Mckenzie Versus Maitland Cervical Mobilization Technique in Management of Non-specific Neck Pain.

Обзор

This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception.

Подробное описание

Neck pain is the second leading cause of disability worldwide among people with musculoskeletal disorders , and neck pain is responsible for a substantial burden to society .

Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach.

45 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive Mckenzie exercise in the form of repeated movements in the direction of painful \& restricted movement .Group B: will receive Maitland's cervical mobilization in the form of posterior-anterior (PA) glide.Group C: will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises).

Вмешательства

• Другое Mckenzie exercises
  Fifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions: 1. Repeated movements in the direction of the dysfunction. 2. Repeated movements with patient overpressure. 3. Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times. This group will also receive the conventional treatment prescribed for chronic
• Другое Maitland mobilization for cervical spine
  Fifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM. This group will also receive the conventional treatment prescribed for ch
• Другое The conventional treatment group
  Fifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of: 1. Source of superficial heat using hot packs for 15 minutes. 2. Postural correction exercises. 3. Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation). 4. Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles). 5. Chin tuck exercises. 6. Scapular s

Первичные конечные точки

• Cervical proprioception [Срок оценки: 4 weeks]
• Cervical range of motion [Срок оценки: 4 weeks]

Вторичные конечные точки (2)

• Neck function [Срок оценки: 4 weeks]
• Pain intensity [Срок оценки: 4 weeks]

Критерии участия

Критерии включения

• 45 Subjects diagnosed and referred from orthopedist with chronic NSNP.
• All participants will have neck pain with mobility deficit according to ICF classification of neck pain..
• Duration of symptoms is more than 3 months to be chronic.
• Subjects of both genders will be involved in the study.
• Subject are young adult with the age span between 18 \&29 years because this period is characterized by extensive changes, handling choices and opportunities such as moving out from home, choice of education and career, and establishing an adult lifestyle.
• All participants will be selected with body mass index (BMI) between 18.5 and 24.9kg/cm2 which is considered the normal range of BMI.

Критерии исключения

• History of cervical surgery.
• Whiplash injuries.
• Inflammatory arthropathy.
• Myelopathy.
• If neck pain is associated with radiculopathy.
• Vertebrobasilar insufficiency.
• Red flags suggesting of cancer or infection .
• Fracture.
• Diabetic patients.
• Hypertensive patients.
• Obese subjects.
• Vertigo.
• Thoracic outlet syndrome.

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

Двойное слепое

Основная цель

Лечение

Центры проведения

Список центров уточняется — проверьте первичный протокол.

Идентификаторы

NCT: NCT07290374 · P.T.REC/012/006047

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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