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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 uppdaterad av: 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.

Studieöversikt

Detaljerad beskrivning

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.

Studietyp

Interventionell

Inskrivning (Faktisk)

40

Fas

  • Inte tillämpbar

Kontakter och platser

Det här avsnittet innehåller kontaktuppgifter för dem som genomför studien och information om var denna studie genomförs.

Studieorter

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

Deltagandekriterier

Forskare letar efter personer som passar en viss beskrivning, så kallade behörighetskriterier. Några exempel på dessa kriterier är en persons allmänna hälsotillstånd eller tidigare behandlingar.

Urvalskriterier

Åldrar som är berättigade till studier

  • Vuxen

Tar emot friska volontärer

Nej

Beskrivning

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

Det här avsnittet ger detaljer om studieplanen, inklusive hur studien är utformad och vad studien mäter.

Hur är studien utformad?

Designdetaljer

  • Primärt syfte: Behandling
  • Tilldelning: Randomiserad
  • Interventionsmodell: Parallellt uppdrag
  • Maskning: Trippel

Vapen och interventioner

Deltagargrupp / Arm
Intervention / Behandling
Experimentell: 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.
Andra namn:
  • IASTM
Experimentell: 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.
Andra namn:
  • Manuell terapi
  • MSTR

Vad mäter studien?

Primära resultatmått

Resultatmått
Åtgärdsbeskrivning
Tidsram
Change in Neck Pain Intensity
Tidsram: 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
Tidsram: 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

Samarbetspartners och utredare

Det är här du hittar personer och organisationer som är involverade i denna studie.

Utredare

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

Studieavstämningsdatum

Dessa datum spårar framstegen för inlämningar av studieposter och sammanfattande resultat till ClinicalTrials.gov. Studieposter och rapporterade resultat granskas av National Library of Medicine (NLM) för att säkerställa att de uppfyller specifika kvalitetskontrollstandarder innan de publiceras på den offentliga webbplatsen.

Studera stora datum

Studiestart (Faktisk)

2 november 2025

Primärt slutförande (Faktisk)

29 april 2026

Avslutad studie (Faktisk)

5 maj 2026

Studieregistreringsdatum

Först inskickad

16 maj 2026

Först inskickad som uppfyllde QC-kriterierna

16 maj 2026

Första postat (Faktisk)

22 maj 2026

Uppdateringar av studier

Senaste uppdatering publicerad (Faktisk)

22 maj 2026

Senaste inskickade uppdateringen som uppfyllde QC-kriterierna

16 maj 2026

Senast verifierad

1 maj 2026

Mer information

Termer relaterade till denna studie

Plan för individuella deltagardata (IPD)

Planerar du att dela individuella deltagardata (IPD)?

JA

IPD-planbeskrivning

Only IPD used in the results publication will be shared

Tidsram för IPD-delning

It will be available after the completion of the study.

Kriterier för IPD Sharing Access

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-delning som stöder informationstyp

  • STUDY_PROTOCOL
  • SAV
  • ICF
  • CSR

Läkemedels- och apparatinformation, studiedokument

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Nej

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Nej

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