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Neck PainNCT04852913

Bowen's Technique In Postural Neck Pain Among Dentist

A study testing Bowen's Technique and Convention Physical Therapy in people with Neck Pain, run by Riphah International University at 4 sites in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

No previous randomized control trial has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck Neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on Neck pain. Read more about this study

Who is it for?
Ages 25 to 50 years
Conditions the study is for
Neck Pain
What is being tested?
Bowen's Technique and Convention Physical Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
58 participants
Where
4 sitesPakistan
Study dates
17 Oct 2020to 10 Jul 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 25 to 50 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • Both male and females
  • Age between 25-50 years. ( House officers and Assistant professor)
  • Working hours >5 hours.
  • History of cervical pain >2 months.
  • Year of practice =<1 year
  • Treated more than 5 patient a day

Who cannot join

  • Cervical fracture
  • Cervical radiculopathy
  • Any surgery to neck and shoulder
  • Rheumatoid arthritis
  • Sever pain according to Numeric pain rating scale (NPRS)
  • Long term anticoagulant or corticosteroid therapy

Trial locations and contacts

4 sites in 1 country.

Pakistan4 sites

  • Bakhtawar Amin Physiotherapy and Rehabilitation Center

    Multan Khurd, Punjab Province

  • Ibn e Sina hospital

    Multan Khurd, Punjab Province

  • Nishtar Medical Hospital

    Multan Khurd, Punjab Province

  • Salma Medical Center

    Multan Khurd, Punjab Province

Other trials in Pakistan

About this study

Official title: Effects of Bowen's Technique In Postural Neck Pain Among Dentist

No previous randomized control trial has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck Neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on Neck pain. Thus, this study aims to answer the question: bowmen's technique is effective for improving Neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Read the detailed description

Bowen technique may be used for relaxation of tightening muscles in poor posture. The findings suggest that Bowen Therapy has inconsistent immediate effects on postural control and pain threshold in healthy subjects. Further studies are needed using symptomatic participants. No previous randomized control trial, to our knowledge, has investigated the effectiveness of Bowen's technique on health status in dentists suffering from postural neck pain. Moreover, there is limited evidence and low agreement regarding the effect of Bowen's therapy on neck pain. Thus, this study aims to answer the question: Bowen's technique is effective for improving neck pain dentists' function by reducing pain, and disability, and improving posture, and health status, without need for ergonomic alternation?"

Conditions
Neck Pain
Being tested
Bowen's Technique, Convention Physical Therapy
Keywords
Pain, Dentist, Neck, Bowen technique
Medical subject headings
Neck Pain, Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Bowen's TechniqueOther

    The thumb of the therapist was placed on the top of the targeted muscle (upper trapezius, levator scapulae, tight pectoralis and sternocleidomastoid, longissimus capitis, splenius capitis cervical multifidus). The skin was carried away gently from the spine without disturbing the muscle. The thumb was then hooked into the lateral aspect of the muscle to form a pressure on the muscle. Then the thumb was flattened in the medial direction, when this happened the muscle would plop or 15 respond in some way. Heating pad + TENS will be given The session lasted for 20 minutes 3sessions/week for 6th week

  • Convention Physical TherapyOther

    Myofascial Release + Active Range of Motion Deep transverse friction was given for 10 minutes followed by myofascial stretching of muscle for 3 times, each holding for 90 seconds. Then myofascial release was given using ulnar border of both palms of the therapist.

    Active range of motion exercises will be given 10 reps with 5 seconds hold. Heating pad + Transcutaneous Electrical Nerve Stimulator (TENS) will be given The session lasted for 20 minutes 3sessions/week for 6th week

Study groups in NCT04852913
Study groupRoleWhat they receive
Bowen's TechniqueExperimentalBowen's Technique The session lasted for 20 minutes, 3 sessions/week 6th week
Receives: Other: Bowen's Technique
Conventional Physical TherapyActive comparatorConventional Physical Therapy with myofascial release The session lasted for 20 minutes, 3 sessions/week 6th week
Receives: Other: Convention Physical Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Modified Goniometer

    Modified goniometer can be used to measure craniovertebral angle which is helpful to assess the level of postural disability like forward head posture. It provides an estimation of head on neck angle and position of upper cervical spine.

