Chronic Mechanical Neck PainNCT05557747
Cervicothoracic Junction Mobilization Versus Muscle Energy Technique in Chronic Neck Pain
A study testing cervicothoracic junction mobilization in form of Maitland mobilization, autogenic muscle Energy Technique and conventional physical therapy in people with Chronic Mechanical Neck Pain, run by Cairo University at 1 site in Egypt.
Trial summary
This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility. Read more about this study
- Who is it for?
- Ages 18 to 45 years
- Conditions the study is for
- Chronic Mechanical Neck Pain
- What is being tested?
- cervicothoracic junction mobilization in form of Maitland mobilization, autogenic muscle Energy Technique and conventional physical therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 1 siteEgypt
- Study dates
- 1 Nov 2022to 30 Jul 2023
- 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 18 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
- Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
- patients with age range from 18 to 45 years old.
- patients with body mass index less than 30 kg/m2.
Who cannot join
- previous spine surgery
- pregnancy.
- Diabetic patients
- Hypertensive patients
- Patients were excluded if neck pain was associated with cervical radiculopathy
- whiplash injuries or severe headaches
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- cervical spine fracture
- vertebro-basilar insufficiency.
- red flags suggesting of cancer, infection, vascular insufficiency
- Rheumatologic condition as mild systemic lupus erythematosus, poly-articular osteoarthritis, rheumatoid arthritis and advanced cervical spine degenerative diseases.
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Cervicothoracic Junction Mobilization Versus Autogenic Muscle Energy Technique in Patients With Chronic Mechanical Neck Pain
This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.
- Conditions
- Chronic Mechanical Neck Pain
- Being tested
- cervicothoracic junction mobilization in form of Maitland mobilization, autogenic muscle Energy Technique, conventional physical therapy
- Keywords
- chronic mechanical neck pain, cervicothoracic junction mobilization, autogenic muscle energy technique, cervicothoracic junction hypomobility
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
cervicothoracic junction mobilization in form of Maitland mobilizationOther
Group A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods.
autogenic muscle Energy TechniqueOther
the technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle.
The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold
conventional physical therapyOther
conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods
| Study group | Role | What they receive |
|---|---|---|
| Group A:cervicothoracic junction mobilization | Experimental | Group A: patients will receive cervicothoracic junction mobilization and conventional physical therapy program for 3 sessions/week over 4 weeks periods Receives: Other: cervicothoracic junction mobilization in form of Maitland mobilization; Other: conventional physical therapy |
| Group B:autogenic muscle Energy Technique | Experimental | Group B: will receive autogenic muscle Energy Technique and conventional physical therapy program for 3 sessions/week over 4 weeks periods. Receives: Other: autogenic muscle Energy Technique; Other: conventional physical therapy |
| Group C:conventional physical therapy | Active comparator | Group C: will receive conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods. Receives: Other: conventional physical therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
change in neck pain
change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment
Measured: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure
Secondary outcomes (1)
cervical ROM and cervical prorprioception
cervical ROM and cervical prorprioception will be measured by cervical ROM device pre treatment and post treatment
Measured: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Sep 2022
- Study start1 Nov 2022
- Primary completion30 Jul 2023
- Study completion30 Jul 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Mechanical Neck PainStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- Model description
- 1. mobilization and conventional physical therapy 2. autogenic muscle Energy Technique and conventional physical therapy 3. conventional physical therapy only
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Hoda Ibrahim Abbas Mousa, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05557747
- Sponsor's protocol ID
- P.T.REC/012/003839
- Status last verified
- Aug 2023
- First submitted
- 24 Sep 2022
- Last updated
- 28 Aug 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 28 Aug 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Cervicothoracic Junction Mobilization Versus Autogenic Muscle Energy Technique in Patients With Chronic Mechanical Neck Pain
- ClinicalTrials.gov ID
- NCT05557747
- Acronym / sponsor ID
