Cervicothoracic Junction Mobilization Versus Eccentric Muscle Energy Technique in Mechanical Cervical Pain

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Cervicothoracic Junction Mobilization Technique; Other: Eccentric Muscle Energy Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05410067

Ayesha Sadiq

Details and patient eligibility

About

1. To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on mechanical cervical pain.
2. To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on cervical disability.
3. To compare the effectiveness of the cervicothoracic junction mobilization and eccentric muscle energy technique on cervical ROM.

Enrollment: 36 patients

Sex: Female

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Participants falling in this category would be recruited into the study.

  1. Females
  2. Age between 18-45 years.
  3. Diagnosed with mechanical cervical pain.

Exclusion criteria

• Participant failing to fall in this category would be excluded of the study.

  1. Pregnant Females
  2. Any previous history of trauma or surgery
  3. Diagnosed with mechanical cervical pain due to disc herniation, radiculopathy or any other cervical malignancy.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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36 participants in 2 patient groups

Cervicothoracic Junction Mobilization Technique

Experimental group

Description:

It is a part of manual therapy technique. 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) is given.For central PA glide, a central pressure angled towards the participant's head was given with overlapping thumbs of the therapist placed on the spinous process of C7. Dosage: Glide would be given according to the nature, intensity and severity of the patient's pain. 30 sec bouts with 3 sets \& 2 reps. Total 2-3 min duration. 2 sessions per week for 3 weeks.

Treatment:

Other: Cervicothoracic Junction Mobilization Technique

Eccentric Muscle Energy Technique

Experimental group

Description:

Eccentric muscle energy technique would be applied to the patient's cervical spine. The cervical spine would be brought to the barrier of motion in each plane i.e. flexion/extension, lateral bending and rotation. Then patient would be asked to push their heads into the direction opposite that of the barrier. Dosage: The therapist provided isometric resistance for 3- 5 seconds, after which the subjects relaxed their muscles completely and the therapist applied stretch. This is applied for generalized cervical movements in each plane like Flexion, Extension, Side Bending \& Rotation. 3-5 repetitions with 2-3 sets were performed. Total duration: 3-5 min 2 sessions per week for 3 weeks.

Treatment:

Other: Eccentric Muscle Energy Technique