Effect of MET With and Without MCTE in Mechanical Neck Pain
ConditionMechanical Neck Pain
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age20-50
SponsorRiphah International University
About this trial
Work had to be done previously on METs and MCTE techniques, but no study has compared both techniques together to make it more comprehensible. The rationale of this will be to find out the combined effect of motor control therapeutic exercises and muscle energy technique for the treatment of pain, range of motion and disability associated with mechanical neck pain. This study will be effective for the clinicians to treat patients of mechanical neck pain.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
• Subjects were between 20 and 50 years old.
Pain in cervical or neck region with no radiating pain in one or both upper limbs.
Pain minimum of 3 months.
Neck disability index (NDI) score of should be at least 10%.
Disqualifiers
• Neck pain associated with vertigo.
Irradiated neck pain.
Vertebral fracture.
Osteoporosis.
Trial design
Design model
Parallel
Treatments tested in this trial
METs
Other intervention* Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * Muscle energy technique protocol: The individual was in a position of supine. The therapist was at the edge of bed, near the participants head. the therapist positioned the joint at the point of beginning range of motion resistance when performing a given movement. When the therapist felt restriction, positioned the cervical spine in that region and apply the resistive force. Patient was instructed to contract isometrically for five seconds without exceeding the therapist force. thereafter, therapist counterforce gradually reduced and patient was asked to relaxed. Therapist move the joint into new point of barrier and same protocol repeated three times. Patient came thrice per week for a total of 4 weeks.
MCTE along with METs
Other intervention▪ Hot pack for 10 minutes. * Neck isometrics with 10 second hold. * Each series of neck isometrics strengthening exercises had three movements including cervical flexion, cervical extension and cervical side flexion. * After it was treated with motor control therapeutic exercises together with muscle energy technique. Motor control therapeutic exercises included cranio-cervical flexor exercises, cranio-cervical extensor exercises, co contraction of flexor and extensor and synergy exercise for strengthening deep neck flexor. Exercises were performed in three sets with 10 repetitions with an approximate duration of 10 to 20 minutes. They were advised to perform at home once in a day, five times in a week for a duration of 4 weeks. All exercises were performed three times per week for total of 4 weeks.
Treatment groups
50 Participants
are divided into 2 treatment groupsGroup A: METsActive comparator 1 intervention
Group B: MCTE along with METsExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Numeric pain scale rating
Changes from base line Pain intensity was assessed by Numeric Rating Scale (NRS). NRPS has fair to moderate reliability of test-retest in patients with Mechanical Neck Pain. The patient was required to indicate the number that represent his intensity of pain, in which 0 represents "no pain" and 10 represents "the worst pain imaginable". Numeric Pain Rating Scale is widely used subjective pain measure that has good test-retest reliability r = 0.79 - 0.96
Time frame
4th weekSecondary outcomes
1
Neck disability index
Changes from base line NDI is self-assessment tool for the specific functional status of patients with neck pain, consisting of ten components pain, personal hygiene, obesity, reading, headache, focus, work, travelling, sleeping, and leisure, each part is scored on an index of 0 to 5, with 0 representing "painless" and 5 representing the "worst pain imaginable". These points earned are added to the total score. The questionnaire was determined in percentage. The NDI disability categories are: 0-8% without disability, 10-28% mild, 30-48% moderate, 50-64% serious, and 70-100% complete. NDI has fair to moderate reliability of test-retest in patients, with inter-class correlation coefficient ranging from 0.50-0.98.
Time frame
4th week2
ROM cervical spine (flexion)
Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure flexion.
Time frame
4th week3
ROM cervical spine (Extension)
Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure extension.
Time frame
4th week4
ROM cervical spine (Side flexion)
Changes from base line Universal Goniometer is used for measuring neck range of motion. Reliability of goniometer was found for all the measurements ranging from, interclass correlation coefficient for goniometer \> 0.94. The concurrent validity of goniometer was good with ICC value of \> 0.85. The goniometer will be used to measure side flexion.
Time frame
4th weekSponsors and contacts
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Source ClinicalTrials.gov