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This study is a randomised controlled trial and the purpose of this study is to determine the effects of thoracic thrust with cervical non-thrust mobilization in mechanical neck pain on components such as pain, thoracic range of motion, kyphotic angle, craniovertebral angle and proprioception.
Particiapants will be divided into two groups through coin toss method, one group will recieve thoracic manipulation as addition to cervical mobilization and therapeutic exercises.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A; thoracic thrust | Experimental | thoracic thrust in addition to standard treatment |
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| Group B: cervical non-thrust mobilization | Active Comparator | standard treatment of cervical non-thrust mobilization and home-based therapeutic exercises |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group A:Thoracic thrust | Procedure | Group A will receive manipulation protocol as addition to standard treatment. Manipulation protocol: High velocity, low amplitude as described by Maitland on thoracic hypomobile segments (T1-6) Therapeutic exercise protocol: Cervical and thoracic mobility exercises. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity | Pain will be assessed by Numeric pain scale rating (NPRS).It is numeric 11-point scale, with 0 meaning no pain and 10 being worst pain. | baseline, 1st and 2nd week |
| Thoracic kyphosis | Thoracic Kyphosis is measured by Inclinometer. It is measured via summation of angles of two inclinometers, placed on anatomical landmarks (T1-3-12). | baseline, 1st week and 2nd week |
| Thoracic Range of Motion | Thoracic ROM (rotation) is measured by Inclinometer. Measured by placing the inclinometer at T1 segment with participant in a lumbar locked position. | baseline, 1st week, 2nd week |
| Craniovertebral angle | Craniovertebral angle (CVA)is measured by Goniometer. it is Angle measured between tragus of ear and C7 spinous process. | baseline,1st week, 2nd week |
| Proprioception | Proprioception is measured by Joint position sense/ error test. Participant wears a laser mounted headband and performs active neck movements with eyes closed on a target. | baseline, 1st and 2nd week |
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Inclusion criteria:
Exclusion criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ayesha Aslam | Contact | 03348648229 | ayeshaaslam6@gmail.com | |
| Quratulain Saeed, MS-OMPT | Contact | 03315562889 | quratulain.saeed@fui.edu.pk |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Foundation University College of Physical Therapy | Recruiting | Islamabad | Punjab Province | 46000 | 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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Participant will be blinded to the allocation of treatement groups
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| Group B: Cervical non thrust mobilization | Procedure | Intervention: Group B will receive mobilization, post-facilitation stretch and exercise protocol. Mobilization protocol: Grade III or IV mobilization as described by Maitland on cervical Hypomobile segments (C2-7) Therapeutic exercise protocol: Cervical and thoracic mobility exercises. |
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