Which is more effective Instrument assisted soft tissue mobilization or Dry cupping on pain intensity, cervical range of motion and functional status in patients with chronic mechanical neck pain?
Neck pain is a common musculoskeletal pathology treated by physical therapists around the world. Neck pain is one of the highest complaints in terms of years lived with a disability, increasing the prelevancy of proper management by physical therapists. The overall prevalence of neck pain ranges from 10% to 20%, and the incidence of new neck pain ranging from 10% to 50%. Dry cupping involves the use of glass, plastic or bamboo cups that are placed over localized areas of skin. A vacuum suction is achieved with heat from a flame, a manual handheld pump or electrical pumping devices to create a negative pressure, drawing localized skin and soft tissue structures into the cup . Instrument-assisted soft tissue mobilization (IASTM) is a new technique, which has been known to be effective in reducing muscle tightness in athletes . IASTM is a new tool, which allows clinicians to efficiently locate and treat individuals diagnosed with soft tissue dysfunction . The use of the instrument is thought to provide a mechanical advantage for the clinician by allowing deeper penetration and more specific treatment, while also reducing imposed stress on the hands
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
45
for application of IASTM. the patient will sit on chair in comfortable position, apply lubricant material on treated area (trapezius muscle). Apply IASTM in 30-60 angle for 40 to 120 sec until hyperemia occur for each side+ conventional therapy
the dry cupping will be aplied by using plastic cups that are placed over localized areas of skin. A vacuum suction is achieved with a manual handheld pump device to create a negative pressure, drawing localized skin and soft tissue structures into the cup+ conventional therapy
the patients will receive Isometric strengthening exercises for cervical Extensors, Flexors, bilateral side Flexors and Rotators (resistance was about 50% of the patient's maximum strength, hold for 10 seconds, for 10 repetitions.Stretching of the upper fibers of trapezius (stretching was held for 30 seconds and repeated 3 times). postural correction exercises in the form of ; 1) Chin tucks exercise is quick and easy to do and it helps strengthening upper thoracic extensors, the muscles that align head over shoulders.2)Corner stretch: provides a deep stretch of the chest and shoulders, which can help maintain good posture.
Cairo university
Cairo, Egypt
Pain intensity
Visual analogue scale will assess pain intensity.The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale- "no pain" on the left end (0 cm) of the scale and the "worst pain" on the right end of the scale (10 cm).
Time frame: up to four weeks
Cervical Range of motion
The measurements of the cervical range of motion, carried out with the CROM goniometer, The goniometer was placed on the subject's head and a magnetic collar was attached to their shoulders; it was always arranged in the same position with respect to the magnetic pole. During all the measurements, the subjects were seated, with their back straight, and looking ahead; their feet were supported on the floor. The subjects remained in the same sitting position from the moment the recording procedure was started. The measurement was performed during "half a cycle" of the movement, i.e., from "the neutral" position to the final range of motion in a given plane.
Time frame: up to four weeks
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