Effects Of Global Postural Re-Education (GPR) On Patients With Non-Specific Neck Pain.

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Conventional Physical Therapy Program; Other: Global Positional Re-education

Study type: Interventional

Funder types: Other

Identifiers

NCT05021497

REC/00941 Faisal Saeed

Details and patient eligibility

About

Pain is an "unpleasant sensory and emotional experience (associated with actual or potential tissue damage". Chronic pain is a sensation of hyperalgia to muscles, ligaments and skin on both active and passive movements. Chronic pain has a tendency to prevent people from working and exercising

Full description

Neck pain is a very common clinical condition which equals the economic, social cost and level of disability to that of low back pain.Mechanical neck pain that occurs without an identifiable underlying disease and anatomical abnormality is termed as "non-specific" neck pain (NS-NP).Mechanical neck pain commonly arises insidiously and is generally multifactorial in origin.Two most common complains associated with chronic specific and non-specific neck pain are Kinesiophobia (fear of movement) and Postural asymmetry (forward head posture). Medical, surgical and physical therapy treatments are recommended for addressing chronic non-specific neck pain. Within the scope of physical therapy conventional management consist of many different techniques such as therapeutic exercises, electrotherapy, Pilates, yoga and manual therapy. Manual therapy is among the most common used method for treating musculoskeletal conditions including chronic neck pain. Manual therapy consists of stretching techniques, joint mobilization/manipulation, isometric/dynamic strengthening exercises and fascial manipulation or release. Global Postural Re-education (GPR) is an alternative therapeutic strategy based on the concept that postural muscles are organized in the form of 'muscle chains' located on the anterior and posterior aspect of the spine. It involves the global stretching of the anti-gravitational muscles and the kinetic muscle chains.

Enrollment: 42 patients

Sex: All

Ages: 25 to 45 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Chronic non-specific neck pain ≥ 3 months.
• No prior medication and Physical Therapy interventions from last 3 months.
• Pain: moderate level (6 on NPRS).

Exclusion criteria

• History of any trauma .
• History of any psychological condition.
• Specific causes of Neck Pain (e.g., systemic, rheumatic, neuromuscular diseases).
• Presence of central and peripheral neurological sign.
• Spinal surgery

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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42 participants in 2 patient groups

Global Positional Re-education

Experimental group

Description:

Global Positional Re-education

Treatment:

Other: Global Positional Re-education

Conventional Physical Therapy Program

Active Comparator group

Description:

Conventional therapy will consist of a combination of manual techniques

Treatment:

Other: Conventional Physical Therapy Program