Effects of Thrust Versus Non-Thrust Thoracic Manipulation on Mechanical Neck Pain.

Foundation University Islamabad

Status: Active, not recruiting

Conditions: Neck Pain

Treatments: Procedure: Standard Treatment; Procedure: Non-Thrust manipulation; Procedure: Thrust Manipulation

Study type: Interventional

Funder types: Other

Identifiers

NCT05542875

FUI/CTR/2022/15

Details and patient eligibility

About

Neck pain ranks as the 4th leading cause of disability, with high prevalence of mechanical neck pain in young population. As high as 30% of %. Individuals suffering from neck often report difficulty in performance of daily life, absence from work and decreased productivity. Several manual therapy treatment approaches are used for mechanical neck pain. The focus of this study is to compare the effectiveness of thrust and non-thrust thoracic manipulation for the treatment of mechanical neck pain in young population

Full description

craniovertebral angle, cervical range of motion and pain will be noted for each participant.

Enrollment: 24 estimated patients

Sex: All

Ages: 18 to 24 years old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria

• Both genders
• Age: 18-24 years
• Symptoms <30 days
• FABQPA score <12
• Increased upper thoracic spine kyphosis (visual estimate)
• CVA < 48 Degrees

Exclusion Criteria

• Symptoms distal to shoulder
• Aggravation of symptoms with looking up
• Radiating lower back pain
• Neurological deficit
• Previous surgery
• Spondylolisthesis
• Spinal stenosis
• Inflammatory disease
• Vertebrobasilar artery insufficiency
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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24 participants in 2 patient groups

Group A (Thrust Manipulation)

Experimental group

Description:

Participants will be randomly allocated to Group A which will recieve Thrust manipulation treatment in addition to standard treatment protocol. Prone thoracic extension manipulation technique will be applied from T2 - T6 to participants for 4 sessions on alternate days

Treatment:

Procedure: Thrust Manipulation

Procedure: Standard Treatment

Group B (Non-Thrust Manipulation)

Experimental group

Description:

Participants will be randomly allocated to group B which, in addition to standard treatment protocol, will recieve Maitland grade III or IV manipulation from T1 to T6. Posterior to anterior glide over spinous process will be maintained for 30 seconds. Participants will recieve 4 sessions on alternate days

Treatment:

Procedure: Non-Thrust manipulation

Procedure: Standard Treatment