About this trial
This Randomized Clinical Trial will be conducted at Riphah Rehabilitation and Research Center and spans 4 weeks. Non-probability Convenient sampling will be used to collect the data. A sample size of 40 subjects with age group between 18-45 years will be taken. Data will be collected from patients who use electronic gadgets and have present complaints of mechanical neck pain. Outcome measures will be taken using the Numeric pain rating scale (NPRS) for pain, Neck Disability Index (NDI) for disability, Goniometer for Range of motion, and Kinovea software for shoulder, eye, and craniovertebral angle measurement. Subjects will be selected based on inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. The first assessment will be conducted physically and after that, both groups will receive treatment via MS teams under the supervision of a physiotherapist. Both the Groups will receive Hot Pack, and baseline treatment (neck isometrics, upper trapezius and scalene stretches), while Group A will receive multimodal exercises (chin tucks, bilateral pectoral stretching, scapular region strengthening exercises, and Wand exercises) and Group B will receive Bruegger's relief exercise. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age group between 18-45 years (10).
Both gender
Neck pain associated with degenerative changes and myofascial pain syndromes
Individuals having localized pain or stiffness in the cervical spine (C3-C7) without upper limb radiculopathy
Disqualifiers
Tuberculosis, carcinoma, heart disease, and osteoporosis
Previous surgery related to the cervical spine
Having radical symptoms such as paresis, tingling, or numbness
Any trauma or localized infection in the neck region
Trial design
Parallel
Treatments tested in this trial
Bruegger's relief exercise
Other interventionParticipant will be in a high sitting position. An elastic resistance band will be wrapped on each hand of the participant leaving the palm open and will be told to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant will be instructed to perform scapular retraction with shoulder external rotation, elbow extension, shoulder abduction, and extension and chin tuck. The treatment protocol will be for 4 weeks, having 3 sessions in a week and 4 sets of 12 repetitions in each session. Intervention was started from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time was 30 seconds.
Multimodal exercise program
Other interventionMultimodal exercise program including chin tucks, bilateral pectoral stretching, scapular region strengthening exercises and Wand exercises. The training program applied 3 times a week, 50 minutes each time, for 4 weeks
Treatment groups
Trial outcomes
Primary outcomes
Numerical Pain Rating Scale
The NPRS is an 11-point numeric scale in which 0 represents "NO PAIN" and 10 represents "EXTREME PAIN" (e.g., "pain as bad as you can imagine" and "worst pain imaginable").
Neck Disability Index
The NDI is a self-reported instrument for measuring perceived neck disability that consists of 10 'themes': pain intensity, personal care, weight lifting, reading, headache, concentration, work (or domestic activities), driving, sleep and recreational activities. Each question is scored from 0 to 5. The final score is expressed as a percentage
Cervical Range of Motion
Universal Goniometer, a tool used most commonly for evaluating joint ROM in the clinical settings, comes out as a simple alternative for global use at low price. Notably, the reliability and validity of cervical goniometric measurements are considered excellent, ensuring accurate measurement of cervical range of motion
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