Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain

Cairo University (CU)

Status: Completed

Conditions: Chronic Mechanical Neck Pain

Treatments: Other: conventional physical therapy; Other: cervicothoracic junction mobilization in form of Maitland mobilization; Other: autogenic muscle Energy Technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05557747

P.T.REC/012/003839

Details and patient eligibility

About

This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.

Enrollment: 60 patients

Sex: All

Ages: 18 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion criteria:

• Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
• Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
• patients with age range from 18 to 45 years old.
• patients with body mass index less than 30 kg/m2.
• Exclusion Criteria:
• previous spine surgery
• pregnancy.
• Diabetic patients
• Hypertensive patients
• Patients were excluded if neck pain was associated with cervical radiculopathy
• whiplash injuries or severe headaches
• cervical spine fracture
• vertebro-basilar insufficiency.
• red flags suggesting of cancer, infection, vascular insufficiency
• Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

60 participants in 3 patient groups

Group A:cervicothoracic junction mobilization

Experimental group

Description:

Group A: patients will receive cervicothoracic junction mobilization and conventional physical therapy program for 3 sessions/week over 4 weeks periods

Treatment:

Other: cervicothoracic junction mobilization in form of Maitland mobilization

Other: conventional physical therapy

Group B:autogenic muscle Energy Technique

Experimental group

Description:

Group B: will receive autogenic muscle Energy Technique and conventional physical therapy program for 3 sessions/week over 4 weeks periods.

Treatment:

Other: autogenic muscle Energy Technique

Other: conventional physical therapy

Group C:conventional physical therapy

Active Comparator group

Description:

Group C: will receive conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods.

Treatment:

Other: conventional physical therapy