Additional Effect of Cranial Base Release on Cervical Range and Proprioception in Patients With Mechanical Neck Pain

Foundation University Islamabad

Status: Completed

Conditions: Neck Pain

Treatments: Procedure: Conventional Physical Therapy; Procedure: Natural Apophyseal glides; Procedure: Cranial Base Release

Study type: Interventional

Funder types: Other

Identifiers

NCT05777408

FUI/CTR/2023/3

Details and patient eligibility

About

Mechanical Neck pain is the second most commonly occurring musculoskeletal disorder worldwide, ranking 4th in overall disability. It is referred to as Nonspecific generalized neck pain with mechanical characteristics with a primary location between the supranuchal line and the first thoracic spinous process, includingpatients suffering from mechanical neck pain are reported to have several impairments, including pain, reduced cervical ROM, neck disability, and proprioceptive dysfunction. The treatment indicated involves the use of electrotherapy and thermal modalities. In addition, the use of different manual therapy techniques is advocated; however, the most effective management is still debatable. Evidence suggests that Natural Apophyseal glides have a significant positive effect on mechanical neck pain patients. So the study will identify the additional effect of cranial base release with natural apophyseal glides in alleviating pain and its effects on proprioception.

Enrollment: 20 patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients diagnosed with mechanical neck pain having reproducible non-specific neck pain with a primary location between the supranuchal line and the first thoracic spinous process
• Male and Female
• Age 18-40 years
• Pain severity on NPRS >3
• Neck Disability score of 20% or above
• Problem not older than 2 months

Exclusion criteria

• Patients with history of
• Recent significant trauma (including whiplash)
• Radiculopathy
• Cervical fracture
• Neck surgery
• Dizziness, vertigo
• Myelopathy, Malignancy
• Metabolic disease
• Diagnosed Osteoporosis, Rheumatoid arthritis
• Long-term corticosteroid and/or painkiller drug use

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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20 participants in 2 patient groups

Control Group

Active Comparator group

Description:

Participants of this group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Natural apophyseal glides 3 sets of 10 repetitions. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Mobilizations will be performed in Grade 1 initially and then progressed to Grade 2 and 3 depending on the patients pain status and compliance.

Treatment:

Procedure: Natural Apophyseal glides

Procedure: Conventional Physical Therapy

Experimental Group

Experimental group

Description:

* Participants of this Group will receive the conventional physical therapy protocol mentioned above. In addition to this, they will receive Natural apophyseal glides and cranial base release. * Frequency: 3 times a week for 2 weeks. 6 sessions in total. * Cranial base release would be given for around 1-4minutes until the tissues relax and would be given once daily

Treatment:

Procedure: Cranial Base Release

Procedure: Natural Apophyseal glides

Procedure: Conventional Physical Therapy