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CompletedNCT04913441Updated Jan 11, 2022

Manual Therapy vs Stretching vs Routine Physical Therapy in Nonspecific Chronic Neck Pain

An interventional study of Routine physical therapy and Manual physical therapy with routine physical therapy in Neck Pain, sponsored by Riphah International University. Completed at 1 site in Pakistan. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2022-01-11.

Sponsored by Riphah International University · Not applicable, Interventional, and Treatment

Phase
Not applicable
Study type
Interventional
Enrollment
102
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

The aim of this study is to analyze the effect of Mulligan technique vs stretching techniques and vs routine physical therapy on pain ,range of motion(ROM) and functional disability among restaurant chefs with non-specific chronic pain.

Read the detailed description

Neck pain (NP) is one of the basic musculoskeletal issues. Neck pain can be due to stress about the musculoskeletal framework because of postural problems and may be related with different causes, such as: - Intervertebral disc herniation, -nerve compression -fracture.

Nonspecific neck pain is a pain located in the lateral and posterior neck that does not show pathognomonic signs and symptoms. When the duration of symptoms is greater than 12 weeks of evolution, it acquires the value of chronicity, being denominated non-specific chronic neck pain (NCNP). It is a common disorder, which generates a great impact and socio-economic cost .

In this study we evaluate the comparison of manual physical therapy vs routine physical therapy vs stretching physical therapy effects among restaurants chefs having non-specific chronic pain.

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Conditions studied

  • Neck Pain

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Keywords

  • Neck pain
  • Manual therapy
  • Stretching exercises
  • Physical Therapy
03

In context

Neck Pain

1,232 studies on the registry are indexed under Neck Pain; 255 are open to participants now.

This study's enrollment of 102 is above the median of 52 across 1,004 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,133 studies on the registry; 633 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Neck pain for atleast 3 months having no :

    • Neurological Problem
    • Rheumatological Problem
    • Patient had taken any analgesic medication for neck pain for last 3 months.
    • Non specific neck pain
    • Age 18-60 years

Exclusion criteria

Exclusion Criteria:

  • Neck pain due to,

    • Tumors
    • Ankylosings Spondylitis
    • Fracture
    • Dislocation
    • Presence of cord compression
    • Vertebrobasilar artery insufficiency
    • Osteoprosis OR Osteopenia
    • Long term use of anticoagulant or corticosteroid drugs
    • Pain due to any congenital deformity, inflammation or any infection
    • Carcinoma
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Double (Participant, Outcomes assessor)
Enrollment
102 participants (actual)

Study arms

  • Experimental
    Routine physical therapy

    Patients in this group will get every session of 30 min 3 times per week on alternative days for 12 weeks 1. TENS and hot pack for 15 minutes 2. Ultra sound for 5 minutes 3. ROM exercises repeats 5 times for 10 minutes

    Other: Routine physical therapy

  • Experimental
    Manual physical therapy with routine physical therapy

    Patients in group B will get every session 30 minutes 3 times per week on alternative days 1. TENS and hot pack for 15 minutes 2. Ultra sound for 5 minutes 3. Mulligan technique (NAGS and SNAGS) will repeats 5 times for 10 minutes

    Other: Manual physical therapy with routine physical therapy

  • Experimental
    Stretching physical therapy with routine physical therapy

    Patients in this group will get every session 30 minutes 3 times per week on alternative days 1. TENS and hot pack for 15 minutes 2. Ultra sound for 5 minutes 3. Stretching exercises repeats 5 times for 10 minutes

    Other: Stretching physical therapy with routine physical therapy

Interventions

  • OtherRoutine physical therapy

    Patients in this group will get every session routine physical therapy of 30 minutes 3 times per week on alternative days for 12 weeks

    Also known as: Rehabilitation following Routine physical therapy

  • OtherManual physical therapy with routine physical therapy

    Patients in this group will get every session Manual physical therapy with routine physical therapy of 40 to 45 minutes 3 times per week on alternative days for 12 weeks

    Also known as: Rehabilitation following Manual physical therapy with routine physical therapy

  • OtherStretching physical therapy with routine physical therapy

    Patients in this group will get every session of Stretching physical therapy with routine physical therapy of 40 to 45 minutes 3 times per week on alternative days for 12 weeks

    Also known as: Rehabilitation following Stretching physical therapy with routine physical therapy

06

What researchers measure

Primary outcomes

  1. Visual Analog scale (VAS)

    Visual Analogue Scale is a measurement instrument that tries to measure a characteristic or attitude that is believed to range across a continuum of values and cannot easily be directly measured. It is often used in epidemiologic and clinical research to measure the intensity or frequency of various symptoms. The visual analog scale (VAS) is a validated, subjective measure for acute and chronic pain. Scores are recorded by making a handwritten mark on a 10-cm line that represents a continuum between "no pain" and "worst pain

    Time frame: 3 months

  2. Bubble inclinometer

    Baseline's Bubble Inclinometer is a simple to use device for measuring range of motion in patients. The inclinometer can be used to measure range of motion in the neck, the hip, the elbow, the knee, the shoulder, the spine, the ankle, the wrist, and the MCP joint

    Time frame: 3 months

Secondary outcomes

  1. Neck disability Index (NDI)

    This questionnaire has been designed to give us information as to how your neck pain has affected your ability to manage in everyday life.The NDI can be scored as a raw score or doubled and expressed as a percent. Each section is scored on a 0 to 5 rating scale, in which zero means 'No pain' and 5 means 'Worst imaginable pain'. Points summed to a total score.

    Time frame: 3 months

07

Study locations

1 site
  • Ripah International University
    Faisalabad, Punjab Pakistan 3800, Pakistan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 11, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04913441
Lead sponsor
Riphah International University
Responsible party
Sponsor
First posted
Jun 4, 2021
Start date
Mar 1, 2021
Primary completion
Sep 12, 2021
Completion
Sep 12, 2021
Last update
Jan 11, 2022

Study contacts

Muhammad Kashif
study chair · Riphah International University

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jan 2022. You cannot join it, but the record below documents what was studied.

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