Effects of Autogenic and Reciprocal Inhibition Techniques With Conventional Therapy in Mechanical Neck Pain

Dow University of Health Sciences

Status: Completed

Conditions: Mechanical Neck Pain

Treatments: Other: Autogenic Inhibition MET; Other: Reciprocal Inhibition MET

Study type: Interventional

Funder types: Other

Identifiers

NCT05044078

MSiddiqi

Details and patient eligibility

About

The objective of this randomized control trial is to determine the effectiveness of Autogenic and Reciprocal Inhibition techniques with conventional therapy in mechanical neck pain to improve Pain, Range of Motion, and Functional Disability in long term. This study is being conducted at the Physiotherapy department of Sindh Institute of Physical Medicine and Rehabilitation, Karachi (former institute of Dow University of Health Sciences) among 80 patients with mechanical neck pain on the basis of non-probability purposive sample technique with screening for study criteria through a consultant physician (blinded) . After taking informed consent all participants will be randomly allocated in two groups through second researcher who is not involved in screening, baseline assessment and providing intervention. Group 1 will receive Autogenic Inhibition muscle energy technique (MET) with conventional therapy and Group 2 will receive Reciprocal inhibition MET with conventional therapy. A total of 12 sessions will be provided. Outcomes will be assessed at baseline, after 1st session, and at last session.

Enrollment: 80 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Moderate intensity (3.5-7.4cm) Pain on VAS
• Limited or Painful Cervical ROM
• Pain more than 4 weeks (sub-acute and chronic)
• 20-50 years Age

Exclusion criteria

• Any Symptom and sign of Radiculopathy and Myelopathy
• Any neurological disease like Multiple Sclerosis, Parkinson or Stroke
• Taking any Pain medication
• Trigger Point of Upper Trapezius
• Any fracture, surgical procedure, or trauma of the cervical spine
• Any red flag or signs of serious pathology like rheumatic or inflammatory diseases, malignancy, infection, or vascular disease such as Vertebro-Basilar Insufficiency.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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80 participants in 2 patient groups

Group 1 (Autogenic Inhibition)

Experimental group

Description:

Autogenic Inhibition (5 reps, 10-sec hold, 5-sec rest in between each rep, 1 set, in all sessions) will be provided with the Conventional therapy including neck Isometric strengthening exercise (Neck Flexion, Extension, Both sides Rotation, and Neck Bending with each 5 rep, 10-sec hold, 1 set, in all sessions), Maitland Central posterio-anterior glide (Grade 1 and 2, 30 rep, 3 sets, in all sessions) and hot pack (10 minutes in all sessions on the back of the neck)

Treatment:

Other: Autogenic Inhibition MET

Group 2 (Reciprocal Inhibition)

Active Comparator group

Description:

Reciprocal Inhibition (5 reps, 10-sec hold, 5-sec rest in between each rep, 1 set, in all sessions) will be provided with the with same Conventional therapy as in group 1 .

Treatment:

Other: Reciprocal Inhibition MET