Integrated Neuromuscular Inhibition, Muscle Energy and Strain Counter Strain Techniques in Neck Pain

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Integrated Neuromuscular Inhibition Technique; Other: Strain Counter Strain Technique; Other: Muscle Energy Technique,

Study type: Interventional

Funder types: Other

Identifiers

NCT05262062

Zainab Mahmood

Details and patient eligibility

About

1. To determine effects of Neuromuscular Inhibition, Muscle energy and strain counter strain techniques on Pain, disability, pain pressure threshold, range of motion, and health-related quality of life in mechanical neck pain.
2. To compare the effects of Integrated Neuromuscular inhibition, Muscle energy and strain counter strain techniques in the Management of mechanical neck pain.

Enrollment: 51 patients

Sex: All

Ages: 30 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Participants falling in this category would be recruited into the study.

  • Patients with chronic mechanical neck pain (symptoms for more than 3 months).
  • Age group between 30 - 60 years.
  • Patients willing to participate and take treatment.
  • Patients must have at least 1 active trigger point at upper trapezius, levator scapulae, SCM.
  • Gender (Both)
  • VAS >3

Exclusion criteria

• • Patients having severe neck pain.

  • Patients having any systemic joint pathology, inflammatory joint disease (e.g rheumatoid arthritis, gouty arthritis, psoriatic arthritis).
  • Patients who had any neurological deficit, myelopathy any mental illness.
  • Patients on medication like antidepressants, corticosteroid, anti-inflammatory medications.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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51 participants in 3 patient groups

Strain Counter Strain Technique

Experimental group

Description:

When general or local pain began to diminish, upper trapezius , levator scapulae and SCM was placed in a position of ease and was held for approximately 20 to 30 seconds. Moderate digital pressure was applied to the identified MTrP as participants rated their level of pain on a scale ranging from 1 to 10.3. Ease was defined as the point at which a reduction in pain of at least 70% was achieved.Once the position of ease was identified, it was held for 20 to 30 seconds.

Treatment:

Other: Strain Counter Strain Technique

Muscle Energy Technique,

Experimental group

Description:

After the ease position was maintained for 20 to 30sec an isometric contraction focused on the muscle fibers around the MTrP was performed. Each isometric contraction was held for 7 to 10 sec and was followed by a soft-tissue stretch for 15 seconds and then relax for 30 seconds. Each stretch was held for 30 seconds, and it was repeated 3 times during the treatment session. 3. Treatment was performed on the 3 most painful areas between the upper border of the upper trapezius muscle, the SCM, the levator scapulae, and the SC muscle.

Treatment:

Other: Muscle Energy Technique,

Integrated Neuromuscular Inhibition Technique

Experimental group

Description:

1. Group c will receive Combination of exercise (strain counter strain , muscle energy \& ischemic compression. In ischemic compression patient will receive compression,2. After MTrPs identification, 3. Ischemic compression was applied in an intermittent manner for up to 2 minutes for each MTrP. 4. The pincer grasp (for the trapezius muscle and SCM) or direct digital pressure (for the levator scapulae and SC muscle) was used with the patients in either the supine position or sitting upright.

Treatment:

Other: Integrated Neuromuscular Inhibition Technique