Symmetrical Scapula-pelvis Proprioceptive Neuromuscular Facilitation and Superficial Back Line in Chronic Neck Pain With Hamstring Tightness

Обзор

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.

Подробное описание

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.

Вмешательства

• Другое 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.
• Другое 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.
• Другое 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.

Первичные конечные точки

• Change in pain intensity with visual analogue scale for pain at Day 1 [Срок оценки: 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 [Срок оценки: From enrolment to the end of 18 treatment session at 6 weeks]
• Change in range of motion with goniometry at Day 1 [Срок оценки: From enrolment to the end of first treatment at Day 1]
• Change in range of motion with goniometry at 6 weeks [Срок оценки: From enrolment to the end of 18 treatment sessions at 6 weeks.]
• Change in neck disability with Neck Disability Index at day 1 [Срок оценки: From enrolment to the end of first treatment session at Day 1.]
• Change in neck disability with Neck Disability Index at 6 weeks [Срок оценки: 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 [Срок оценки: 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 [Срок оценки: From enrolment to the end of 18 treatment sessions at 6 weeks.]

Вторичные конечные точки (4)

• Change in head posture with goniometry at Day 1 [Срок оценки: From enrolment to the end of first treatment session at Day 1]
• Change in head posture with goniometry at 6 weeks [Срок оценки: From enrolment to the end of 18 treatment sessions at 6 weeks]
• Change in levator scapulae index with vernier caliper at Day 1 [Срок оценки: From enrolment to the end of first treatment session at Day 1]
• Change in levator scapulae index with vernier caliper at 6 weeks [Срок оценки: Time Frame: From enrolment to the end of 18 treatment sessions at 6 weeks]

Критерии участия

Критерии включения

• Individual with both male and female gender
• Individuals with chronic neck pain (pain for > 3 month) with hamstring tightness

Критерии исключения

• 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

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

• Sindh Institute of Physical Medicine and Rehabilitation — Karachi

Идентификаторы

NCT: NCT07332845 · IBC KU-544/2025

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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