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This study compares the effectiveness of Muscle Energy Techniques (MET) and Neck Calliet Exercises in managing mechanical neck pain and associated disability due to trapezius trigger points among nurses. A total of 38 female nurses were randomly assigned to two intervention groups, each receiving therapy for four weeks. Pain, cervical range of motion, and disability outcomes were assessed.
Musculoskeletal disorders, particularly neck pain, are highly prevalent among nurses due to repetitive strain, prolonged standing, and non-ergonomic work postures. One of the major contributors to mechanical neck pain is the presence of active myofascial trigger points in the trapezius muscle, which limit cervical range of motion (CROM) and increase disability.This single-blinded, randomized clinical trial aimed to compare the effectiveness of Muscle Energy Techniques (MET) and Neck Calliet Exercises in reducing mechanical neck pain and disability among nurses with trapezius trigger points. Thirty-eight participants were randomly divided into two groups: Group A received MET, and Group B performed Neck Calliet Exercises. Both groups also received TENS (Transcutaneous Electrical Nerve Stimulation) therapy as a baseline treatment. Each participant received treatment three times per week for four weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| MET Group | Experimental | Participants received Muscle Energy Techniques (MET) for 4 weeks, 3 sessions per week, in addition to TENS |
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| Calliet Exercise Group | Experimental | Participants performed Neck Calliet Exercises for 4 weeks, 3 sessions per week, in addition to TENS. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Muscle Energy Technique | Behavioral | Participants in this group received Muscle Energy Techniques targeting the upper trapezius trigger points. Treatment was provided 3 sessions per week for 4 weeks. Each session included post-isometric relaxation techniques with stretching, along with baseline TENS therapy.Participants performed Neck Calliet Exercises focusing on cervical flexion, extension, rotation, and lateral flexion. Exercises were done under supervision, 3 times per week for 4 weeks. All participants also received baseline TENS therapy. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity Pain Intensity Pain intensity | Change in neck pain intensity was assessed using the Visual Analogue Scale (VAS), measured before and after 4 weeks of intervention. | Baseline and 4 weeks |
| Functional Disability | Functional disability was evaluated using the Neck Disability Index (NDI) at baseline and after 4 weeks of treatment. | Baseline and 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Cervical Range of Motion | Cervical range of motion (flexion, extension, rotation, lateral flexion) was measured using a universal goniometer pre- and post-intervention to assess changes in mobility. | Baseline and 4 weeks |
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Inclusion Criteria:
Exclusion Criteria:
Only female nurses aged 25 to 45 years with mechanical neck pain and active trapezius trigger points were included in the study. The gender restriction was applied to ensure sample homogeneity and to control for occupational and physiological factors that may influence the outcomes.
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Fiza Tariq, MSPT | Contact | +923072933338 | faizant741@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Dr. Tanveer Ahmad, HOD Surgery | The University of Faisalabad | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Faisalabad | Recruiting | Faisalabad | Punjab Province | 38000 | Pakistan |
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| ID | Term |
|---|---|
| D009209 | Myofascial Pain Syndromes |
| ID | Term |
|---|---|
| D009135 | Muscular Diseases |
| D009140 | Musculoskeletal Diseases |
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| Neck Calliet exercise | Other | Neck Calliet exercise |
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