Effects of Active Release Technique Versus Stecco Facial Manipulation in Patient With Chronic Non-specific Neck Pain
21 juli 2026 bijgewerkt door: Riphah International University
Effects of Active Release Technique Versus Stecco Facial Manipulation on Pain, Craniovertebral Angle, and Functional Disability in Patients With Chronic Non-specific Neck Pain.
Non-specific pain that originates from the superior nuchal line and extends to the first thoracic vertebrae.
It is exacerbated by sustained neck postures, neck movements or cervical muscle palpation.
Neck pain is a work-related musculoskeletal disease that can arise during prolonged or high-intensity activity.
Increasingly, individuals seek medical attention for discomfort in the neck, upper extremities, and head caused by chronic tension.
Neck discomfort is often caused by mechanical dysfunction that restricts joint movement inside the joint capsule.
Active Release Technique(ART) is a manual release of tight soft tissue which targets on SCM, levator scapulae, suboccipital and Upper trapezius.
Stecco Fascial Manipulation is an efficient manual soft tissue treatment method that particularly address in the areas of myofascial pain and discomfort, locomotor issues, and posture dysfunction.
The aim of this study is to treat the patients having chronic non specific neck pain through the Active Release Technique (ART) and Stecco Facial Manipulation and to compare their effects that can affect cervical flexibility and to improve the symptom parameters of the regarding individual.
Studie Overzicht
Toestand
Nog niet aan het werven
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
The current study will be Randomized Clinical Trial.
Inclusion criteria for this study is the individual with chronic non specific neck pain between the age group of 20-40yr.
Patient with any history of trauma or surgery in cervical region and any other cervical pathology will be excluded from the study.
A sample of 44 individual with CNSNP will be selected from both genders.
Tools used for the Data collection will be Numeric Pain Rating Scale(NPRS), Neck Disability Index(NDI) and Goniometer.
Participants will be measured before and after treatment to assess changes.
Interventions are carried out 5 days in a week for one hour daily.
In this study descriptive statistical tools will used to analyze the data.
Data will be analyzed through SPSS version 21.
Studietype
Ingrijpend
Inschrijving (Geschat)
48
Fase
- Niet toepasbaar
Contacten en locaties
In dit gedeelte vindt u de contactgegevens van degenen die het onderzoek uitvoeren en informatie over waar dit onderzoek wordt uitgevoerd.
Studiecontact
- Naam: Sumrod Akram
- Telefoonnummer: 03324806143
- E-mail: samrood.akram@riphah.edu.pk
Deelname Criteria
Onderzoekers zoeken naar mensen die aan een bepaalde beschrijving voldoen, de zogenaamde geschiktheidscriteria. Enkele voorbeelden van deze criteria zijn iemands algemene gezondheidstoestand of eerdere behandelingen.
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Volwassen
Accepteert gezonde vrijwilligers
Nee
Beschrijving
Inclusion Criteria:
- Individuals of both genders
- Age between 20-40yrs(19).
- Neck pain persisting for more than 3 months
- Neck Disability Index (NDI) score between 10-30) (20).
Exclusion Criteria:
Patients with history of trauma or surgery were excluded.
- Cervical pain patients with radiculopathy were excluded.
- Patients diagnosed cases of rheumatoid arthritis, or any systemic musculoskeletal disorders were excluded.
- Patients use of muscle relaxants or undergoing any other physiotherapy for neck issues in the past 3 months were excluded.
- Patients with cervical disc herniation or whiplash injuries were excluded.
- Pregnancy or known hormonal conditions affecting musculoskeletal system were excluded.
Studie plan
Dit gedeelte bevat details van het studieplan, inclusief hoe de studie is opgezet en wat de studie meet.
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: GROUP A: Active Release Technique
Group A will be treated with the active release technique
|
Active release technique is a manual release of tight soft tissue that targets the upper trapezius, SCM, Levator scapulae, and sub occipital muscle to improve posture and reduce tightness and pain
|
|
Actieve vergelijker: GROUP B: Stecco Method
Group B was treated with stecco method
|
Stecco method, also known as Fascial Manipulation, is a manual therapy technique developed by Luigi Stecco, which focuses on releasing tension and restoring normal glide in the fascial system, especially where myofascial dysfunction is contributing to pain and restriction. Stecco method is applied specifically to the Levator scapulae, SCM, subocccipital, and upper trapezius muscles .All commonly involved in chronic non-specific neck pain. |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
Numeric pain rate scale
Tijdsspanne: upto 6 weeks
|
The numerical rating scale (0-10), with 0 meaning no pain, and 10 meaning the worst unbearable pain, as measurement of pain intensity.
|
upto 6 weeks
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
2. Universal Goniometer
Tijdsspanne: upto 6 weeks
|
Universal goniometer is a popular tool in the clinical and rehabilitation environment to determine the joint angles and evaluate the range of movement (ROM).
|
upto 6 weeks
|
|
Neck Disability index for functional Disability (NDI)
Tijdsspanne: upto 6 weeks
|
The Neck Disability Index(NDI) is a questionnaire designed to assess self-rated impairment of the individuals experiencing neck discomfort.
