Effects of Kendall Exercises Versus Scapular Stabilization Exercises Oin Mechanical Neck Pain

Официальное название

Effects of Kendall Exercises Versus Scapular Stabilization Exercises on Neck Pain, Range of Motion and Neck Disability in Mechanical Neck Pain

Обзор

Neck pain is a multifactorial disease, and is a major problem in modern society. Patients with NCNP usually have alterations in cervical proprioception and PS. They may also develop symptoms such as dizziness or vertigo. A recently published study shows that patients with NCNP suffer greater sensations of stunning and lack of proprioception than patients with benign paroxysmal vertigo.

Подробное описание

This study will be a randomized controlled trial and will be conducted on general population in Gujrat. Non-probability convenient sampling will be used to collect the data. Sample size of 48 subjects with age group between 25-45 years will be taken. Data will be collected from the patients having present complaint of Nonspecific Neck pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Neck disability index (NDI) for measuring disability and goniometer for range of motion (ROM). An informed consent will be taken. Subjects will be selected based on inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. Both the Groups will receive standard physical therapy, while Group A will receive bruegger's exercises and Group B will receive Upper thoracic mobilization. Outcome measures will be measured at baseline then after 4 weeks(post). Data analysis will be done by SPSS version 21.

Вмешательства

• Другое Kendall Exercises
  Kendall exercises which includes: Chin tuck in supine Stretching the cervical extensors Shoulder retraction with theraband Stretching of the pectoralis major muscle Every strengthening exercise will be repeated for 12 repetitions and done for 3 sets and each stretching exercise will be hold for 30 seconds and repeated 3 times. The exercises will be performed three times per week for 4 weeks
• Другое Scapular stabilization exercises
  Shoulder shrugs Prone arm lift Stretching of levator scapular Stretching pectoralis minor muscle Each strengthening exercise will be repeated for 15 repetitions of 3 sets and each stretching exercises will be hold for 30 seconds and repeated 3 times. The exercises will be performed three days per week for 4 weeks.

Первичные конечные точки

• Numerical Pain Rating Scale (NPRS) [Срок оценки: upto 4 weeks]
• Universal Goniometer (UG) [Срок оценки: upto 4 weeks]
• Neck disability index (NDI) [Срок оценки: upto 4 weeks]

Критерии участия

Критерии включения

• Male and females between 20-40 years of age, Patients having pain that had persisted for 12 weeks or more,
• Patients with generalized neck pain provoked by sustained neck postures, neck movements, pain on palpation of cervical musculature without any pathologies.

Критерии исключения

• History of whiplash injury,
• Cervical surgery,
• Fracture of the cervical or scapular and Neurological impairments

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Пакистан · 1 центр

• Ittefaq Hospital — Lahore

Публикации

• Nugraha MHS, Antari N, Saraswati N. The efficacy of muscle energy technique in individuals with mechanical neck pain: a systematic review. Sport Fit J. 2020;8:91-8.
• Heggannavar A, Battula L. Immediate effect of thoracic distraction thrust versus upper thoracic crossed hand manipulation in mechanical neck pain: A randomized clinical trial. Physiotherapy-The Journal of Indian Association of Physiotherapists. 2021;15(1):22-7.
• Junaid M, Yaqoob I, Shakil Ur Rehman S, Ghous M. Effects of post-isometric relaxation, myofascial trigger point release and routine physical therapy in management of acute mechanical neck pain: a randomized controlled trial. J Pak Med Assoc. 2020 Oct;70(10):1688-1692. doi: 10.5455/JPMA.15939. PMID 33159734
• Choudhary S, Hussain ME, Moscovitch A, Pandi-Perumal SR, Bahammam AS. Multimodal physiotherapy improves pain, functional disability, sleep quality and health related quality of life in chronic mechanical neck pain patients. International Journal of Health Science Research. 2021;8(3):138-48.
• Ganu S, Gor U. Effects of abdominal control feedback and scapular stabilization exercise on chronic neck pain. International Journal of Health Sciences and Research. 2021;11(6):318-25.
• Ashfaq M, Babur MN, Malick WH, Hussain MA, Awan WA. Comparative effectiveness of proprioceptive neuromuscular facilitation and passive vertebral mobilization for neck disability in patients with mechanical neck pain: A randomized controlled trial. J Bodyw Mov Ther. 2022 Jul;31:16-21. doi: 10.1016/j.jbmt.2022.02.009. Epub 2022 Mar 18. PMID 35710215
• Seo YG, Park WH, Lee CS, Kang KC, Min KB, Lee SM, Yoo JC. Is Scapular Stabilization Exercise Effective for Managing Nonspecific Chronic Neck Pain?: A Systematic Review. Asian Spine J. 2020 Feb;14(1):122-129. doi: 10.31616/asj.2019.0055. Epub 2019 Nov 1. PMID 31668049

Идентификаторы

NCT: NCT07062991 · REC/RCR &AHS/24/0158 Neelam

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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