Spinal pain or misalignment is a very common disorder affecting a significant number of populations resulting in substantial disability and economic burden. Various manual therapeutic techniques such as spinal manipulations and mobilizations can be used to treat and manage pain and movement dysfunctions such as spinal malalignments and associated complications. These manual therapeutic techniques can affect the cardiovascular parameters . \-
Group A group (n=20). All participants will receive only single session of neck mobilization. Grade IV unilateral posteroanterior pressure and sustained extension to be applied restricted joints and muscle energy technique. \- Group B (n=20) will receive single session of neck manipulation with high-velocity, low-amplitude thrust over restricted joints (one at a time) with the goal of restoring normal range of motion in the joint.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
40
All participants will receive only single session of cervical mobilization
All participants will receive only single session of cervical manipulation
Cairo University
Cairo, Egypt
systolic blood pressure measurement
systolic pressure - the pressure when your heart pushes blood out and is measured by Mercury sphygmomanometer and stethoscope
Time frame: it will be measured immediately before and after single session treatment
diastolic blood pressure
the pressure when your heart rests between beats is measured by Mercury sphygmomanometer and stethoscope
Time frame: it will be measured immediately before and after single session treatment
oxygen saturation
Oxygen saturation is a vital parameter to define blood oxygen content and oxygen delivery and is measured by pulse oximetry
Time frame: it will be measured immediately before and after single session treatment
perfusion index
Perfusion index is an indication of the pulse strength at the sensor site. The PI's values range from 0.02% for very weak pulse to 20% for extremely strong pulse.Perfusion index is normally monitored with pulse oximeters
Time frame: it will be measured immediately before and after single session treatment
pain assessment
The visual analog scale (VAS) is a tool widely used to measure pain
Time frame: it will be measured immediately before and after single session treatment
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