Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy
8. juli 2021 oppdatert av: 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.
Studieoversikt
Status
Fullført
Intervensjon / Behandling
Detaljert beskrivelse
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.
Studietype
Intervensjonell
Registrering (Faktiske)
28
Fase
- Ikke aktuelt
Kontakter og plasseringer
Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.
Studiesteder
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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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Deltakelseskriterier
Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.
Kvalifikasjonskriterier
Alder som er kvalifisert for studier
15 år til 65 år (Barn, Voksen, Eldre voksen)
Tar imot friske frivillige
Nei
Kjønn som er kvalifisert for studier
Alle
Beskrivelse
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.
Studieplan
Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.
Hvordan er studiet utformet?
Designdetaljer
- Primært formål: Behandling
- Tildeling: Randomisert
- Intervensjonsmodell: Parallell tildeling
- Masking: Enkelt
Våpen og intervensjoner
Deltakergruppe / Arm |
Intervensjon / Behandling |
|---|---|
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Eksperimentell: 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.
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Eksperimentell: 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. |
Hva måler studien?
Primære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Pain Intensity by 'Numeric Pain Rating Scale'
Tidsramme: 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
Tidsramme: 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.
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Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)
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Sekundære resultatmål
Resultatmål |
Tiltaksbeskrivelse |
Tidsramme |
|---|---|---|
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Change in Cervical Range of Motion (ROM) measured by Universal Goniometer.
Tidsramme: 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.
Tidsramme: 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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Samarbeidspartnere og etterforskere
Det er her du vil finne personer og organisasjoner som er involvert i denne studien.
Sponsor
Publikasjoner og nyttige lenker
Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.
Generelle publikasjoner
- 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.
Studierekorddatoer
Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.
Studer hoveddatoer
Studiestart (Faktiske)
15. oktober 2020
Primær fullføring (Faktiske)
30. april 2021
Studiet fullført (Faktiske)
30. juni 2021
Datoer for studieregistrering
Først innsendt
26. mars 2021
Først innsendt som oppfylte QC-kriteriene
3. mai 2021
Først lagt ut (Faktiske)
4. mai 2021
Oppdateringer av studieposter
Sist oppdatering lagt ut (Faktiske)
14. juli 2021
Siste oppdatering sendt inn som oppfylte QC-kriteriene
8. juli 2021
Sist bekreftet
1. juli 2021
Mer informasjon
Begreper knyttet til denne studien
Ytterligere relevante MeSH-vilkår
Andre studie-ID-numre
- REC/Lhr/20/0104
Plan for individuelle deltakerdata (IPD)
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