An interventional study of instrument-assisted soft tissue mobilization and Muscle energy technique in CHRONIC NON-SPECIFIC NECK PAIN, sponsored by Cairo University. Not yet recruiting at 1 site in Egypt. Open to participants aged 18 Years to 35 Years. Per ClinicalTrials.gov, last updated 2025-01-29.
Sponsored by Cairo University · Not applicable, Interventional, and Treatment
the aim of this study is to investigate if there is any difference between INSTRUMENT-ASSISTED SOFT TISSUE MOBILIZATION and Muscle Energy Technique over sternocleidomastoid on Neck pain, Range of motion and Functional disability in patients with Chronic Non-specific Neck Pain
Non-specific neck pain (NSNP) is the most common and the 4th leading cause of musculoskeletal disorder worldwide. It is estimated that about 70% of the population experiences neck pain throughout life, with an annual incidence of 15% to 50%0. It is seen more commonly in middle-aged females. It has been well established that NSNP is not only the risk factor for developing severe spinal pathologies and functional disability but that it is also associated with decreasing the quality of life and productivity of workers. Pain, which leads to functional limitations especially in the cervical region, is associated with a decrease in the activation of the deep cervical flexors such as the longus colli and longus capitis muscles, and an increase in the activation of the superficial cervical flexors, such as SCM and anterior scalene muscles.It is reported that in individuals with CNP, there is an increase in the activation of SCM and anterior scalene muscles, especially during isometric cervical flexion and dynamic upper limb movements. In their study, Falla et al. concluded that individuals with unilateral CNP had muscle fatigue in their ipsilateral SCM and anterior scalene muscles. Wang et al. reported postural imbalance in individuals with CNP due to an increased activation and tightening of the suboccipital, SCM, upper trapezius, pectoralis, and rotator cuff muscles. A study by Mostafa et al., (2021) stated that IASTM has a favorable effect than conventional treatment in reduction mechanical neck pain, improvement cervical range of motion \&activity of daily living.
A Systematic Review by Sbardella et al., (2021) stated that all the studies analyzed show an effective improvement in the outcomes of pain, disability and joint function, which leads us to say that Muscle Energy Technique (MET) is certainly an effective and safe technique in the treatment of cervical pain.
this trail has three groups; one will receive IASTM+ conventional, the second will receive Muscle energy technique+ conventional and the third one will receive conventional treatment for four weeks
1,232 studies on the registry are indexed under Neck Pain; 255 are open to participants now.
This study's planned enrollment of 60 is above the median of 52 across 1,004 interventional studies indexed under Neck Pain.
Browse Neck Pain studies →Cairo University is the lead sponsor of 4,780 studies on the registry; 1,427 are open to participants now.
Of its 36 completed or terminated interventional studies of FDA-regulated products, 5 (14%) have results posted.
Counted across the registry records on this site, refreshed daily.
Exclusion Criteria:
the patients will receive instrument-assisted soft tissue mobilization twice a week for four weeks over sternocleidomastoid muscle bilaterally utilizing an M2T blade. The subject lay comfortably in supine position on a treatment table. After using alcohol swabs to clean the patient's skin and the blade, a lubricant (Vaseline) will be applied, and a sweeping technique will be utilized to administer a thorough yet comfortable soft tissue mobilization on the sternocleidomastoid from origin to insertion for roughly 3 minutes. conventional therapy the patients will receive hot back for 15 minutes, neck range of motion (ROM), chin tuck, stretches and strengthen exercise.
Other: instrument-assisted soft tissue mobilization · Other: Muscle energy technique
the patients will receive post-isometric muscle relaxation(PIR) treatment for the sternocleidomastoid muscle, it will be applied from supine lying position with the head free from the plinth and held by the therapist's hand, the therapist placed one hand opposite the side of involvement muscle , The other hand is placed on the involved side of muscle . The patient pushed upward against the therapist's thumb on the forehead and looked up, then the patient will be asked to stop pushing and look down. After relaxation therapist will stretch the muscle for 30 seconds. This will be repeated 3 times bilaterally for 3 sessions per week for four weeks. conventional therapy the patients will receive hot back for 15 minutes, neck range of motion, chin tuck, stretches and strengthen exercise.
Other: instrument-assisted soft tissue mobilization · Other: Muscle energy technique
the patients will receive conventional therapy three times a week for four weeks conventional therapy the patients will receive hot back for 15 minutes, neck range of motion (ROM), chin tuck, stretches and strengthen exercise.
Other: instrument-assisted soft tissue mobilization · Other: Muscle energy technique
instrument-assisted soft tissue mobilization
Also known as: IASTM
Muscle energy technique
pain intensity
the scale that will be used is VAS ; each subject will be instructed to put point on line from no pain to tolerable pain
Time frame: up to four weeks
neck range of motion
will be measured by cervical range of motion device (CROM)
Time frame: up to four weeks
neck disability
will be measured by Arabic version of neck disability index
Time frame: up to four weeks
This study is not yet recruiting, as verified in Jan 2025. You cannot join it, but the record below documents what was studied.
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Cairo University