Manual Therapy vs Stretching vs Routine Physical Therapy in Nonspecific Chronic Neck Pain

Riphah International University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Routine physical therapy; Other: Manual physical therapy with routine physical therapy; Other: Stretching physical therapy with routine physical therapy

Study type: Interventional

Funder types: Other

Identifiers

NCT04913441

RCRAHS/FSD/REC/0260

Details and patient eligibility

About

The aim of this study is to analyze the effect of Mulligan technique vs stretching techniques and vs routine physical therapy on pain ,range of motion(ROM) and functional disability among restaurant chefs with non-specific chronic pain.

Full description

Neck pain (NP) is one of the basic musculoskeletal issues. Neck pain can be due to stress about the musculoskeletal framework because of postural problems and may be related with different causes, such as: - Intervertebral disc herniation, -nerve compression -fracture.

Nonspecific neck pain is a pain located in the lateral and posterior neck that does not show pathognomonic signs and symptoms. When the duration of symptoms is greater than 12 weeks of evolution, it acquires the value of chronicity, being denominated non-specific chronic neck pain (NCNP). It is a common disorder, which generates a great impact and socio-economic cost .

In this study we evaluate the comparison of manual physical therapy vs routine physical therapy vs stretching physical therapy effects among restaurants chefs having non-specific chronic pain.

Enrollment: 102 patients

Sex: All

Ages: 18 to 60 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Neck pain for atleast 3 months having no :

  • Neurological Problem
  • Rheumatological Problem
  • Patient had taken any analgesic medication for neck pain for last 3 months.
  • Non specific neck pain
  • Age 18-60 years

Exclusion criteria

• Neck pain due to,

  • Tumors
  • Ankylosings Spondylitis
  • Fracture
  • Dislocation
  • Presence of cord compression
  • Vertebrobasilar artery insufficiency
  • Osteoprosis OR Osteopenia
  • Long term use of anticoagulant or corticosteroid drugs
  • Pain due to any congenital deformity, inflammation or any infection
  • Carcinoma

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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102 participants in 3 patient groups

Routine physical therapy

Experimental group

Description:

Patients in this group will get every session of 30 min 3 times per week on alternative days for 12 weeks 1. TENS and hot pack for 15 minutes 2. Ultra sound for 5 minutes 3. ROM exercises repeats 5 times for 10 minutes

Treatment:

Other: Routine physical therapy

Manual physical therapy with routine physical therapy

Experimental group

Description:

Patients in group B will get every session 30 minutes 3 times per week on alternative days 1. TENS and hot pack for 15 minutes 2. Ultra sound for 5 minutes 3. Mulligan technique (NAGS and SNAGS) will repeats 5 times for 10 minutes

Treatment:

Other: Manual physical therapy with routine physical therapy

Stretching physical therapy with routine physical therapy

Experimental group

Description:

Patients in this group will get every session 30 minutes 3 times per week on alternative days 1. TENS and hot pack for 15 minutes 2. Ultra sound for 5 minutes 3. Stretching exercises repeats 5 times for 10 minutes

Treatment:

Other: Stretching physical therapy with routine physical therapy