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Clinical Outcomes of Maitland's Mobilization in Patients With Myofacial Chronic Neck Pain

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ClinicalTrials.gov Identifier: NCT04660292
Recruitment Status : Completed
First Posted : December 9, 2020
Last Update Posted : December 9, 2020
Sponsor:
Information provided by (Responsible Party):
Maryam Shabbir, Riphah International University

Study Description
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Brief Summary:

Myofacial neck pain is a common musculoskeletal problem caused by presence of trigger points and local and referred pain patterns. Chronic neck pain is responsible for the involvement of joints, ligaments, fascia and connective tissue as well. The objective of this study was to assess the impacts of Maitland's mobilization in patients with myofacial chronic neck pain. Maitland's mobilization is one of the most common manual therapy approaches used by physiotherapists. Maitland's techniques involve the application of passive and accessory oscillatory movements to spinal and vertebral joints to treat pain and stiffness.

In this randomized, placebo treatment controlled trial, 30 patients consecutively aged 25-45 years meeting inclusion criteria were isolated into two groups. The study group was treated with Maitland's mobilization consistently for 8 weeks while the control group got placebo treatment for a similar time frame. Visual analog Scale (VAS), Neck disability index (NDI) and cervical range of motion (ROM) questionnaire was filled by patients before, intermediate and after the intervention to evaluate the severity of pain, functional ability and range of motion.


Condition or disease Intervention/treatment Phase
Myofascial Pain Syndrome of Neck Other: Maitland's mobilization Other: Traditional Physical therapy Not Applicable

Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 30 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Clinical Outcomes of Maitland's Mobilization in Patients With Myofacial Chronic Neck Pain
Actual Study Start Date : August 1, 2020
Actual Primary Completion Date : September 30, 2020
Actual Study Completion Date : October 30, 2020

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Arms and Interventions
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Arm Intervention/treatment
Experimental: Study Group
The study group was treated with Maitland mobilization and manipulation techniques including postero-anterior Maitland mobilization for C1-C2, Maitland lateral PA glide for C3-C6 and Maitland thrust manipulation for cervico-thoracic junction. Frequency of mobilization was 2 days a week for 4 weeks. While intensity of mobilization was grade 3 and 4 based on the Maitland concept.13 Time of oscillations was 2 or 3 oscillations in a second for 1 to 2 minutes.
 Other: Maitland's mobilization
Maitland's techniques involve the application of passive and accessory oscillatory movements to spinal and vertebral joints to treat pain and stiffness.It has Five grades
Active Comparator: Control Group
While placebo treatment with conventional physiotherapy (active exercises-10 repetitions in all direction in pain free range, isometrics 5-10 seconds brief but maximum contraction each held for 5-16 seconds for flexors, extensors, side flexors and rotators)14 without gliding, oscillations and thrust were recommended for the control group.The placebo group was treated with baseline treatment including TENS 10 minutes and moist hot packs in sitting position for 15 minutes on cervical region in with head resting on table with a pillow.
 Other: Traditional Physical therapy
BASELINE TREATMENT INCLUDES TENS and Hot PACKS


Outcome Measures
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Primary Outcome Measures :
  1. Visual Analogue Scale [ Time Frame: 2 months ]
    Its a pain rating Scale Scoring between 0-10.O means no pain 10 means worse pain

  2. Neck disability Index [ Time Frame: 2 months ]
    Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'.


Eligibility Criteria
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Ages Eligible for Study:   25 Years to 45 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients age between 25-45 years old,
  • Bilateral pain involving the upper trapezius and elevator muscle of the scapula;
  • Duration of pain of at least 3 months;
  • A pain intensity corresponding to at least 2 cm on a 10 cm visual analogue scale (VAS); -Neck pain with symptoms provoked by either neck postures or neck movement;
  • Pain localized at least in the cervical and occipital regions but not in the orofacial region; --Neck disability index (NDI) greater than or equal to 15 points;
  • Restricted cervical range of movements (flexion, extension, rotation, and side-bending); ---Presence of bilateral MTrPs in upper trapezius and levator scapulae muscles were included in this study.

Exclusion Criteria:

  • A history of traumatic injuries (e.g., contusion, fracture, and whiplash injury);
  • Systemic diseases such as fibromyalgia, systemic erythematous lupus and arthritis;
  • Neurologic disorders (e.g., trigeminal neuralgia or occipital neuralgia);
  • Concomitant medical diagnosis of any primary headache (tension type or migraine);
  • Cervical spine surgery; and clinical diagnosis of cervical radiculopathy or myelopathy
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04660292


Locations
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Pakistan
Riphah IU
Lahore, Pakistan, 54000
Sponsors and Collaborators
Riphah International University
Investigators
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Principal Investigator: Maryam Shabbir, PhD* Riphah International University
Principal Investigator: Naveed Arshad, Mphil Islamabad Medical and Dental College
More Information
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Publications:

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Responsible Party: Maryam Shabbir, Associate Professor, Riphah International University
ClinicalTrials.gov Identifier: NCT04660292    
Other Study ID Numbers: PT-Associate-MARYAM SHABBIR
First Posted: December 9, 2020    Key Record Dates
Last Update Posted: December 9, 2020
Last Verified: December 2020
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Maryam Shabbir, Riphah International University:
Neck Pain
Manual mobilization
Isometric exercise
Triger points
Visual analog scale
Additional relevant MeSH terms:
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Myofascial Pain Syndromes
Fibromyalgia
Neck Pain
Pain
Neurologic Manifestations
 Muscular Diseases
Musculoskeletal Diseases
Rheumatic Diseases
Neuromuscular Diseases
Nervous System Diseases