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This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception.
Neck pain is the second leading cause of disability worldwide among people with musculoskeletal disorders , and neck pain is responsible for a substantial burden to society .
Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach.
45 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive Mckenzie exercise in the form of repeated movements in the direction of painful & restricted movement .Group B: will receive Maitland's cervical mobilization in the form of posterior-anterior (PA) glide.Group C: will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Mckenzie exercises group | Experimental | This group will receive Mckenzie exercises and the conventional treatment 3 sessions per week for four weeks |
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| Maitland mobilization for cervical spine group | Experimental | This group will receive Maitland mobilization for cervical spine and the conventional treatment 3 sessions per week for four weeks |
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| The onventional treatment group | Active Comparator | This group will receive only the conventional treatment 3 sessions per week for four weeks |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Mckenzie exercises | Other | Fifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions:
This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises. |
| Measure | Description | Time Frame |
|---|---|---|
| Cervical proprioception | Cervical proprioception will be assessed using CROM device. | 4 weeks |
| Cervical range of motion | Cervical ROM will be assessed using CROM device. | 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Neck function | Arabic version of neck disability index will be used to assess neck function | 4 weeks |
| Pain intensity | Numerical Rating Scale will be used to assess pain intensity |
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Inclusion criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Mahmoud Salah Abd-elfattah, Assistant lecturer | Contact | +201068419431 | mahmoud.salah@cu.edu.eg | |
| Mahmoud Salah Abd-Elfattah, Assistant lecturer | Contact | 01068419431 | mahmoud.salah@cu.edu.eg |
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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 mobilization for cervical spine | Other | Fifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM. This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises. |
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| The conventional treatment group | Other | Fifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of:
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| 4 weeks |