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The goal of this clinical trial is to compare between applying deep dry needling and muscle energy technique in chronic non-specific neck pain patients. Researchers will compare between deep dry needling group, muscle energy technique group and control group to see if there are change in pain, range of motion or function.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | In addition to Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors), patients received deep dry needling on active trigger points in selected muscles (upper trapezius, levator scapulae, and sternocleidomastoid ), 3 sessions/week, for 4 weeks period. |
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| Group B | Active Comparator | In addition to Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors), patients received muscle energy technique (post isometric relaxation) in selected muscles (upper trapezius, levator scapulae, and sternocleidomastoid ), 3 sessions/week, for 4 weeks period. |
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| Group C | Placebo Comparator | Patients receive Transcutaneous Electrical Nerve Stimulation (TENS) (typical,100 Hz, 20 mins), Infrared (7 mins), and Exercises (Cervical Stability Exercises through activation of deep neck flexors) , 3 sessions/week, for 4 weeks period. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Deep dry needling | Procedure | Method to decrease pain and improve function in musculoskeletal disorders. |
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| Measure | Description | Time Frame |
|---|---|---|
| Change in pain intensity from baseline to 4 weeks after. | Visual Analogue scale (VAS)
| at baseline and after 4 weeks from the baseline. |
| Change in function from baseline to 4 weeks after. | The Neck Disability Index (NDI) The NDI questionnaire (scored out of 50) was used to measure the patient's perceived disability resulting from their neck pain. The score for each section was from 0 to 5, with 0 represented the highest level of function and 5 represented the lowest level of function. Total NDI scores were shown as a percentage. A high score corresponded to a higher degree of disability.
| at baseline and after 4 weeks from the baseline. |
| Change in cervical range of motion (ROM) in sagittal, coronal and transverse planes from baseline to 4 weeks after. | AcuAngle® Inclinometer: (Baseline® AcuAngle Inclinometer; Elmsford, NY, U.S. PAT 2194335, 2-D Functions) | at baseline and after 4 weeks from the baseline. |
| Change in pain threshold from baseline to 4 weeks after. | Pain Pressure Algometer: (BASELINE 22-POUND DOLORIMETER). | at baseline and after 4 weeks from the baseline. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Haneen M. Ghalwash | Delta University for Science and Technology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Delta University for science and technology. | Al Mansurah | Egypt |
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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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| Muscle energy technique | Procedure | Method to decrease pain and improve function in musculoskeletal disorders. |
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| Neck stability exercise | Procedure | Method to decrease pain and improve function in musculoskeletal disorders. |
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