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IRCT20191023045212N1 IRCT 2020-04-02 RIMS,Multan Effect OF Sustained Natural Apophyseal Glide Versus Cervical Manipulation In Treatment Of Mechanical Neck Pain RCT Effect Of Sustained Natural Apophyseal Glide Versus Cervical Manipulation In Treatment Of Mechanical Neck Pain 2640-10-11 anticipated 50 Pending https://irct.ir/trial/43499 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The patients were randomly allocated into 2 groups to receive either the cervical manipulation or sustained natural Apophyseal glide .the randomization was done using lottery method, Blinding description: patients were blinded as they do not know there respected group,therapist who gave treatment and assess the outcome was blinded. N/A Mechanical neck pain can be define as it is most common musculoskeletal irritation that originates from posterior side of skull bone and radiates towards lower region of cervical vertebra of backbone and sometimes it also migrate into shoulders and arms as well.Cervical region pain is a most general problem, having a point occurrence of almost 13% and prevalence for lifetime is about 50 %.Mechanical neck pain infers that the there are many sources of neck pain that pain may be the result of supporting structures of spine like muscles and ligaments. Intervention 1: Intervention group: Subjects will be treated with Sustained Natural Apophyseal Glide (SNAG) which included two sessions per week. Patients in this group will receive a baseline treatment that is heating pad for 15 minutes before the treatment. Procedure will be repeat in sets of 5 to 10 for 6 weeks. Intervention 2: Intervention group: Subjects will be treated with Cervical Manipulation after baseline treatment that is heating pad for 15 minutes which included two sessions per week for 6 weeks. Undecided - It is not yet known if there will be a plan to make this available Justification or reason for indecision in sharing IPD is there is no further information
public Sana altaf
GULGASHT ,Tehsile chowk ,multan
multan Pakistan 66000 +92 42 32591427 rims.multan@yahoo.com RIMS,Multan scientific Sana altaf
TEhsile chowk ,gulgasht ,multan
Multan Pakistan 66000 +92 42 32591427 rims.multan@yahoo.com RIMS,multan Pakistan Pakistan • 44 patients both males and females with mechanical neck pain aged between 20 to 65 will be included • hypo-mobility of the cervical range of motion • Non -discogenic neck pain, stiffness, muscle tension, headache and migraine • Comparable signs (pain associated with movement, or pain associated with specific functional activities. • Painful cervical extension, local tenderness, and restricted inter-segmental motion. 22 years 65 years Both • Any contraindication to systemic manifestation (e.g. inflammation, infection, advanced degeneration, congenital malformation, trauma, cerebrovascular abnormalities). Positive neurological examination e.g. presence of positive motor reflex, or sensory abnormalities indicating spinal root compression • cervical spine surgery or stenosis ,metabolic or systemic disorders or cancer • Any associated pathology of the upper cervical region or upper limb that may cause overlapping with the clinical finding as referred pain from costotransverse joint, rotator cuff tendonitis, and cervical rib syndrome. M54.2 Cervicalgia Other Treatment - Other Intervention group: Subjects will be treated with Sustained Natural Apophyseal Glide (SNAG) which included two sessions per week. Patients in this group will receive a baseline treatment that is heating pad for 15 minutes before the treatment. Procedure will be repeat in sets of 5 to 10 for 6 weeks Intervention group: Subjects will be treated with Cervical Manipulation after baseline treatment that is heating pad for 15 minutes which included two sessions per week for 6 weeks Pain will be primary outcome variable that will be measure by NPRS. Timepoint: outcome will be measured before the application of intervention and after 6 weeks of intervention application. Method of measurement: pain will be measure using NPRS,for cervical range of motion goniometer will be used,NDI for disability. Cervical range of motion and function in patient with mechanical neck pain. Timepoint: cervical range of motion and function. Method of measurement: inclinometer and NDI questionnaire will be use to measure cervical range of motion and function. Self Approved 2641-03-02 Ethics committee of Riphah college of Rehabilitation and Allied Health Sciences Quaid-e-Azam campus 28-M, Quaid-e-Azam ,Industrial Estate ,Kot Lakhpat ,Lahore. Lahore punjab Pakistan