]>
IRCT20230907059376N5 IRCT 2024-06-08 Khyber Medical University, Peshawar Effectiveness of Mckenzie neck exercise and conventional physical therapy in patients with chronic non-specific neck pain Effectiveness of Mckenzie neck exercise and conventional physical therapy in patients with chronic non-specific neck pain: A randomized controlled trial 2024-06-15 anticipated 26 Complete https://irct.ir/trial/77211 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: The participants will be randomly allocated to groups using the sealed envelope method. This technique ensures that the assignment is unbiased and that neither the participants nor the researchers can influence the group allocation. Each participant will draw an envelope containing their group assignment, maintaining the randomness and confidentiality of the process. This method is commonly used in clinical trials and research studies to ensure the integrity of the experimental design, Blinding description: Only the assessor, who will assess pre and post scores, will be blind in current study. N/A Chronic non specific neck pain. Intervention 1: Control group: Participants in this group will receive conventional therapy. Conventional physical therapy protocol will include active neck exercises, which consists of functional exercises, postural exercises, stretching, relaxation exercises and isometric neck exercises to increase strength or range of motion. Exercise therapy may also be preceded by massage (such as soft tissue release for 5 minutes), stretching, or physical therapy techniques like heat applications (such as hot pack for 10-15 minutes), interferential current, and transcutaneous electrical nerve stimulation (TENS) application. This protocol will be done thrice a week, with thirty-minute therapy sessions, with an overall of maximum of twelve sessions. Intervention 2: Intervention group: This group will receive McKenzie exercise for neck pain. The patient will be asked to keep their head as forward-facing as possible while moving it backward as much as they can. Making the movement as large as possible is crucial. After finishing, the patient goes back to their neutral rest position. Four sets of ten to fifteen repetitions of the exercise are to be performed, with a one-to-two-minute break in between.First Week of applying McKenzie Protocol:The patient will be supine with their head retracted or their chin thrust in. Under the occiput, a tiny pillow will be positioned to sustain a small amount of flexion. The patient will be instructed to position their head so that it was squarely over the girdle of their shoulders by pulling the neck and head posteriorly. After holding the final position for a brief moment, the subject will be free to settle into a resting position. Frequency: Four sets of ten to fifteen repetitions of this procedure will be performed, with one to three minutes of rest in between.Second Week of applying McKenzie Protocol:The therapist will progress the patient while they were seated by adding neck extension and applying overpressure with their chin at the end of the range of motion. Frequency: Four sets of this procedure will be performed, with a one to two minute break in between.Third Week of applying McKenzie Protocol:The patient will be positioned in such a way that their head will keep off the couch while lying supine. The therapist will apply the traction exercise of retraction and extension. All along the range of motion, the traction and extension will be maintained. Fourth Week of applying McKenzie Protocol:The patient will be instructed to get into short sitting. The therapist will then apply retraction with lateral flexion, neck rotation, and then pair the retraction and flexion of the neck with overpressure. Frequency: Four sets of 10 to 15 repetitions of this procedure will be performed, with a 1- to 2-minute rest period in between. Yes - There is a plan to make this available What will be shared: Management of non specific neck pain through Mckenzie protocol will be the provided data title. When: After the completion of research data will be available for one year of time. To whom: Document will be available for the rehabilitation researchers, physiotherapy faculty and students. Conditions: The participants registered with IRCT will have access to the data. Where to obtain: Document will be available by contacting principal author Muhammad Salman Khan through email salmankhan9412@gmail.com How to obtain: The person registered with IRCT have to email the principal author. Comments:
public Atik Arsh
F1 Phase-6 Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa 25100, Pakistan
Peshawar Pakistan 25000 +92 91 5862514 aatikarsh@kmu.edu.pk Khyber Medical University, Peshawar scientific Muhammad Salman Khan
XCRP+W7C, 5-B/2 Shaukat Khanum Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa 25000, Pakistan
Peshawar Pakistan 25000 +92 91 5838666 salmankhan9412@gmail.com Rehman Medical Institute, Peshawar Pakistan Male and female individuals• Age 18 to 65 years Having localized chronic, non-specific neck pain from ≥ 3 months 18 years 65 years Both Cervical radiating pain History of the neck surgery in the past 12 months History of spinal cord lesion Diagnosed cases of serious pathologies like infection, inflammation or malignancy Individuals who have been clinically diagnosed with psychological disorders M54.2 Cervicalgia Rehabilitation Rehabilitation Control group: Participants in this group will receive conventional therapy. Conventional physical therapy protocol will include active neck exercises, which consists of functional exercises, postural exercises, stretching, relaxation exercises and isometric neck exercises to increase strength or range of motion. Exercise therapy may also be preceded by massage (such as soft tissue release for 5 minutes), stretching, or physical therapy techniques like heat applications (such as hot pack for 10-15 minutes), interferential current, and transcutaneous electrical nerve stimulation (TENS) application. This protocol will be done thrice a week, with thirty-minute therapy sessions, with an overall of maximum of twelve sessions. Intervention group: This group will receive McKenzie exercise for neck pain. The patient will be asked to keep their head as forward-facing as possible while moving it backward as much as they can. Making the movement as large as possible is crucial. After finishing, the patient goes back to their neutral rest position. Four sets of ten to fifteen repetitions of the exercise are to be performed, with a one-to-two-minute break in between.First Week of applying McKenzie Protocol:The patient will be supine with their head retracted or their chin thrust in. Under the occiput, a tiny pillow will be positioned to sustain a small amount of flexion. The patient will be instructed to position their head so that it was squarely over the girdle of their shoulders by pulling the neck and head posteriorly. After holding the final position for a brief moment, the subject will be free to settle into a resting position. Frequency: Four sets of ten to fifteen repetitions of this procedure will be performed, with one to three minutes of rest in between.Second Week of applying McKenzie Protocol:The therapist will progress the patient while they were seated by adding neck extension and applying overpressure with their chin at the end of the range of motion. Frequency: Four sets of this procedure will be performed, with a one to two minute break in between.Third Week of applying McKenzie Protocol:The patient will be positioned in such a way that their head will keep off the couch while lying supine. The therapist will apply the traction exercise of retraction and extension. All along the range of motion, the traction and extension will be maintained. Fourth Week of applying McKenzie Protocol:The patient will be instructed to get into short sitting. The therapist will then apply retraction with lateral flexion, neck rotation, and then pair the retraction and flexion of the neck with overpressure. Frequency: Four sets of 10 to 15 repetitions of this procedure will be performed, with a 1- to 2-minute rest period in between. Neck Pain intensity. Timepoint: Outcome measures will be used/measured at baseline and after the intervention. Method of measurement: Numeric Pain rating scale. Khyber Medical University, Peshawar Approved 2024-05-30 KMU AS&RB 5-B/2 Shaukat Khanum Rd, Phase 5 Hayatabad, Peshawar, Khyber Pakhtunkhwa Peshawar Khyber Pakhtunkhwa Pakistan