Non-specific pain that originates from the superior nuchal line and extends to the first thoracic vertebrae. It is exacerbated by sustained neck postures, neck movements or cervical muscle palpation. Neck pain is a work-related musculoskeletal disease that can arise during prolonged or high-intensity activity. Increasingly, individuals seek medical attention for discomfort in the neck, upper extremities, and head caused by chronic tension. Neck discomfort is often caused by mechanical dysfunction that restricts joint movement inside the joint capsule. Active Release Technique(ART) is a manual release of tight soft tissue which targets on SCM, levator scapulae, suboccipital and Upper trapezius. Stecco Fascial Manipulation is an efficient manual soft tissue treatment method that particularly address in the areas of myofascial pain and discomfort, locomotor issues, and posture dysfunction. The aim of this study is to treat the patients having chronic non specific neck pain through the Active Release Technique (ART) and Stecco Facial Manipulation and to compare their effects that can affect cervical flexibility and to improve the symptom parameters of the regarding individual.
Individuals of both genders
Age between 20-40yrs(19).
Neck pain persisting for more than 3 months
Neck Disability Index (NDI) score between 10-30) (20).
Patients with history of trauma or surgery were excluded.
Cervical pain patients with radiculopathy were excluded.
Patients diagnosed cases of rheumatoid arthritis, or any systemic musculoskeletal disorders were excluded.
Patients use of muscle relaxants or undergoing any other physiotherapy for neck issues in the past 3 months were excluded.
Parallel
Active Release Technique
Other interventionActive release technique is a manual release of tight soft tissue that targets the upper trapezius, SCM, Levator scapulae, and sub occipital muscle to improve posture and reduce tightness and pain
STECCO Method
Other interventionStecco method, also known as Fascial Manipulation, is a manual therapy technique developed by Luigi Stecco, which focuses on releasing tension and restoring normal glide in the fascial system, especially where myofascial dysfunction is contributing to pain and restriction. Stecco method is applied specifically to the Levator scapulae, SCM, subocccipital, and upper trapezius muscles .All commonly involved in chronic non-specific neck pain.
Numeric pain rate scale
The numerical rating scale (0-10), with 0 meaning no pain, and 10 meaning the worst unbearable pain, as measurement of pain intensity.
2. Universal Goniometer
Universal goniometer is a popular tool in the clinical and rehabilitation environment to determine the joint angles and evaluate the range of movement (ROM).
Neck Disability index for functional Disability (NDI)
The Neck Disability Index(NDI) is a questionnaire designed to assess self-rated impairment of the individuals experiencing neck discomfort. It has ten questions on most aspects of daily living, such as the severity of pain, self-care, lifting, reading, and entertainment. This Questionnaire has a reliability of 0.87.The question has six answer options (including 0 (no disability) and 5 (full impairment). The total score ranges 0 to 50 whereby higher scores are going to be a greater impairment. It may also be stated as a percentage (0 to 100%)
Flexion Rotation Test
Flexion Rotation Test (FRT) a physical examination instrument of specifying the rotation within the upper neck, particularly C1-C2. It helps to identify rotational, and can suggest chronic non specific neck pains or other upper cervical spine dysfunctions.
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