Effects of Cervical Distraction Versus Cervical Traction Techniques on Upper Cervical Pain

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: conventional physical therapy with traction technique; Other: conventional physical therapy with distraction technique

Study type: Interventional

Funder types: Other

Identifiers

NCT05393323

REC/RCR & AHS/0136 Hafsa Khan

Details and patient eligibility

About

The aim of this study is to compare the effects of cervical distraction versus cervical traction techniques on pain, range of motion and function in patients with upper cervical pain. This study will be randomized clinical trial and 42 patients according to inclusion criteria will be included in the study. They will be allocated into 2 groups by non-probability purposive sampling technique. Group A will receive cervical distraction technique with conventional physical therapy while Group B will receive cervical traction technique with conventional therapy. Outcome measures; Neck Disability Index, goniometry and Numeric Pain Rating Scale will measure neck function and neck pain intensity. Both groups will receive 5 sessions per week for 4 weeks and measurements will be taken at the baseline and at the end of 4th week. Data will be analyzed by SPSS version 25

Full description

The term collectively used for musculoskeletal conditions originating from cervical area is known as neck pain. According to the Global burden of disease (2010) study, neck pain is the fourth agent which is the reason behind chronic disability. The incidence of cervical pain in the adult population aged 15 to 74 years is 5.92% to 38.7% and it is more prevalent in women than men. The best predictor of future neck pain is the presence of an episode of neck pain in the past. Cervical rotation deficits are noted mostly in upper cervical spine issues as in atlantoaxial joint pathology.

The aim of this study is to compare the effects of cervical distraction versus cervical traction techniques on pain, range of motion and function in patients with upper cervical pain. This study will be a randomized clinical trial and 42 patients according to inclusion criteria will be included in the study. They will be allocated into 2 groups by non-probability purposive sampling technique. Group A will receive the cervical distraction technique with conventional physical therapy while Group B will receive the cervical traction technique with conventional therapy. Outcome measures; Neck Disability Index, goniometry and Numeric Pain Rating Scale will measure neck function and neck pain intensity. Both groups will receive 5 sessions per week for 4 weeks and measurements will be taken at the baseline and at the end of 4th week. Data will be analyzed by SPSS version 25.

Enrollment: 42 patients

Sex: All

Ages: 20 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Minimum 3 months chronicity of upper cervical pain
• Positive flexion-rotation test (asymmetry of >10◦ between sides or less than 32◦ in any direction)
• hypomobility in one or more segments of C0-1, C1-2, or C2-3

Exclusion criteria

• Congenital abnormalities (Cervical torticollis)
• Past surgical history of cervical spine
• Any history of neck trauma
• Already undergone physiotherapy treatment

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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42 participants in 2 patient groups

Distraction technique

Experimental group

Description:

conventional physical therapy with distraction technique

Treatment:

Other: conventional physical therapy with distraction technique

Traction technique

Experimental group

Description:

conventional physical therapy with traction technique

Treatment:

Other: conventional physical therapy with traction technique