The Effect of the Bridge Technique Mobilization With Movement Versus Trapezius Dry Needling in the Management of Cervical Dysfunction

Al-Quds University40 enrolled

Overview

This study investigates the effect of the Bridge technique mobilization with movement compared to the Trapezius Dry Needling technique on physiotherapy outcome in patients with cervical dysfunction.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Mulligan Mobilization Dry Needling Technique Physical Therapy

Interventions

Bridge technique MWMOTHER

Patient in supine, head resting on a pillow, cervical spine relaxed in a neutral position, physiotherapist sitting or standing at the head of the table. Hands support both sides of the head through the thenar eminence on each side, fingers in contact with the C7, T1or T2 articular pillar bilaterally.

Dry NeedlingOTHER

Participants in this group received two sessions per week of D.N. treatment for the trapezius muscle.

Eligibility

Sex: ALLMin age: 25 YearsMax age: 65 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adult patients aged (25 - 65) years, males \& females. * Cervical dysfunction * Orthopedic dysfunction without neurological defects * Limitation in ROM (extension \& rotation) * VAS scale scores for neck pain must be \> 4/10 * Neck pain aggravated by neck posture or movement * Willing to give an informed consent Exclusion Criteria: * Any known medical condition, cardio, cancer * Manipulative treatment within the past three months * Previous spinal surgery in the past five years * Current use of medication * Disc prolapse acute stage * previous epidural injection since the onset of present symptoms * diagnosis of any generalized neurological disorder * medical red flags suggestive of severe pathology * pregnancy

Locations (1)

Al Quds University

Bethlehem, Palestine, Palestinian Territories

Outcomes

Primary Outcomes

Numeric Visual analogue scale (VAS)

Is the most commonly used method for assessing pain intensity. The leftmost value on the 10-cm horizontal line used for VAS indicates a painless condition represented by 0. The rightmost value is 10, which represents extreme pain. The subjects rated their feelings of pain on the line by themselves, thereby quantifying the pain. The validity and reliability are very high.

Time frame: pre and 1 day post treatment

Quality of life Questionnaire (QoL)

Is an instrument for measuring the Quality of an individual's life across a broad range of specific areas. Quality of life (QoL) could be viewed as a subjective, multidimensional concept that emphasizes an individual's current state's self-perception. However, the general Quality of life includes individuals' evaluation of all aspects of life, including the safety of the environment in which they live, whether they feel they have access to health care and social services, and their current spiritual status

Time frame: pre and 1 day post treatment

The Northwick Park Neck Pain Questionnaire (NPQ)

Measures neck pain and consequent patient disabilities. It is easy to complete, to score, and it gives an objective measure to assess the monitor symptoms and outcome in patients with acute or chronic neck pain over time.

Time frame: pre and 1 day post treatment

Neck Disability Index (NDI)

The Neck Disability Index (NDI) was grown in (1989) by Howard Vernon. The Index developed to modify the Oswestry Low Back Pain Disability Index with the original author's permission J. Fairbank, (1980). Vernon and Mior at (1991) the reliability and validity analysis finding have been published in the Manipulative and Physiologic Therapeutics Journal.

Time frame: pre and 1 day post treatment

Data from ClinicalTrials.gov

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