An interventional study of Group A (Control Group - Static Stretching + Standard Treatment) and Group B (Autogenic Inhibition - PIR + Standard treatment) in Neck Pain, sponsored by Foundation University Islamabad. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 70 Years, including healthy volunteers. Per ClinicalTrials.gov, last updated 2018-02-08.
Sponsored by Foundation University Islamabad · Not applicable, Interventional, and Treatment
Neck pain is among the most common musculoskeletal disorders worldwide and is an important public health issue in terms of personal wellbeing. Prevalence of neck pain show excessive variations, with a point prevalence varying between 6% and 22%, and one year prevalence ranging between 1.5-75%. Neck pain like all other mechanical disorders leads to pain, disability and decreased range of motion (ROM). Stretching is a very common exercise performed by sportsmen, elderly, in physical therapy and rehabilitation patients, thus practiced in all sorts of fitness programs. The major types of stretching included in the literature are static, dynamic and pre-contraction stretching; of which static stretching is the conventional type of stretching. The different types of pre-contraction stretching include Proprioceptive Neuromuscular Facilitation (PNF) stretching, Post Isometric Relaxation (PIR), Post Facilitation stretch (PFS) and Active Isolated Stretch (AIS). Pre-contraction stretching is also considered a part of Muscle Energy Technique (MET). Recently MET and pre-contraction stretching have been shown to have significant superiority over conventional stretching in management of mechanical neck pain, but the evidence is currently lacking regarding which of the two pre-contraction stretching protocols, namely autogenic and reciprocal inhibition is more effective than the other. A RCT will be conducted in order to find and compare the effectiveness of conventional stretching and pre-contraction stretching (autogenic inhibition and reciprocal inhibition). One Control group (conventional group) and two Experimental groups (Experimental Group A - Autogenic Inhibition \& Experimental Group B - Reciprocal Inhibition) will be formed. The participants will be recruited in the study if they meet the inclusion criteria using consecutive sampling from Fauji Foundation Hospital and randomized into the three respective groups. All the groups will receive the gold standard treatment for chronic neck pain including mobilization and modalities. In addition to the gold standard treatment the participants will receive specific stretching protocol based on their interventional group
1,231 studies on the registry are indexed under Neck Pain; 254 are open to participants now.
This study's enrollment of 78 is above the median of 52 across 1,004 interventional studies indexed under Neck Pain.
Browse Neck Pain studies →Foundation University Islamabad is the lead sponsor of 238 studies on the registry; 128 are open to participants now.
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Exclusion Criteria:
(Control Group - Static Stretching + Standard Treatment)
Other: Group A (Control Group - Static Stretching + Standard Treatment)
(Autogenic Inhibition - PIR + Standard treatment)
Other: Group B (Autogenic Inhibition - PIR + Standard treatment)
(Reciprocal Inhibition - RI + Standard treatment)
Other: Group C (Reciprocal Inhibition - RI + Standard treatment)
o Conventional Gold Standard treatment (Manual Therapy + Modalities) Conventional Static Stretching 15-30 seconds hold 3-5 repetitions (Page P, 2012) for Ant/Middle/Posterior Scaleni, Sternocleidomastoid, Levator Scapulae and Upper Trapezius Muscles.
o Conventional Gold Standard treatment (Manual Therapy + Modalities) Post Isometric Relaxation MET (3-5 reps) for Ant/Middle/Posterior Scaleni, Sternocleidomastoid, Levator Scapulae and Upper Trapezius Muscles. (Chaitow L, 2006)
o Conventional Gold Standard treatment (Manual Therapy + Modalities) Reciprocal Inhibition MET (3-5 reps) for Ant/Middle/Posterior Scaleni, Sternocleidomastoid,Levator Scapulae and Upper Trapezius Muscles (Chaitow L, 2006)
Pain (Numeric Pain Rating Scale) - Change is being assessed
To measure the pre and post patient's perception of pain
Time frame: Pre-treatment (First day before treatment), Immediate Follow Up (After 1st treatment session) & Follow Up (After 5 days of Treatment)
Cervical Range of Motion (CROM) - Change is being assessed
To measure patient's improvement in cervical range of motion
Time frame: Pre-treatment (First day before treatment), Immediate Follow Up (After 1st treatment session) & Follow Up (After 5 days of Treatment)
Neck Disability Index (NDI) - Change is being assessed
to measure patient's pre and post functional disability
Time frame: Pre-treatment (First day before treatment), Immediate Follow Up (After 1st treatment session) & Follow Up (After 5 days of Treatment)
Cervical Isometric Muscle Strength (Modified Sphygmomanometer dynamometry) - Change is being assessed
To measure patient's improvement in Isometric Muscle Strength
Time frame: Pre-treatment (First day before treatment), Immediate Follow Up (After 1st treatment session) & Follow Up (After 5 days of Treatment)
Plan to share: No
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This study is completed, as verified in Dec 2017. You cannot join it, but the record below documents what was studied.
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Foundation University Islamabad