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This trial will involve three groups. The Integrated Neuromuscular Inhibition group will receive the integrated neuromuscular inhibition technique. The cervical and Scapular stabilization group will receive cervical and scapular stabilization exercises. The ultrasound group will receive ultrasound therapy
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Integrated Neuromuscular Inhibition Group | Experimental | This group will receive the Integrated Neuromuscular Inhibition Technique which consists of ischemic compression, strain counter strain, and muscle energy technique |
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| Cervical and Scapular Stabilization exercises Group | Experimental | This group will receive a group of exercises for the neck and scapula which will strengthen both of them | |
| Ultrasound Therapy Group | Placebo Comparator | This group will receive ultrasound Therapy |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ultasound Therapy | Device | a device that transmit ultrasound waves to the participant through direct contact |
|
| Measure | Description | Time Frame |
|---|---|---|
| Visual Analogue Scale (VAS) | Visual Analogue Scale is a scale that measures pain intensity. Subjects will instructed to indicate their current pain by marking a point on a 10 mm transverse line with 0 degrees meaning "no pain" and 10 meaning the "worst pain" | 1-3 months |
| Pressure Pain Algometer | The pressure pain Algometer is a device that measures the pain threshold of the subjects. | 1-3 months |
| Neck Pain and Disability Questionnaire (NDI) | Neck Pain and Disability is a questionnaire that measures neck pain and disabilities in subjects. Each question in the questionnaire will explained in detail and the subject will be asked to select one sentence out of six that best describes their function, a higher score indicates a great loss of function. | 1-3 months |
| 36-item Short-Form Health Questionnaire | 36-item Short-Form Health Questionnaire will measure quality of life | 1-3 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Physical Therapy | Banī Suwayf | Egypt |
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double blind
| Integrated Neuromuscular technique | Other | Integrated Neuromuscular technique is a kind of Manual therapy which include Ischemic Compression, Strain counter-strain and muscle energy technique |
|
| Cervical and Scapular Stabilization exercises | Other | Cervical and Scapular Stabilization exercises are a group of therapeutic exercises. |
| ID | Term |
|---|---|
| D009209 | Myofascial Pain Syndromes |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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