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This study will be a randomized control trial and will be conducted in Polyclinic Hospital Islamabad & Rawal Dental and General Hospital Rawalpindi. A sample of 62 participants will be taken. Patients will be divided into two equal groups of 31 participants in each group, group Randomization will be done through flip coin method. Patients in group A will receive Maitland's antero-posterior Mobilization, while Patients in group B will receive Maitland's lateral mobilizations. 4 sessions of treatment will be given for 2 weeks with interval of 3 days, 4 days and 7 days between 1st & 2nd session, 2nd & 3rd session and 3rd & 4th session, respectively. The outcome measures will be OMRON Automatic Blood Pressure Monitor, Numeric pain rating scale(NPRS) and Global Rating of Change questionare will be measured at baseline and at the end of 4th session. Data will be analyzed by SPSS 25.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION | Experimental | Patients in this group will receive Maitland's Antero-Posterior Mobilization. |
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| MAITLAND'S LATERAL MOBILIZATION | Experimental | Patients in this group will receive Maitland's Lateral Mobilization. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION | Other | Group A will receive the 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set (total 75 oscillations) for AP mobilizations at most symptomatic segment, with 10 seconds rest between sets. Most symptomatic segment is that segment of cervical spine at which patient will feel greatest pain by palpation. For AP mobilizations, patient will lye supine and therapist will stand by his head. Therapist will make broad contact with the thumb, at the costal process of the vertebrae to be mobilized and spread fingers around adjacent neck for stability. Shoulder will be positioned above the joint being treated. Gentle oscillatory Anteroposterior pressure will be performed by the therapist's arm and trunk. |
| Measure | Description | Time Frame |
|---|---|---|
| OMRON Automatic Blood Pressure Monitor | The Omron is an automatic digital device for professional blood pressure measurement at the upper arm level. It measures BP range of 0-299 mmHg | 2 Weeks |
| OMRON Automatic heart rate Monitor | The Omron is an automatic digital device for professional heart rate range of 40 -180 beats/min | 2 Weeks |
| Numeric Pain Rating Scale (NPRS) | It is a tool used for measuring intensity of pain. Patient select numeric from (0-10) that reflects his/her pain intensity. The reliability of tool is ICC = 0.67; [0.27 to 0.84]) | 2 Weeks |
| Global Rating of Change (GROC) | It is a scale commonly used in clinical research, particularly in the musculoskseletal area to measure a patient's improvement or deterioration over time, to determine the effect of an intervention . | 2 Weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Waqar Ahmed Awan, PhD | Contact | +92-3335348846 | waqar.ahmed@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Waqar Ahmed Awan, PhD | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rawal General Hospital Rawalpindi | Recruiting | Rawalpindi | Punjab Province | 44000 | Pakistan |
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| ID | Term |
|---|---|
| D019547 | Neck Pain |
| ID | Term |
|---|---|
| D010146 | Pain |
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| MAITLAND'S LATERAL MOBILIZATION | Other | Group B will receive the same sets (i.e. 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set) for lateral mobilizations at most symptomatic segment, with 10 sec rest between each set. For lateral mobilization, patient will lye supine and therapist will stand by his head. Therapist will place the anterolateral aspect 2nd metacarpophalangeal joint over the lateral aspect of transverse process of most symptomatic segment. Gentle lateral oscillations towards the asymptomatic side will be provided by the therapist. |
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