Symmetrical Scapula-pelvis Proprioceptive Neuromuscular Facilitation and Superficial Back Line in Chronic Neck Pain With Hamstring Tightness
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Suboccipital muscle inhibition technique, Symmetrical Scapula-Pelvis Patterns Exercises, Static stretching of hamstring muscle.
- Who it may be relevant to
- Registry conditions: Chronic Neck Pain, Hamstring Muscle Tightness, Neck Pain. Basic parameters: 18 years — 40 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
A research study will be conducted at Physiotherapy department of the Sindh Institute of Physical Medicine and Rehabilitation, Karachi, Pakistan. Overall 156 patients with 18-40 years old individuals with neck pain will be eligible and they will be included through non-probability, purposive sampling technique. The written informed consent will be taken from all the patients. They will be divided through Simple random sampling (computer generated software) method into two groups, 78 in each group. Group A (experimental group) will receive PNF Symmetrical Scapula-Pelvis Patterns (PNF-SSPP), group B (control group) will receive sub occipital muscle inhibition technique (SMI) and static stretching (SS) of hamstring muscle. All participants will be assessed using assessment form. Outcome measures will be Pain, disability, disability, neck range of motions, hamstring tightness, head posture, and levator scapulae index. An independent assessor blinded to the treatment will assess all the patients for treatment outcome assessment at baseline, after first session and post treatment. Treatment sessions will be given thrice a week for 6 weeks.
Detailed description
A maximum drop-out rate of 20% is expected. The Statistical package for the social sciences (SPSS) 23 version will be used for data analysing. The Mean ± SD will be calculated for quantitative variables like age. The qualitative variables will be shown through calculated frequencies and percentages. The outcome results of the study (decrease pain intensity, improve disability, improve ROM and improve muscle tightness) taken before, after 1st session and after 18th session will be compared and analyzed. The repeated measure of ANOVA will be used as the statistical test. The p-value of 0.05 will be considered as level of significant.
Interventions
- Other Suboccipital muscle inhibition technique
The Suboccipital Muscle Inhibition technique is a manual therapy method used by practitioners to relieve tension in the suboccipital muscles, which are located at the base of the skull. - Other Symmetrical Scapula-Pelvis Patterns Exercises
Symmetrical scapula-pelvis patterns refer to a balanced, aligned posture and movement of the shoulder blades and pelvis which is often a therapeutic goal in physical rehabilitation with proprioceptive neuromuscular facilitation. - Other Static stretching of hamstring muscle
Static stretching for hamstrings involves holding a position that creates tension in the back of the thigh for 30 seconds.
Primary outcome measures
- Change in pain intensity with visual analogue scale for pain at Day 1 [Time frame: From enrolment to the end of the first treatment session at Day 1.]
- Change in pain intensity with visual analogue scale for pain at 6 weeks [Time frame: From enrolment to the end of 18 treatment session at 6 weeks]
- Change in range of motion with goniometry at Day 1 [Time frame: From enrolment to the end of first treatment at Day 1]
- Change in range of motion with goniometry at 6 weeks [Time frame: From enrolment to the end of 18 treatment sessions at 6 weeks.]
- Change in neck disability with Neck Disability Index at day 1 [Time frame: From enrolment to the end of first treatment session at Day 1.]
- Change in neck disability with Neck Disability Index at 6 weeks [Time frame: From enrolment to the end of 18 treatment sessions at 6 weeks.]
- Change in hamstring tightness with Sit and Reach (SR) test at Day 1 [Time frame: From enrolment to the end of first treatment session at Day 1.]
- Change in hamstring tightness with Sit and Reach (SR) test at 6 weeks [Time frame: From enrolment to the end of 18 treatment sessions at 6 weeks.]
Secondary outcome measures (4)
- Change in head posture with goniometry at Day 1 [Time frame: From enrolment to the end of first treatment session at Day 1]
- Change in head posture with goniometry at 6 weeks [Time frame: From enrolment to the end of 18 treatment sessions at 6 weeks]
- Change in levator scapulae index with vernier caliper at Day 1 [Time frame: From enrolment to the end of first treatment session at Day 1]
- Change in levator scapulae index with vernier caliper at 6 weeks [Time frame: Time Frame: From enrolment to the end of 18 treatment sessions at 6 weeks]
Eligibility criteria
Inclusion criteria
- Individual with both male and female gender
- Individuals with chronic neck pain (pain for > 3 month) with hamstring tightness
Exclusion criteria
- Any history related to spinal surgery
- Previous administration of epidural injections
- Neck pain due to specific pathology
- Patients with radiculopathy or myelopathy
- Traumatic spinal cord injury
- Neck pain associated with progressive neurological deficit or loss of strength
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Single blind
- Primary purpose
- Treatment
Study locations
Pakistan · 1 center
- Sindh Institute of Physical Medicine and Rehabilitation — Karachi
Identifiers
NCT: NCT07332845 · IBC KU-544/2025