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IRCT20221205056713N2 IRCT 2024-07-25 Rashid Latif Medical college Effects of JANDA,s approach and McKenzie retraction exercise in treatment of neck pain Effectiveness of JANDAS approach Versus McKenzie retraction exercises on pain, disability and quality of life among chronic neck pain patients 2024-07-23 anticipated 50 Complete https://irct.ir/trial/78014 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Participants will be randomly divided in two groups (group A group B) by using lottery method. Both groups will be given conventional physical therapy treatment. Group A patients will treated with McKenzie retraction. Group B patients will treated with the JANDAS approach. Both groups will assessed before and after the treatment, Blinding description: The outcome assessor will not know which participant will allocated in group A or group B. so study will single blinded. N/A Chronic Neck Pain. Intervention 1: Intervention group: group A will be treated with JANDAS Approach. Begin with a thorough assessment of the patient's posture and movement patterns. Assess weakness in opposing muscle groups, such as the deep neck flexors, lower trapezius, and scapular stabilizers. Identify any muscle imbalances between flexors and extensors, lateral flexors, and rotators. Prescribe specific exercises to address identified weaknesses and imbalances. Examples may include cervical flexor endurance exercises, scapular stabilization exercises, and stretching for overactive muscles. Repeat these exercises 3 days per week for 4 weeks. Assessment of patient's symptoms will take before and after treatment. Intervention 2: Intervention group: Group B will be treated with McKenzie retraction exercise. Sit or stand with a straight posture, looking straight ahead. Ask patient Slowly retract your head backward, creating a double chins effect. Maintain the retracted position for a few seconds, feeling a gentle stretch at the back of your neck. Slowly return your head to the neutral position. Repeat the movement several times in a controlled manner. Repeat these exercises 3 days per week for 4 weeks. Assessment of patient's symptoms will take before and after treatment. 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 It is not yet known if there will be a plan to make this available
public Areej Baloach
35-KM, Ferozepur Road. Lahore.
Lahore Pakistan 54900 +92 321 1185253 areejbaloch44@gmail.com Rashid Latif Medical College scientific Hafiza Nida Rasheed
35-KM, Ferozepur Road. Lahore
Lahore Pakistan 54900 +92 336 4535979 naddia.rasheed20@gmail.com Rashid Latif Medical College Pakistan Patient with neck pain duration more than 6 months Age Group - 25-40 years 25 years 40 years Both Subjects with a history of severe trauma such as fracture Congenital disorder of cervical spine. Patient who will diagnosed with Spondylolisthesis, Myelopathy and Tendinopathy, Rheumatoid Arthritis, Ankylosing Spondylosis or have tumor, Treatment - Other Treatment - Other Intervention group: group A will be treated with JANDAS Approach. Begin with a thorough assessment of the patient's posture and movement patterns. Assess weakness in opposing muscle groups, such as the deep neck flexors, lower trapezius, and scapular stabilizers. Identify any muscle imbalances between flexors and extensors, lateral flexors, and rotators. Prescribe specific exercises to address identified weaknesses and imbalances. Examples may include cervical flexor endurance exercises, scapular stabilization exercises, and stretching for overactive muscles. Repeat these exercises 3 days per week for 4 weeks. Assessment of patient's symptoms will take before and after treatment. Intervention group: Group B will be treated with McKenzie retraction exercise. Sit or stand with a straight posture, looking straight ahead. Ask patient Slowly retract your head backward, creating a double chins effect. Maintain the retracted position for a few seconds, feeling a gentle stretch at the back of your neck. Slowly return your head to the neutral position. Repeat the movement several times in a controlled manner. Repeat these exercises 3 days per week for 4 weeks. Assessment of patient's symptoms will take before and after treatment. Pain. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: The Numerical Rating Scale is an 11-point scales for self-report of pain. Disability. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: The NDI is a standard instrument for measuring self-rated disability due to neck pain. Quality of life. Timepoint: Before intervention and 4 weeks after intervention. Method of measurement: SF-36 is composed of eight multi-item scales (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, Mental Health) to determine quality of life. Rashid Latif Medical college Approved 2023-10-12 The institutional board of Rashid Latif Medical College, Lahore 35KM Ferozepur Road, Lahore. Lahore Pakistan