Symmetrical Scapula-pelvis Proprioceptive Neuromuscular Facilitation and Superficial Back Line in Chronic Neck Pain With Hamstring Tightness

University of Karachi

Status: Enrolling

Conditions: Hamstring Muscle Tightness; Chronic Neck Pain; Neck Pain

Treatments: Other: Symmetrical Scapula-Pelvis Patterns Exercises; Other: Suboccipital muscle inhibition technique; Other: Static stretching of hamstring muscle

Study type: Interventional

Funder types: Other

Identifiers

NCT07332845

IBC KU-544/2025

Details and patient eligibility

About

A research study will be conducted at Physiotherapy department of the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan. Overall 156 patients with 18-40 years old individuals with neck pain will be eligible and they will be included through non-probability, purposive sampling technique. The written informed consent will be taken from all the patients. They will be divided through Simple random sampling (computer generated software) method into two groups, 78 in each group. Group A (experimental group) will receive PNF Symmetrical Scapula-Pelvis Patterns (PNF-SSPP), group B (control group) will receive sub occipital muscle inhibition technique (SMI) and static stretching (SS) of hamstring muscle. All participants will be assessed using assessment form. Outcome measures will be Pain, disability, disability, neck range of motions, hamstring tightness, head posture, and levator scapulae index. An independent assessor blinded to the treatment will assess all the patients for treatment outcome assessment at baseline, after first session and post treatment. Treatment sessions will be given thrice a week for 6 weeks.

Full description

A maximum drop-out rate of 20% is expected. The Statistical package for the social sciences (SPSS) 23 version will be used for data analysing. The Mean ± SD will be calculated for quantitative variables like age. The qualitative variables will be shown through calculated frequencies and percentages. The outcome results of the study (decrease pain intensity, improve disability, improve ROM and improve muscle tightness) taken before, after 1st session and after 18th session will be compared and analyzed. The repeated measure of ANOVA will be used as the statistical test. The p-value of 0.05 will be considered as level of significant.

Enrollment: 156 estimated patients

Sex: All

Ages: 18 to 40 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Individual with both male and female gender
• Individuals with chronic neck pain (pain for > 3 month)

Exclusion criteria

• Any history related to spinal surgery
• Previous administration of epidural injections
• Neck pain due to specific pathology
• Patients with radiculopathy or myelopathy
• Traumatic spinal cord injury
• Neck pain associated with progressive neurological deficit or loss of strength

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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156 participants in 2 patient groups

Symmetrical Scapula-Pelvis Pattern Exercises

Experimental group

Description:

This arm will receive PNF Dynamic Reversal of Antagonists using Symmetrical Scapula-Pelvis Patterns

Treatment:

Other: Symmetrical Scapula-Pelvis Patterns Exercises

Control Treatment

Active Comparator group

Description:

This arm will receive evidence based treatment, the suboccipital muscle inhibition with static stretching of the hamstrings.

Treatment:

Other: Static stretching of hamstring muscle

Other: Suboccipital muscle inhibition technique