine which technique provides greater improvement in pain reduction and functional mobility, guiding clinical decision-making in the management of tension neck syndrome.

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

40

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000
        • Rafique Bhatti Memorial Hospital, Department of Physiotherapy

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  1. Patients aged 20-60 years.
  2. Patients of both genders.
  3. Patients with persistent neck pain.
  4. Patients with neck pain absent of spondylosis, disk prolapse, or radiculopathy.

Exclusion Criteria:

  1. The patients who did not want to participate
  2. The patients who just had cervical spine surgery.
  3. The patients who had recent cervical injury.
  4. The patients who comes with tumor of the cervical spine.
  5. The patients affected by neck dysfunction.
  6. The patients with cervical disc herniation.
  7. The patients who had difficulties in language.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Tredobbelt

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Graston Technique
Participants in this arm receive Graston Technique, an instrument-assisted soft tissue mobilization therapy. Treatment is applied to the cervical spine and upper trapezius muscles using stainless steel instruments. Frequency and duration of sessions are as defined in the study protocol. All interventions are delivered by a licensed physiotherapist.
Instrument-assisted soft tissue mobilization using stainless steel Graston Technique instruments. The technique is applied to the cervical spine and upper trapezius muscles to reduce pain and improve range of motion in patients with tension neck syndrome. Treatment is delivered by a licensed physiotherapist according to the study protocol.
Andre navne:
  • IASTM
Eksperimentel: Manual Soft Tissue Release
Participants in this arm receive Manual Soft Tissue Release, a hands-on manual therapy technique. The therapist applies sustained pressure and stretching to release tightness in the cervical spine and upper trapezius muscles. Frequency and duration of sessions are as defined in the study protocol. All interventions are delivered by a licensed physiotherapist.
Manual soft tissue mobilization technique performed by a licensed physiotherapist using hands-on pressure and stretching. The technique targets tightness in the cervical spine and upper trapezius muscles to reduce pain and improve cervical range of motion in patients with tension neck syndrome. Treatment is delivered according to the study protocol.
Andre navne:
  • Manuel terapi
  • MSTR

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Change in Neck Pain Intensity
Tidsramme: Baseline and after 12 weeks of intervention
Neck pain intensity measured using the Numeric Pain Rating Scale (NPRS), where 0 = no pain and 10 = worst pain imaginable. Higher scores indicate greater pain.
Baseline and after 12 weeks of intervention
Change in Cervical Range of Motion
Tidsramme: Baseline and after 12 weeks of intervention
Cervical range of motion for flexion, extension, lateral flexion, and rotation measured in degrees using a goniometer. Higher values indicate greater range of motion.
Baseline and after 12 weeks of intervention

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Efterforskere

  • Ledende efterforsker: Wajeeha Nadeem, Masters in Rehabilitation Scie, Green Internation University

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

2. november 2025

Primær færdiggørelse (Faktiske)

29. april 2026

Studieafslutning (Faktiske)

5. maj 2026

Datoer for studieregistrering

Først indsendt

16. maj 2026

Først indsendt, der opfyldte QC-kriterier

16. maj 2026

Først opslået (Faktiske)

22. maj 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

22. maj 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

16. maj 2026

Sidst verificeret

1. maj 2026

Mere information

Begreber relateret til denne undersøgelse

Plan for individuelle deltagerdata (IPD)

Planlægger du at dele individuelle deltagerdata (IPD)?

JA

IPD-planbeskrivelse

Only IPD used in the results publication will be shared

IPD-delingstidsramme

It will be available after the completion of the study.

IPD-delingsadgangskriterier

De-identified individual participant data and the study protocol will be made available to researchers whose proposed use of the data has been approved by the study team. Requests should be sent to the corresponding author via email. Data will be shared after execution of a data use agreement and for the purpose of meta-analysis or secondary research related to tension neck syndrome and manual therapy.

IPD-deling Understøttende informationstype

  • STUDY_PROTOCOL
  • SAP
  • ICF
  • CSR

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Kliniske forsøg med Tension Neck Syndrome

Kliniske forsøg med Graston Technique

Abonner