Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

Cairo University60 enrolled

Overview

This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

DOUBLE

Enrollment

Conditions

Chronic Mechanical Neck Pain

Interventions

cervicothoracic junction mobilization in form of Maitland mobilizationOTHER

Group A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods.

autogenic muscle Energy TechniqueOTHER

the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle. The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold

Eligibility

Sex: ALLMin age: 18 YearsMax age: 45 Years

Medical Language ↔ Plain English

Inclusion criteria: * Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months * Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device. * patients with age range from 18 to 45 years old. * patients with body mass index less than 30 kg/m2. * Exclusion Criteria: * previous spine surgery * pregnancy. * Diabetic patients * Hypertensive patients * Patients were excluded if neck pain was associated with cervical radiculopathy * whiplash injuries or severe headaches * cervical spine fracture * vertebro-basilar insufficiency. * red flags suggesting of cancer, infection, vascular insufficiency * Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Locations (1)

FACULTY OF PHYSICAL THERAPY, cairo university

Giza, Egypt

Outcomes

Primary Outcomes

change in neck pain

change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment

Time frame: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure

Secondary Outcomes

cervical ROM and cervical prorprioception

cervical ROM and cervical prorprioception will be measured by cervical ROM device pre treatment and post treatment

Time frame: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure

Data from ClinicalTrials.gov

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