Thoracic Thrust With Cervical Non-Thrust Mobilization in Mechanical Neck Pain

Foundation University Islamabad46 enrolled

Overview

This study is a randomised controlled trial and the purpose of this study is to determine the effects of thoracic thrust with cervical non-thrust mobilization in mechanical neck pain on components such as pain, thoracic range of motion, kyphotic angle, craniovertebral angle and proprioception.

Particiapants will be divided into two groups through coin toss method, one group will recieve thoracic manipulation as addition to cervical mobilization and therapeutic exercises.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Chronic Mechanical Neck Pain

Interventions

Group A:Thoracic thrustPROCEDURE

Group A will receive manipulation protocol as addition to standard treatment. Manipulation protocol: High velocity, low amplitude as described by Maitland on thoracic hypomobile segments (T1-6) Therapeutic exercise protocol: Cervical and thoracic mobility exercises.

Group B: Cervical non thrust mobilizationPROCEDURE

Intervention: Group B will receive mobilization, post-facilitation stretch and exercise protocol. Mobilization protocol: Grade III or IV mobilization as described by Maitland on cervical Hypomobile segments (C2-7) Therapeutic exercise protocol: Cervical and thoracic mobility exercises.

Eligibility

Sex: ALLMin age: 20 YearsMax age: 40 Years

Medical Language ↔ Plain English

Inclusion criteria: * Both male and female * Age: 20-40 years * Numeric pain rating scale (3\<) (13) * Neck pain for more than 3 months * Cervical hypomobility (C2-C7) * Thoracic hypomobility (T1-T6) * CranioVertebral Angle \< 48 Degrees Exclusion criteria: * Serious pathology (e.g. neoplasm, fracture) * History of whiplash injury within the past 6 months * Cervical spinal stenosis * Radiculopathy * Neurological deficit * Structural deformities * Vertebrobasilar artery insufficiency * Pregnancy * Prior surgery of cervical or thoracic spine

Locations (1)

Foundation University College of Physical Therapy

Islamabad, Punjab Province, Pakistan

RECRUITING

Outcomes

Primary Outcomes

Pain Intensity

Pain will be assessed by Numeric pain scale rating (NPRS).It is numeric 11-point scale, with 0 meaning no pain and 10 being worst pain.

Time frame: baseline, 1st and 2nd week

Thoracic kyphosis

Thoracic Kyphosis is measured by Inclinometer. It is measured via summation of angles of two inclinometers, placed on anatomical landmarks (T1-3-12).

Time frame: baseline, 1st week and 2nd week

Thoracic Range of Motion

Thoracic ROM (rotation) is measured by Inclinometer. Measured by placing the inclinometer at T1 segment with participant in a lumbar locked position.

Time frame: baseline, 1st week, 2nd week

Craniovertebral angle

Craniovertebral angle (CVA)is measured by Goniometer. it is Angle measured between tragus of ear and C7 spinous process.

Time frame: baseline,1st week, 2nd week

Proprioception

Proprioception is measured by Joint position sense/ error test. Participant wears a laser mounted headband and performs active neck movements with eyes closed on a target.

Time frame: baseline, 1st and 2nd week

Central Contacts

Ayesha Aslam

CONTACT

03348648229 ayeshaaslam6@gmail.com

Quratulain Saeed, MS-OMPT

CONTACT

03315562889 quratulain.saeed@fui.edu.pk

Data from ClinicalTrials.gov

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