Scapulo-Thoracic Mobilization Compared to IASTM in Patients With Mechanical Neck Pain

Sponsor

Riphah International University (Other)

Overall Status

Recruiting

CT.gov ID

NCT05475405

Collaborator

(none)

Enrollment

Location

Arms

Anticipated Duration (Months)

2.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

SCAPULO-THORACIC MOBILIZATION COMPARED TO IASTM IN PATIENTS WITH MECHANICAL NECK PAIN

Condition or Disease	Intervention/Treatment	Phase
Mechanical Neck Pain	Other: scapulothoracic mobilization Other: IASTM	N/A

Detailed Description

Mechanical neck pain is common musculoskeletal condition that causes work disabilities and is not self-limiting. One of the main causes for mechanical neck pain is forward head posture, which is common and but not ideal posture adopted by many workers and students who presents with head being anterior to the shoulder. Imbalances in the normal muscle function reported in such patients with inhibited deep neck flexors, serratus anterior and rhomboids and tightened pectoralis, upper trapezius and levator scapula.

Neck and scapula have some common muscle attachments and abnormal loads on cervical or thoracic spine change the biomechanics of muscles present in these regions, which eventually cause trigger points Management of scapulo-thoracic joint focuses on correcting posture, restoring flexibility of the scapula including the pectoralis minor, levator scapulae, rhomboids, mobilization and soft tissue techniques.

IASTM is ergonomically designed stainless steel tool, and has recently gained much popularity for elevating pain, reducing trigger points and improving ROMs because it has deeply penetrating power as compared to mobilization through hand. This technique works by both along the mobilizing muscle fibers or parallel to the muscle fibers.

Study Design

Study Type:

Interventional

Anticipated Enrollment :

32 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Intervention Model Description:

32 Participants were recruited in the study and divided into two groups. Group A was given intervention Scapulothoracic mobilization and Group B with IASTM.32 Participants were recruited in the study and divided into two groups. Group A was given intervention Scapulothoracic mobilization and Group B with IASTM.

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Scapulo-Thoracic Mobilization Compared to IASTM in Patients With Mechanical Neck Pain

Actual Study Start Date :

Aug 1, 2021

Anticipated Primary Completion Date :

Jul 30, 2022

Anticipated Study Completion Date :

Jul 31, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Scapulothoracic mobilization along with conventional physical therapy for mechanical neck pain. conventional physical therapy: Scapulothoracic mobilization: Patient in prone lying position. The left hand of the physical therapist lifts the scapula to distract from the thoracic wall while the right hand mobilizes and stretches the inferior muscle groups attached to the scapula.	Other: scapulothoracic mobilization Patient in prone lying position. The left hand of the physical therapist lifts the scapula to distract from the thoracic wall while the right hand mobilizes and stretches the inferior muscle groups attached to the scapula.
Active Comparator: IASTM with conventional physical therapy for mechanical neck pain Conventional Physical Therapy: IASTM (Instrument Assisted Soft Tissue Technique): Patient sitting or prone lying Restrictions and myofascial adhesions assessed prior to treatment fanning strokes at 45 degree angles to skin be applied using the tool	Other: IASTM Restrictions and myofascial adhesions should be assessed prior to treatment along both sides using IASTM tool and a lubricant. Once restrictions are assessed, fanning strokes at 45 degree angles to skin should be applied using the tool. This technique should be performed for 20 seconds parallel to the muscle fibers and 20 seconds perpendicular to the muscle fibers for each muscle group in scapulothoracic region. Total time for IASTM application is 10 mints. Upon completing all this patient should be given a home plan consisting of 2 different self-stretches targeting levator scapulae and upper trapezius Other Names: Instrument assisted Soft tissue mobilization.

Arm

Intervention/Treatment

Experimental: Scapulothoracic mobilization along with conventional physical therapy for mechanical neck pain.

conventional physical therapy: Scapulothoracic mobilization: Patient in prone lying position. The left hand of the physical therapist lifts the scapula to distract from the thoracic wall while the right hand mobilizes and stretches the inferior muscle groups attached to the scapula.

Other: scapulothoracic mobilization

Patient in prone lying position. The left hand of the physical therapist lifts the scapula to distract from the thoracic wall while the right hand mobilizes and stretches the inferior muscle groups attached to the scapula.

Active Comparator: IASTM with conventional physical therapy for mechanical neck pain

Conventional Physical Therapy: IASTM (Instrument Assisted Soft Tissue Technique): Patient sitting or prone lying Restrictions and myofascial adhesions assessed prior to treatment fanning strokes at 45 degree angles to skin be applied using the tool

Other: IASTM

Restrictions and myofascial adhesions should be assessed prior to treatment along both sides using IASTM tool and a lubricant. Once restrictions are assessed, fanning strokes at 45 degree angles to skin should be applied using the tool. This technique should be performed for 20 seconds parallel to the muscle fibers and 20 seconds perpendicular to the muscle fibers for each muscle group in scapulothoracic region. Total time for IASTM application is 10 mints. Upon completing all this patient should be given a home plan consisting of 2 different self-stretches targeting levator scapulae and upper trapezius

Other Names:

Instrument assisted Soft tissue mobilization.

Outcome Measures

Primary Outcome Measures

Numeric Pain Rating Scale [3 weeks]
Changes from baseline Numeric pain Rating Scale is used to objectively assess musculoskeletal pain as marked by the patient. It is a 10 point scale from 0 to 10. 0 depicts no pain at all and 10 shows worst pain ever felt. It was measured at baseline, at 3rd session after 6th weeks of the intervention.
NDI (neck disability index) [3 weeks]
The questionnaire has 10 items concerning pain and activities of daily living including personal care, lifting, reading, headaches, concentration, work status, driving, sleeping and recreation. The measure is designed to be given to the patient to complete, and can provide useful information for management and prognosis of those with neck pain
Goniometer [3 weeks]
goniometer is a device that measures an angle or permits rotation of an object to a definite position

Eligibility Criteria

Criteria

Ages Eligible for Study:

18 Years to 40 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Age group 18 to 40 years
Both gender groups
Non radiating neck pain

Exclusion Criteria:

History of cervical and thoracic spine surgery
Vertibro-basilar insufficiency
Sign of serious pathology like malignancy
Signs of systemic inflammatory disorder
Patient with diagnosed hypertension
(scapular area pathology)

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Pakistan Railway General Hospital	Rawalpindi	Punjab	Pakistan	46010

Sponsors and Collaborators

Riphah International University

Investigators

Principal Investigator: Muhammad Affan Iqbal, PhD*, Riphah International University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Riphah International University

ClinicalTrials.gov Identifier:

NCT05475405

Other Study ID Numbers:

RIPHAH/RCRS/REC/Letter-01073

First Posted:

Jul 26, 2022

Last Update Posted:

Jul 26, 2022

Last Verified:

Jul 1, 2022

Individual Participant Data (IPD) Sharing Statement:

Plan to Share IPD:

Studies a U.S. FDA-regulated Drug Product:

Studies a U.S. FDA-regulated Device Product:

Keywords provided by Riphah International University

IASTM

scapulo-thoracic mobilization

mechanical neck pain

Additional relevant MeSH terms:

Neck Pain

Study Results

No Results Posted as of Jul 26, 2022