Effects of Active Release Technique Versus Stecco Facial Manipulation in Patient With Chronic Non-specific Neck Pain
2026年7月21日 更新者：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.
研究概览
详细说明
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.
研究类型
介入性
注册 (估计的)
48
阶段
- 不适用
联系人和位置
本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。
学习联系方式
- 姓名：Sumrod Akram
- 电话号码：03324806143
- 邮箱：samrood.akram@riphah.edu.pk
参与标准
研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。
资格标准
适合学习的年龄
- 成人
接受健康志愿者
不
描述
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.
学习计划
本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。
研究是如何设计的？
设计细节
- 主要用途：治疗
- 分配：随机化
- 介入模型：并行分配
- 屏蔽：单身的
武器和干预
参与者组/臂 |
干预/治疗 |
|---|---|
|
实验性的：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
|
|
有源比较器：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. |
研究衡量的是什么？
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
Numeric pain rate scale
大体时间：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
|
次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
|
2. Universal Goniometer
大体时间：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)
大体时间：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
大体时间：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
|
合作者和调查者
在这里您可以找到参与这项研究的人员和组织。
调查人员
- 首席研究员：Fatima Nadeem, MSPT*、Riphah International University
出版物和有用的链接
负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。
一般刊物
- 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.
研究记录日期
这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。
研究主要日期
学习开始 (估计的)
2026年7月1日
初级完成 (估计的)
2026年11月30日
研究完成 (估计的)
2026年12月30日
研究注册日期
首次提交
2026年7月21日
首先提交符合 QC 标准的
2026年7月21日
首次发布 (实际的)
2026年7月24日
研究记录更新
最后更新发布 (实际的)
2026年7月24日
上次提交的符合 QC 标准的更新
2026年7月21日
最后验证
2026年7月1日
更多信息
与本研究相关的术语
其他相关的 MeSH 术语
其他研究编号
- REC/RCR & AHS/25/0138 Fatima-N
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计划共享个人参与者数据 (IPD)？
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