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CompletedNCT05261945Updated Jun 28, 2022

Effects of Manual Therapy Versus Stretching Exercise Versus Routine Physical Therapy on Work-related Pain, Among Chefs

An interventional study of Routine Physical Therapy and Manual Therapy And 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 2022-06-28.

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

From the registry’s dates

  • Registered 11 months after the study started (first participant enrolled Mar 2021, registered Feb 2022).
Phase
Not applicable
Study type
Interventional
Enrollment
90
Allocation
Randomized
Ages
18 Years to 60 Years
Sex
All
01

Study summary

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

Read the detailed description

A Randomized Control Trail study will be conducted, at Riphah International University Faisalabad after the approval of synopsis. Purposive sampling will be used to enroll the patients. Patients will be selected according to the pre-defined inclusion and exclusion criteria. The patients who will meet the inclusion criteria are allocated into three groups. The patients of group A will receive Routine physical therapy only. Group B will receive manual therapy and routine physical therapy while Group C will receive stretching exercises and routine physical therapy. The outcomes will be measured by the Neck Disability Index, visual analogue scale and bubble inclinometer. The data of patients will be recorded pre-treatment and post-treatment. The comparison between pre-treatment and post-treatment data will be done after 3 months. Informed consent will be taken from each patient. Data entry and analysis will be done with Statistical Package of Social Sciences Version 20 software.

02

Conditions studied

  • Neck Pain

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Keywords

  • Manual Therapy
  • Stretching Exercises
  • Routine Physical Therapy
  • Non Specific Chronic Neck Pain
  • Restaurant Chefs
03

In context

Neck Pain

1,259 studies on the registry are indexed under Neck Pain; 256 are open to participants now.

This study's enrollment of 90 is above the median of 52 across 1,026 interventional studies indexed under Neck Pain.

Browse Neck Pain studies →

Lead sponsor

Riphah International University is the lead sponsor of 2,176 studies on the registry; 637 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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • For at least 3 months, you've been suffering from neck pain
  • Any Neurological problems
  • For the previous three months, the patient has taken some analgesic drug for neck pain.
  • Rheumatological issues
  • Non-specific neck pain
  • Age 18-60 years

Exclusion criteria

Exclusion Criteria:

Neck pain due to,

  • Tumors
  • Ankylosing Spondylitis
  • Fracture
  • Dislocation
  • Cord compression
  • Insufficiency of the vertebrobasilar artery
  • Osteoprosis
  • Anticoagulant or corticosteroid therapy for a long period of time
  • 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
90 participants (actual)

Study arms

  • Experimental
    Routine Physical Therapy

    1. Electrotherapy 2. Exercises. * Electrotherapy Hot pack Patients will be in prone position and for relaxation pillow will place beneath the abdomen. Then to reduce muscle spasm and to induce vasodilation hot pack will use for 15 minutes. Treatment with hot pack helps in improving and relaxing the muscle spasm and soft tissue elasticity. TENS TENS will be of 50 Hz, duration of pulse will be\<150 microseconds, for 15 minutes to reduce pain. TENS and Hot Pack will use at the same time for 15 minutes. Ultrasound Ultrasound's gel will be applied on outer surface of skin with 2-3 mm thickness. Then ultrasound which frequency will be 1MHz applied for 5 min. • Exercises Passive Range of Motion exercises for 10 minutes 1. Neck Flexion 2. Neck Side bending 3. Neck Rotation 4. Isometric neck flexion 5. Isometric neck extension 6. Isometric neck side bending These exercises will repeat 3 times within the treatment program.

    Other: Routine Physical Therapy

  • Experimental
    Manual Therapy And Routine Physical Therapy

    The routine physical therapy will be applied first, in which electrotherapy will applied for 20 mins, TENS and hot pack for 15 mins, ultrasound for 5 mins. Manual therapy Natural Apophyseal Glides The natural apophyseal glides, which will be applied between C2 and C7, will be the Manual Muscle Testings first action. Patients may request to sit and lean on a chair. The oscillatory motions will reapply the mobilization. Sustained Natural Apophyseal Glides Sustained Natural Apophyseal Glides will be a mixture of mobilization and active gestures/movements. 5 repetitions for 10 minutes of each.

    Other: Manual Therapy And Routine Physical Therapy

  • Experimental
    Stretching Exercises And Routine Physical Therapy

    The routine physical therapy will be applied first, in which electrotherapy will applied for 20 minutes, TENS and hot pack is applied for 15 minutes at the same time, then ultrasound will applied for 5 minutes. Stretching exercises will be done in the following order; For trapezius: Stretching into lateral flexion for the upper part, For scalene: rotation and ipsilateral flexion For the extensor muscles: flexion will be performed. Performing each action for 30 seconds with 5 repetitions for 10 minutes Finally, by retruding the jaw, a neck straightening exercise can be performed.

    Other: Stretching Exercises And Routine Physical Therapy

Interventions

  • OtherRoutine Physical Therapy

    Routine Physical Therapy treatment with hot pack, TENS, and ultrasound helps in improving and relaxing the muscle spasm and soft tissue elasticity along pain reduction.

  • OtherManual Therapy And Routine Physical Therapy

    Mulligan is consider one of the most effective technique of mobilization.it is also important treatment for neck pain so that many physiotherapist used mulligan by including several methods such as Natural Apophyseal Glides or Sustained Natural Apophyseal Glides.

  • OtherStretching Exercises And Routine Physical Therapy

    Regular stretching helps increase your range of motion in the joints, improves blood circulation and posture and alleviates muscular tension throughout the body.

06

What researchers measure

Primary outcomes

  1. Visual analog scale

    A 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.

    Time frame: 12th Week

  2. Neck disability index

    The Neck Disability Index is a 10-item questionnaire that measures a patient's self-reported neck pain related disability. A higher Neck Disability Index score means the greater a patient's perceived disability due to neck pain

    Time frame: 12th Week

  3. Bubble inclinometer

    The Bubble Inclinometer precisely measures, tests and evaluates the ranges of motion of neck. While using, place the Inclinometer near the joint to be measured.

    Time frame: 12th Week

07

Study locations

1 site
  • Ripah International University
    Faisalabad, Punjab Province 38000, Pakistan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Mar 2021 to primary completion in Mar 2022, 12 months.

Of 690 non-industry interventional studies with no phase under Neck Pain, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 15. This study's 12 months is above that.

Counting every sponsor, half of 698 studies reached it within 7 months; a quarter within 3 and three quarters within 15.

How these figures are worked out, and which studies are left out of them.

Registered
Feb 20, 2022
First posted
Mar 2, 2022
StartActual
Mar 1, 2021
Primary completionActual
Mar 25, 2022
CompletionActual
Mar 31, 2022
Last update
Jun 28, 2022
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 28, 2022, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT05261945
Responsible party
Sponsor
First posted
Mar 2, 2022
Start date
Mar 1, 2021
Primary completion
Mar 25, 2022
Completion
Mar 31, 2022
Last update
Jun 28, 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 Jun 2022. You cannot join it, but the record below documents what was studied.

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