Exercise and Chronic Mechanical Neck Pain
Effects Of Tele-Based Multimodal Versus Bruegger's Relief Exercise Program In Electronic Gadget Users With Chronic Mechanical Neck Pain
Riphah International University
40 participants
May 1, 2025
INTERVENTIONAL
Conditions
Summary
This Randomized Clinical Trial will be conducted at Riphah Rehabilitation and Research Center and spans 4 weeks. Non-probability Convenient sampling will be used to collect the data. A sample size of 40 subjects with age group between 18-45 years will be taken. Data will be collected from patients who use electronic gadgets and have present complaints of mechanical neck pain. Outcome measures will be taken using the Numeric pain rating scale (NPRS) for pain, Neck Disability Index (NDI) for disability, Goniometer for Range of motion, and Kinovea software for shoulder, eye, and craniovertebral angle measurement. Subjects will be selected based on inclusion and exclusion criteria and will be equally divided into two groups by random number generator table. The first assessment will be conducted physically and after that, both groups will receive treatment via MS teams under the supervision of a physiotherapist. Both the Groups will receive Hot Pack, and baseline treatment (neck isometrics, upper trapezius and scalene stretches), while Group A will receive multimodal exercises (chin tucks, bilateral pectoral stretching, scapular region strengthening exercises, and Wand exercises) and Group B will receive Bruegger's relief exercise. Outcome measures will be measured at baseline and after 4 weeks. Data analysis will be done by SPSS version 25.
Eligibility
Inclusion Criteria7
- Age group between 18-45 years (10).
- Both gender
- Neck pain associated with degenerative changes and myofascial pain syndromes
- Individuals having localized pain or stiffness in the cervical spine (C3-C7) without upper limb radiculopathy
- People with a disability and therefore cannot come to the clinic
- People living in highly populated cities where the healthcare system is overcrowded
- People who use electronic gadgets i.e. computers, and smartphones for more than 4 hours
Exclusion Criteria7
- Tuberculosis, carcinoma, heart disease, and osteoporosis
- Previous surgery related to the cervical spine
- Having radical symptoms such as paresis, tingling, or numbness
- Any trauma or localized infection in the neck region
- Having inflammatory rheumatologic diseases, or structural deformity
- Ongoing radiotherapy, chemotherapy, steroid therapy, or anticoagulants
- Positive Spurling's test, traction test, upper limb tension test, and shoulder abduction test
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Interventions
Participant will be in a high sitting position. An elastic resistance band will be wrapped on each hand of the participant leaving the palm open and will be told to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant will be instructed to perform scapular retraction with shoulder external rotation, elbow extension, shoulder abduction, and extension and chin tuck. The treatment protocol will be for 4 weeks, having 3 sessions in a week and 4 sets of 12 repetitions in each session. Intervention was started from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time was 30 seconds.
Multimodal exercise program including chin tucks, bilateral pectoral stretching, scapular region strengthening exercises and Wand exercises. The training program applied 3 times a week, 50 minutes each time, for 4 weeks
Locations(1)
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NCT07026019