- P.T.REC/012/003839
- Conditions
- Chronic Mechanical Neck Pain
- Keywords
- chronic mechanical neck pain, cervicothoracic junction mobilization, autogenic muscle energy technique, cervicothoracic junction hypomobility
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 1 Nov 2022 (actual)
- Primary completion
- 30 Jul 2023 (actual)
- Study completion
- 30 Jul 2023 (actual)
- First posted
- 28 Sep 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will be conducted to identify the difference between the effect of of cervicothoracic junction mobilization and autogenic Muscle Energy Technique. on neck pain, cervical range of motion, cervical proprioception and neck disability in mechanical neck pain patients with cervicothoracic junction hypomobility.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
- Model description
- 1. mobilization and conventional physical therapy 2. autogenic muscle Energy Technique and conventional physical therapy 3. conventional physical therapy only
| Arm | Type | Receives |
|---|---|---|
| Group A:cervicothoracic junction mobilization | Experimental | Other: cervicothoracic junction mobilization in form of Maitland mobilization, Other: conventional physical therapyGroup A: patients will receive cervicothoracic junction mobilization and conventional physical therapy program for 3 sessions/week over 4 weeks periods |
| Group B:autogenic muscle Energy Technique | Experimental | Other: autogenic muscle Energy Technique, Other: conventional physical therapyGroup B: will receive autogenic muscle Energy Technique and conventional physical therapy program for 3 sessions/week over 4 weeks periods. |
| Group C:conventional physical therapy | Active comparator | Other: conventional physical therapyGroup C: will receive conventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods. |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- Patients with a primary complaint of chronic neck pain (assessed by VAS )for more than 3 months
- Subjects with pain provocation and reduced mobility at the CT junction segment (assessed by passive accessory intervertebral movements (PAIVMs) and reduced mobility at cervical spine (assessed by CROM device.
- patients with age range from 18 to 45 years old.
- patients with body mass index less than 30 kg/m2.
Key exclusion criteria (10 listed)
- previous spine surgery
- pregnancy.
- Diabetic patients
- Hypertensive patients
- Patients were excluded if neck pain was associated with cervical radiculopathy
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| cervicothoracic junction mobilization in form of Maitland mobilizationGroup A: will receive cervicothoracic junction mobilization mobilization in form of Maitland mobilization to the C7-T1 level, according to their primary movement restriction (for flexion-extension restriction- central PA glide, for rotation restrictions (unilateral PA glide) for 3 sessions/week over 4 weeks periods. | Other | Group A:cervicothoracic junction mobilization |
| autogenic muscle Energy Techniquethe technique will applied to neck muscles that are prone to get short including anterior, middle and posterior Scaleni, Sternocleidomastoid, Levator Scapulae and upper fibers of the Trapezius muscle. The AI MET group will given 3-5 repetitions of post isometric relaxation (PIR) (30-50% isometric contraction of the muscle to be stretched for 7-10 seconds, followed by rest period of 5 seconds and then a stretch of 10-60 seconds hold | Other | Group B:autogenic muscle Energy Technique |
| conventional physical therapyconventional physical therapy only in form of: (superficial heat using hot pack for 10 minutes , Isometric Neck Exercises and Dynamic Neck Exercises)) for 3 sessions/week over 4 weeks periods | Other | Group A:cervicothoracic junction mobilization, Group B:autogenic muscle Energy Technique, Group C:conventional physical therapy |
Primary outcome
change in neck pain
Time frame: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure
change in neck pain will be measured by Visual analog scale for the 3 groups pre- and post treatment
1 secondary outcome
cervical ROM and cervical prorprioception
Time frame: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Aug 2023.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing cervicothoracic junction mobilization in form of Maitland mobilization, autogenic muscle Energy Technique and conventional physical therapy in people with Chronic Mechanical Neck Pain, run by Cairo University at 1 site in Egypt.
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 4 inclusion and 10 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 28 Aug 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Egypt. 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?
change in neck pain (time frame: Evaluation Will be performed prior to the first treatment session; as a baseline measure, and at last treatment session(after 4 weeks) as a post-treatment measure). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 28 Aug 2023.