Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy
8 juillet 2021 mis à jour par: Rabiya Noor, Riphah International University
Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy for Chronic Neck Pain Among the Electronic Gadgets Users.
This project was a Randomized clinical trial conducted to find out the Comparative Effects of Gong's Mobilization with Gradually Graded Exercise Therapy for Chronic Neck Pain among the users of Electronic Gadgets so that we can have best treatment option for patients.
Aperçu de l'étude
Statut
Complété
Les conditions
Intervention / Traitement
Description détaillée
The study design was a Randomized Clinical Trial.
For the study data was collected from sports and spine professionals.
Sample size was calculated with the help of Epitool calculator.
The study will be completed in 6 months duration.
Neck Disability Index (NDI), Numeric Pain Rating Scale (NPRS) for pain intensity and Universal Goniometers for measuring (ROMs) and Forward head posture (FHP) were assessed before and 4 weeks after the treatment through the craniovertebral angle (CVA) measured from a digitized, lateral-view photograph of each subject.
All the subjects were selected using Non Probability convenient sampling technique.
The Subjects were randomly assigned to one of the following two groups: Gong's Mobilization (Group 1) or Gradually Graded Exercise Therapy (Group 2).This study was conducted in accordance with the rules of the Declaration of Helsinki.
Written Informed consent were taken from all the subjects before participating in this trial.
SPSS 25 was used for data entry and analysis.
Type d'étude
Interventionnel
Inscription (Réel)
28
Phase
- N'est pas applicable
Contacts et emplacements
Cette section fournit les coordonnées de ceux qui mènent l'étude et des informations sur le lieu où cette étude est menée.
Lieux d'étude
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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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Critères de participation
Les chercheurs recherchent des personnes qui correspondent à une certaine description, appelée critères d'éligibilité. Certains exemples de ces critères sont l'état de santé général d'une personne ou des traitements antérieurs.
Critère d'éligibilité
Âges éligibles pour étudier
15 ans à 65 ans (Enfant, Adulte, Adulte plus âgé)
Accepte les volontaires sains
Non
Sexes éligibles pour l'étude
Tout
La 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.
Plan d'étude
Cette section fournit des détails sur le plan d'étude, y compris la façon dont l'étude est conçue et ce que l'étude mesure.
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Randomisé
- Modèle interventionnel: Affectation parallèle
- Masquage: Seul
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
|---|---|
|
Expérimental: 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.
|
|
Expérimental: 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. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
|
Change in Pain Intensity by 'Numeric Pain Rating Scale'
Délai: 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
Délai: 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.
|
Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
|
Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
|---|---|---|
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Change in Cervical Range of Motion (ROM) measured by Universal Goniometer.
Délai: 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.
Délai: 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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Collaborateurs et enquêteurs
C'est ici que vous trouverez les personnes et les organisations impliquées dans cette étude.
Parrainer
Publications et liens utiles
La personne responsable de la saisie des informations sur l'étude fournit volontairement ces publications. Il peut s'agir de tout ce qui concerne l'étude.
Publications générales
- 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.
Dates d'enregistrement des études
Ces dates suivent la progression des dossiers d'étude et des soumissions de résultats sommaires à ClinicalTrials.gov. Les dossiers d'étude et les résultats rapportés sont examinés par la Bibliothèque nationale de médecine (NLM) pour s'assurer qu'ils répondent à des normes de contrôle de qualité spécifiques avant d'être publiés sur le site Web public.
Dates principales de l'étude
Début de l'étude (Réel)
15 octobre 2020
Achèvement primaire (Réel)
30 avril 2021
Achèvement de l'étude (Réel)
30 juin 2021
Dates d'inscription aux études
Première soumission
26 mars 2021
Première soumission répondant aux critères de contrôle qualité
3 mai 2021
Première publication (Réel)
4 mai 2021
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
14 juillet 2021
Dernière mise à jour soumise répondant aux critères de contrôle qualité
8 juillet 2021
Dernière vérification
1 juillet 2021
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
Autres numéros d'identification d'étude
- REC/Lhr/20/0104
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
NON
Informations sur les médicaments et les dispositifs, documents d'étude
Étudie un produit pharmaceutique réglementé par la FDA américaine
Non
Étudie un produit d'appareil réglementé par la FDA américaine
Non
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