Bruegger's Relief Exercise in Chronic Mechanical Neck Pain

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-50
SponsorRiphah International University

About this trial

The aim of this randomized controlled trial is to determine the effect of Bruegger's Relief Exercise combined with conventional physical therapy on pain intensity, functional disability, cervical range of motion, and craniovertebral angle in patients with chronic mechanical neck pain

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

• Participants falling in this category would be recruited into the study.

Age 20-50 years

Diagnosis of chronic mechanical neck pain (>3 months)

Pain intensity ≥ 3/10 on NPRS

Disqualifiers

• Participants falling in this category would be excluded from the study.

History of cervical spine fracture or surgery

Systemic musculoskeletal or neurological disease

Recent whiplash injury (within 6 months)

Trial design

Design model

Parallel

Treatments tested in this trial

  • Bruegger's Relief Exercise + Conventional Physical Therapy

    Other intervention

    Bruegger's Relief Exercise. High sitting neutral posture with feet flat on the floor and a light resistance band held across the thighs. 1A gentle chin tuck is performed to maintain cervical alignment. The movement includes 2 shoulder abduction and external rotation 3. Elbow extension 4. Forearm supination 5. Wrist extension 6. Finger and thumb abduction, coordinated with diaphragmatic breathing. (Hold duration: 10-30 seconds with progression of 2 seconds per session). 12 repetitions per session with 30-second rest interval between holds. Total duration is 3 sessions per week for 4 consecutive weeks.

  • Conventional Treatment

    Other intervention

    Conventional PT including 1- Cervical ROM exercises (flexion, extension, rotation, lateral flexion) 2- Stretching of upper trapezius and levator scapulae (30 sec hold × 3 repetitions) 3- Cervical isometric strengthening in all directions 4- Scapular stabilization exercises (elevation-depression, protraction-retraction) (Dosage: 2-3 sets of 10-15 repetitions). Total duration is 3 sessions per week for 4 consecutive weeks.

Treatment groups

44 Participants
are divided into 2 treatment groups
Group A: Experimental: Bruegger's Relief Exercise + Conventional Physical TherapyExperimental treatment 1 intervention
Group B: Conventional Physical TherapyExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Numeric Pain Rating Scale

An 11-point scale (0-10) used to assess pain intensity. 0 indicates no pain and 10 indicates worst imaginable pain. Participants verbally report their pain score

Time frame
Baseline, Week 2, Week 4
2

Neck Disability Index

The NDI is a 10-item questionnaire assessing functional disability related to neck pain. Each item is scored 0-5 with total score range 0-50. Higher scores indicate greater disability.

Time frame
Baseline, Week 2, Week 4
3

Cervical Range of Motion

A universal goniometer will be used to measure cervical flexion, extension, lateral flexion, and rotation

Time frame
Baseline, Week 2, Week 4
4

Craniovertebral Angle

CVA will be measured using the Angle - Video Goniometer mobile application via lateral photographic analysis. A smaller angle indicates greater forward head posture.

Time frame
Baseline, Week 2, Week

Secondary outcomes

Other outcomes

Locations

1

Map coordinates are unavailable for these locations. Locations are shown below instead.

AR Medical Complex, Mirpur, Azad Kashmir Status unavailable 46000, Mīrpur, Azad KashmirPakistanPakistan

Sponsors and contacts

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