It has ten questions on most aspects of daily living, such as the severity of pain, self-care, lifting, reading, and entertainment.
This Questionnaire has a reliability of 0.87.The question has six answer options (including 0 (no disability) and 5 (full impairment).
The total score ranges 0 to 50 whereby higher scores are going to be a greater impairment.
It may also be stated as a percentage (0 to 100%)
|
upto 6 weeks
|
|
Flexion Rotation Test
Tijdsspanne: upto 6 weeks
|
Flexion Rotation Test (FRT) a physical examination instrument of specifying the rotation within the upper neck, particularly C1-C2.
It helps to identify rotational, and can suggest chronic non specific neck pains or other upper cervical spine dysfunctions.
|
upto 6 weeks
|
Medewerkers en onderzoekers
Hier vindt u mensen en organisaties die betrokken zijn bij dit onderzoek.
Sponsor
Onderzoekers
- Hoofdonderzoeker: Fatima Nadeem, MSPT*, Riphah International University
Publicaties en nuttige links
De persoon die verantwoordelijk is voor het invoeren van informatie over het onderzoek stelt deze publicaties vrijwillig ter beschikking. Dit kan gaan over alles wat met het onderzoek te maken heeft.
Algemene publicaties
- Sarig-Bahat H. Evidence for exercise therapy in mechanical neck disorders. Man Ther. 2003 Feb;8(1):10-20. doi: 10.1054/math.2002.0480.
- Kazeminasab S, Nejadghaderi SA, Amiri P, Pourfathi H, Araj-Khodaei M, Sullman MJM, Kolahi AA, Safiri S. Neck pain: global epidemiology, trends and risk factors. BMC Musculoskelet Disord. 2022 Jan 3;23(1):26. doi: 10.1186/s12891-021-04957-4.
- Al-Khazali HM, Kroll LS, Ashina H, Melo-Carrillo A, Burstein R, Amin FM, Ashina S. Neck pain and headache: Pathophysiology, treatments and future directions. Musculoskelet Sci Pract. 2023 Aug;66:102804. doi: 10.1016/j.msksp.2023.102804. Epub 2023 Jun 16.
- Prablek M, Gadot R, Xu DS, Ropper AE. Neck Pain: Differential Diagnosis and Management. Neurol Clin. 2023 Feb;41(1):77-85. doi: 10.1016/j.ncl.2022.07.003. Epub 2022 Oct 29.
- Frouzanian M, Shirdel SS, Meskar H, Shahrezaee M, Chamanara M, Ghanbarpour Juybari A, et al. Muscle Morphology and Its Role in Chronic Neck Pain: A Review Article. Translational Health Reports. 2025;1(1):1-11.
- Kaiser JT, Reddy V, Launico MV, Lugo-Pico JG. Anatomy, Head and Neck: Cervical Vertebrae. 2023 Oct 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK539734/
- Khired Z. The Prevalence of and Factors Associated With Neck Pain Among Jazan Adult Population. Cureus. 2022 Aug 14;14(8):e28008. doi: 10.7759/cureus.28008. eCollection 2022 Aug.
- Ko T, Jeong U, Lee K. Effects of the Inclusion Thoracic Mobilization into Cranio-Cervical Flexor Exercise in Patients with Chronic Neck Pain. Journal of physical therapy science. 2010;22(1):87-91.
- Rajkumar RP. The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study. Front Pain Res (Lausanne). 2023 May 25;4:1189432. doi: 10.3389/fpain.2023.1189432. eCollection 2023.
- Shah DH, Shukla YU. Effect of craniocervical flexion training in mechanical neck pain on proprioception, endurance and pain-an interventional study. 2020.
Studie record data
Deze datums volgen de voortgang van het onderzoeksdossier en de samenvatting van de ingediende resultaten bij ClinicalTrials.gov. Studieverslagen en gerapporteerde resultaten worden beoordeeld door de National Library of Medicine (NLM) om er zeker van te zijn dat ze voldoen aan specifieke kwaliteitscontrolenormen voordat ze op de openbare website worden geplaatst.
Bestudeer belangrijke data
Studie start (Geschat)
1 juli 2026
Primaire voltooiing (Geschat)
30 november 2026
Studie voltooiing (Geschat)
30 december 2026
Studieregistratiedata
Eerst ingediend
21 juli 2026
Eerst ingediend dat voldeed aan de QC-criteria
21 juli 2026
Eerst geplaatst (Werkelijk)
24 juli 2026
Updates van studierecords
Laatste update geplaatst (Werkelijk)
24 juli 2026
Laatste update ingediend die voldeed aan QC-criteria
21 juli 2026
Laatst geverifieerd
1 juli 2026
Meer informatie
Termen gerelateerd aan deze studie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- REC/RCR & AHS/25/0138 Fatima-N
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
NEE
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Nee
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
Nee
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