Effects of Active Release Technique Versus Stecco Facial Manipulation in Patient With Chronic Non-specific Neck Pain

Официальное название

Effects of Active Release Technique Versus Stecco Facial Manipulation on Pain, Craniovertebral Angle, and Functional Disability in Patients With Chronic Non-specific Neck Pain.

Обзор

Non-specific pain that originates from the superior nuchal line and extends to the first thoracic vertebrae. It is exacerbated by sustained neck postures, neck movements or cervical muscle palpation. Neck pain is a work-related musculoskeletal disease that can arise during prolonged or high-intensity activity. Increasingly, individuals seek medical attention for discomfort in the neck, upper extremities, and head caused by chronic tension. Neck discomfort is often caused by mechanical dysfunction that restricts joint movement inside the joint capsule. Active Release Technique(ART) is a manual release of tight soft tissue which targets on SCM, levator scapulae, suboccipital and Upper trapezius. Stecco Fascial Manipulation is an efficient manual soft tissue treatment method that particularly address in the areas of myofascial pain and discomfort, locomotor issues, and posture dysfunction. The aim of this study is to treat the patients having chronic non specific neck pain through the Active Release Technique (ART) and Stecco Facial Manipulation and to compare their effects that can affect cervical flexibility and to improve the symptom parameters of the regarding individual.

Подробное описание

The current study will be Randomized Clinical Trial. Inclusion criteria for this study is the individual with chronic non specific neck pain between the age group of 20-40yr. Patient with any history of trauma or surgery in cervical region and any other cervical pathology will be excluded from the study. A sample of 44 individual with CNSNP will be selected from both genders. Tools used for the Data collection will be Numeric Pain Rating Scale(NPRS), Neck Disability Index(NDI) and Goniometer. Participants will be measured before and after treatment to assess changes. Interventions are carried out 5 days in a week for one hour daily. In this study descriptive statistical tools will used to analyze the data. Data will be analyzed through SPSS version 21.

Вмешательства

• Другое Active Release Technique
  Active release technique is a manual release of tight soft tissue that targets the upper trapezius, SCM, Levator scapulae, and sub occipital muscle to improve posture and reduce tightness and pain
• Другое STECCO Method
  Stecco method, also known as Fascial Manipulation, is a manual therapy technique developed by Luigi Stecco, which focuses on releasing tension and restoring normal glide in the fascial system, especially where myofascial dysfunction is contributing to pain and restriction. Stecco method is applied specifically to the Levator scapulae, SCM, subocccipital, and upper trapezius muscles .All commonly involved in chronic non-specific neck pain.

Первичные конечные точки

• Numeric pain rate scale [Срок оценки: upto 6 weeks]

Вторичные конечные точки (3)

• 2. Universal Goniometer [Срок оценки: upto 6 weeks]
• Neck Disability index for functional Disability (NDI) [Срок оценки: upto 6 weeks]
• Flexion Rotation Test [Срок оценки: upto 6 weeks]

Критерии участия

Критерии включения

• Individuals of both genders
• Age between 20-40yrs(19).
• Neck pain persisting for more than 3 months
• Neck Disability Index (NDI) score between 10-30) (20).

Критерии исключения

• Patients with history of trauma or surgery were excluded.

• Cervical pain patients with radiculopathy were excluded.
• Patients diagnosed cases of rheumatoid arthritis, or any systemic musculoskeletal disorders were excluded.
• Patients use of muscle relaxants or undergoing any other physiotherapy for neck issues in the past 3 months were excluded.
• Patients with cervical disc herniation or whiplash injuries were excluded.
• Pregnancy or known hormonal conditions affecting musculoskeletal system were excluded.

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

Список центров уточняется — проверьте первичный протокол.

Публикации

• Prablek M, Gadot R, Xu DS, Ropper AE. Neck Pain: Differential Diagnosis and Management. Neurol Clin. 2023 Feb;41(1):77-85. doi: 10.1016/j.ncl.2022.07.003. Epub 2022 Oct 29. PMID 36400560
• Frouzanian M, Shirdel SS, Meskar H, Shahrezaee M, Chamanara M, Ghanbarpour Juybari A, et al. Muscle Morphology and Its Role in Chronic Neck Pain: A Review Article. Translational Health Reports. 2025;1(1):1-11.
• Al-Khazali HM, Kroll LS, Ashina H, Melo-Carrillo A, Burstein R, Amin FM, Ashina S. Neck pain and headache: Pathophysiology, treatments and future directions. Musculoskelet Sci Pract. 2023 Aug;66:102804. doi: 10.1016/j.msksp.2023.102804. Epub 2023 Jun 16. PMID 37394323
• Kaiser JT, Reddy V, Launico MV, Lugo-Pico JG. Anatomy, Head and Neck: Cervical Vertebrae. 2023 Oct 24. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2026 Jan-. Available from http://www.ncbi.nlm.nih.gov/books/NBK539734/ PMID 30969556
• Sarig-Bahat H. Evidence for exercise therapy in mechanical neck disorders. Man Ther. 2003 Feb;8(1):10-20. doi: 10.1054/math.2002.0480. PMID 12586557
• Khired Z. The Prevalence of and Factors Associated With Neck Pain Among Jazan Adult Population. Cureus. 2022 Aug 14;14(8):e28008. doi: 10.7759/cureus.28008. eCollection 2022 Aug. PMID 35982755
• Ko T, Jeong U, Lee K. Effects of the Inclusion Thoracic Mobilization into Cranio-Cervical Flexor Exercise in Patients with Chronic Neck Pain. Journal of physical therapy science. 2010;22(1):87-91.
• Rajkumar RP. The influence of cultural and religious factors on cross-national variations in the prevalence of chronic back and neck pain: an analysis of data from the global burden of disease 2019 study. Front Pain Res (Lausanne). 2023 May 25;4:1189432. doi: 10.3389/fpain.2023.1189432. eCollection 2023. PMID 37305205

Идентификаторы

NCT: NCT07724600 · REC/RCR & AHS/25/0138 Fatima-N

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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