Comparison Of Direct Myofascial Release And Bowen's Technique For Non-Specific Neck Pain

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Direct myofascial release treatment; Other: Bowen therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT05074641

REC-00942 Shahzana khalid

Details and patient eligibility

About

Neck pain is described as pain in the neck region that may or may not radiate to both the upper limbs and that will last for at least one day. Non-specific neck pain is the common cause of neck symptoms that is mainly due to mechanical causes, postural problem, depression, anxiety or occupational activities. Poor posture causes abnormal muscle loading and muscle injury

Full description

Neck pain is described as pain in the neck region that may or may not radiate to both the upper limbs and that will last for at least one day.Poor posture causes abnormal muscle loading and muscle injury.It becomes a constant source of neck pain and instability. It reduces range of motion and weakens the shoulder and neck muscles. According to a population based survey the prevalence of lifetime neck pain ranges from 67% to 87%.

Trigger points cause myofascial pain syndrome which is among the leading cause of non-specific neck pain. Myofascial release technique (MRT) is often used to treat non-specific neck pain.Another therapy that focuses on myofascial work is Bowen therapy that follows a dynamic approach to release fascia and muscles. The technique involves very gentle cross fiber movements that are applied on fascia, muscles, tendons and viscera to induce the effect. The technique is applied at specific body regions following specific sequences with regular rest intervals that cause fascial stretching. The technique consists of slightly picking up muscles and then rolling the muscles to direct them toward a specific region of body. The rest periods help the body to integrate and absorb the effects of therapy. The sensory impulses caused by the Bowen therapy interact with nervous system and realign and correct the disturbed mechanisms.

Enrollment: 30 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Chronic non-specific neck pain ≥ 3 months without symptoms radiating to the upper limbs

• Presence of a maximum of 1-2 active Myofascial Trigger Points

• Pain of more than 3 on a NPRS

• For the diagnosis of a Trigger Point, compliance with the following criteria:

  • (1) A hypersensitive spot in a palpable taut band,
  • (2) Palpable or visible local twitch on pincer palpation
  • (3) Reproduction of referred pain elicited by palpation of the sensitive spot.

Exclusion criteria

• Diagnosed with cervical radiculopathy or myelopathy
• Neck Pain due to trauma, fractures, or whiplash; neoplasia, severe osteoporosis, infectious, or inflammatory processes;
• Patients with pacemakers, congenital anomalies, previous neck surgery
• Patients diagnosed with fibromyalgia syndrome according to the American College of Rheumatology criteria

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 2 patient groups

Direct myofascial release treatment

Experimental group

Description:

Myofascial Release will be applied with Forearm and/or ulnar border of the palm. Deep Pressure will be applied and glided medially towards the base of the neck and/ or towards the upper scapular region

Treatment:

Other: Direct myofascial release treatment

Bowen therapy

Active Comparator group

Description:

Thumb of the therapist will be placed on the top of the targeted muscle. The skin will be carried away gently from the spine without disturbing the muscle. The thumb was then hooked into the lateral aspect of the muscle to form a pressure on the muscle. Then the thumb will be flattened in the medial direction, when this happened the muscle would plop or respond in some way.

Treatment:

Other: Bowen therapy