Integrated Neuromuscular Inhibition Technique Versus Instrument-Assisted Soft Tissue Mobilization On Neck Disability, Endurance, and Proprioception Of Nonspecific Chronic Neck Pain

Overview

this study will be conducted to compare INIT versus IASTM on neck disability, cervical muscle endurance and proprioception, cervical alignment, pain intensity, pressure pain threshold in patients with neck pain

Detailed description

Neck pain arises from a variety of factors, which may include ergonomic considerations and individual characteristics such as age, behavioral attitudes, or psychosocial issues like anxiety and job satisfaction. Since most cases of neck pain do not have a specific identifiable cause and are often linked to posture or mechanical issues, they are typically classified as nonspecific chronic neck pain. The primary goals of treating neck pain and MTrPs are to resolve the spasm, ease the pain, and deactivate the TrPs. One of these methods is the integrated neuromuscular inhibition technique (INIT). Instrument-assisted soft tissue mobilization (IASTM) with the M2T blade (M2T-Blade: IASTM Technology, Hamilton, ON, Canada) is a multifunctional instrument. Instrument-assisted soft tissue mobilization is inexpensive and has a variety of planes that can be used in treatment. Many studies have demonstrated its effectiveness in alleviating patients' symptoms.According to the literature, IASTM and INIT were effective as well as nonexhaustive treatment methods for patients experiencing mechanical neck pain. But there was a lack of literature that compared IASTM and INIT on neck disability, endurance, and proprioception on patients with neck pain.

Interventions

• Other Integrated Neuromuscular Inhibition Technique
  For the integrated neuromuscular inhibition technique, the participant will be in a supine lying position. During the PPT evaluation process, the site of the TrP will be determined and will be marked. First, intermittent IC will be initiated by using the thumb and index finger to apply a pincer grip to the TrP in the middle of the UT. Second, applying pressure to the trigger point and asking the participants how much pain they will experience. The participants' heads will passively flexed latera
• Other Instrument-Assisted Soft Tissue Mobilization
  For IASTM, the M2T blade will be used to identify specific parts of the limitation on the right UT. After that, treatment planes 1-2-3 will be used. Prior to treatment, Vaseline will be applied as a lubricant to the skin around the neck area, and an alcohol pad will be used to clean the instrument. Then, using an M2T blade at a 45° angle, long, slow strokes over the muscle will be performed, beginning at its insertion and ending at its origin, for 2 to 3 minutes . If the participant felt a burni
• Other tradional therapy
  the patients will receive tradional therapy in the form of 10 minutes of moist heat (hot pack) isometric strengthening exercises for all cervical muscles by applying manual resistance on the side of the head for side bending, the occiput for extension, and the forehead for flexion.The resistance will be sustained for 10 seconds and repeated 10 to 15 times, then they will receive stretching exercises for extensor muscles for 30 seconds and repeated 3 times in every session. Finally, active ROM ex

Primary outcome measures

• neck disability [Time frame: up to four weeks]

Secondary outcome measures (9)

• pain intensity [Time frame: up to four weeks]
• cervical range of motion [Time frame: up to four weeks]
• joint position error (cervical proprioception) [Time frame: up to four weeks]
• pressure pain threshold [Time frame: up to four weeks]
• The Absolute Rotation Angle (ARA) C2-C7 [Time frame: up to four weeks]
• The relative rotation angle between the occiput (C0) and C2 [Time frame: up to four weeks]
• relative rotatory angle between c1 and c2 [Time frame: up to four weeks]
• Anterior head translation (AHT) distance [Time frame: up to four weeks]
• deep cervical flexor endurance [Time frame: up to four weeks]

Eligibility criteria

Inclusion criteria

• All participants ages will range from 18 to 50 years.
• BMI ranged from 18.5 to 30.
• have TrPs in their UT muscle, pain at rest, a jump sign when pressure is applied, limited range of motion (ROM), and referred pain.
• The participants will report pain in the posterior or posterior lateral aspect of the neck in the previous 3 months

Exclusion criteria

• Participants of cervical spine disorders (cervical disc disease, cervical spondylitis, cervical myelopathy.
• Participants with musculoskeletal conditions.
• Pregnant women.
• Participants with congenital postural deformities.
• Participants who had a definite visual disability.

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

Center list to be confirmed — check the primary protocol.

Identifiers

NCT: NCT07599631 · P.T.REC/012/006464

Primary sources (government registries)

• ClinicalTrials.gov (US NIH)

View this study on ClinicalTrials.gov ↗