    Measured: 6th week

  2. Numerical Rating Scale

    In a Numerical Rating Scale (NRS), patients circle the number between 0 and 10, 0 and 20 or 0 and 100 according to their pain intensity. It is numeric version of visual analog scale.

    Measured: 6th week

  3. Neck Disability Index

    This is a standard instrument for measuring disability due to neck pain and it's a self-reported questionnaire. Each of the 10 items is scored from 0 - 5. The maximum score is therefore 50. The obtained score can be multiplied by 2 to produce a percentage score.

    Measured: 6th week

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Apr 2021
  2. Study start17 Oct 2020
  3. Primary completion15 Jun 2021
  4. Study completion10 Jul 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Double blind
Who is masked
Participant, Investigator
Enrolment
58 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04852913
Sponsor's protocol ID
REC/00857 Nida Aslam
Status last verified
Aug 2021
First submitted
20 Apr 2021
Last updated
6 Aug 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Dalal P, Kage V. Comparison Of Ischaemic Compression, Myofascial Release And BowenS Technique In Non Specific Neck Pain-A Randomized Clinical Trial. Indian Journal of Applied Research. 2020;10(1).

  • Nitsure P, Kothari N. THE EFFECTIVENESS OF BOWEN TECHNIQUE AS AN ADJUNCT TO CONVENTIONAL PHYSIOTHERAPY ON PAIN AND FUNCTIONAL OUTCOMES IN SUBJECT WITH ACUTE TRAPEZITIS-A PILOT STUDY. Romanian Journal of Physical Therapy/Revista Romana de Kinetoterapie. 2015;21(36).

  • Al Wazzan KA, Almas K, Al Shethri SE, Al-Qahtani MQ. Back & neck problems among dentists and dental auxiliaries. J Contemp Dent Pract. 2001 Aug 15;2(3):17-30.

    PubMed 12167924

  • Gupta BD, Aggarwal S, Gupta B, Gupta M, Gupta N. Effect of Deep Cervical Flexor Training vs. Conventional Isometric Training on Forward Head Posture, Pain, Neck Disability Index In Dentists Suffering from Chronic Neck Pain. J Clin Diagn Res. 2013 Oct;7(10):2261-4. doi: 10.7860/JCDR/2013/6072.3487. Epub 2013 Oct 5.

    PubMed 24298492

  • Abiodun-Solanke IM, Agbaje JO, Ajayi DM, Arotiba JT. Prevalence of neck and back pain among dentists and dental auxiliaries in South-western Nigeria. Afr J Med Med Sci. 2010 Jun;39(2):137-42.

    PubMed 21117410

  • Letafatkar A, Rabiei P, Alamooti G, Bertozzi L, Farivar N, Afshari M. Effect of therapeutic exercise routine on pain, disability, posture, and health status in dentists with chronic neck pain: a randomized controlled trial. Int Arch Occup Environ Health. 2020 Apr;93(3):281-290. doi: 10.1007/s00420-019-01480-x. Epub 2019 Oct 25.

    PubMed 31654125

  • Pargali N, Jowkar N. Prevalence of musculoskeletal pain among dentists in Shiraz, Southern Iran. Int J Occup Environ Med. 2010 Apr;1(2):69-74.

    PubMed 23022788

Questions about this trial

What is this clinical trial studying?

A study testing Bowen's Technique and Convention Physical Therapy in people with Neck Pain, run by Riphah International University at 4 sites in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 6 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 6 Aug 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 4 sites in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Modified Goniometer (time frame: 6th week). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04852913, which also lists 7 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 6 Aug 2021.

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