Effects of Maitland's Antero-Posterior Versus Lateral Mobilizations on Cardiovascular Responses

Sponsor

Riphah International University (Other)

Overall Status

Recruiting

CT.gov ID

NCT05186584

Collaborator

(none)

Enrollment

Location

Arms

Anticipated Duration (Months)

15.6

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

This study will be a randomized control trial and will be conducted in Polyclinic Hospital Islamabad & Rawal Dental and General Hospital Rawalpindi. A sample of 62 participants will be taken. Patients will be divided into two equal groups of 31 participants in each group, group Randomization will be done through flip coin method. Patients in group A will receive Maitland's antero-posterior Mobilization, while Patients in group B will receive Maitland's lateral mobilizations. 4 sessions of treatment will be given for 2 weeks with interval of 3 days, 4 days and 7 days between 1st & 2nd session, 2nd & 3rd session and 3rd & 4th session, respectively. The outcome measures will be OMRON Automatic Blood Pressure Monitor, Numeric pain rating scale(NPRS) and Global Rating of Change questionare will be measured at baseline and at the end of 4th session. Data will be analyzed by SPSS 25.

Condition or Disease	Intervention/Treatment	Phase
Neck Pain	Other: MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION Other: MAITLAND'S LATERAL MOBILIZATION	N/A

Study Design

Study Type:

Interventional

Anticipated Enrollment :

62 participants

Allocation:

Randomized

Intervention Model:

Parallel Assignment

Masking:

None (Open Label)

Primary Purpose:

Treatment

Official Title:

Effects of Maitland's Antero-posterior Versus Lateral Mobilizations on Cardiovascular Responses in Non-Specific Chronic Neck Pain

Actual Study Start Date :

Dec 1, 2021

Anticipated Primary Completion Date :

Apr 1, 2022

Anticipated Study Completion Date :

Apr 1, 2022

Arms and Interventions

Arm	Intervention/Treatment
Experimental: MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION Patients in this group will receive Maitland's Antero-Posterior Mobilization.	Other: MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION Group A will receive the 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set (total 75 oscillations) for AP mobilizations at most symptomatic segment, with 10 seconds rest between sets. Most symptomatic segment is that segment of cervical spine at which patient will feel greatest pain by palpation. For AP mobilizations, patient will lye supine and therapist will stand by his head. Therapist will make broad contact with the thumb, at the costal process of the vertebrae to be mobilized and spread fingers around adjacent neck for stability. Shoulder will be positioned above the joint being treated. Gentle oscillatory Anteroposterior pressure will be performed by the therapist's arm and trunk.
Experimental: MAITLAND'S LATERAL MOBILIZATION Patients in this group will receive Maitland's Lateral Mobilization.	Other: MAITLAND'S LATERAL MOBILIZATION Group B will receive the same sets (i.e. 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set) for lateral mobilizations at most symptomatic segment, with 10 sec rest between each set. For lateral mobilization, patient will lye supine and therapist will stand by his head. Therapist will place the anterolateral aspect 2nd metacarpophalangeal joint over the lateral aspect of transverse process of most symptomatic segment. Gentle lateral oscillations towards the asymptomatic side will be provided by the therapist.

Arm

Intervention/Treatment

Experimental: MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION

Patients in this group will receive Maitland's Antero-Posterior Mobilization.

Other: MAITLAND'S ANTEROPOSTERIOR(AP) MOBILIZATION

Group A will receive the 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set (total 75 oscillations) for AP mobilizations at most symptomatic segment, with 10 seconds rest between sets. Most symptomatic segment is that segment of cervical spine at which patient will feel greatest pain by palpation. For AP mobilizations, patient will lye supine and therapist will stand by his head. Therapist will make broad contact with the thumb, at the costal process of the vertebrae to be mobilized and spread fingers around adjacent neck for stability. Shoulder will be positioned above the joint being treated. Gentle oscillatory Anteroposterior pressure will be performed by the therapist's arm and trunk.

Experimental: MAITLAND'S LATERAL MOBILIZATION

Patients in this group will receive Maitland's Lateral Mobilization.

Other: MAITLAND'S LATERAL MOBILIZATION

Group B will receive the same sets (i.e. 5 sets of 10 seconds Grade 1 mobilizations with a rate of 15 oscillations each set) for lateral mobilizations at most symptomatic segment, with 10 sec rest between each set. For lateral mobilization, patient will lye supine and therapist will stand by his head. Therapist will place the anterolateral aspect 2nd metacarpophalangeal joint over the lateral aspect of transverse process of most symptomatic segment. Gentle lateral oscillations towards the asymptomatic side will be provided by the therapist.

Outcome Measures

Primary Outcome Measures

OMRON Automatic Blood Pressure Monitor [2 Weeks]
The Omron is an automatic digital device for professional blood pressure measurement at the upper arm level. It measures BP range of 0-299 mmHg
OMRON Automatic heart rate Monitor [2 Weeks]
The Omron is an automatic digital device for professional heart rate range of 40 -180 beats/min
Numeric Pain Rating Scale (NPRS) [2 Weeks]
It is a tool used for measuring intensity of pain. Patient select numeric from (0-10) that reflects his/her pain intensity. The reliability of tool is ICC = 0.67; [0.27 to 0.84])
Global Rating of Change (GROC) [2 Weeks]
It is a scale commonly used in clinical research, particularly in the musculoskseletal area to measure a patient's improvement or deterioration over time, to determine the eﬀect of an intervention .

Eligibility Criteria

Criteria

Ages Eligible for Study:

25 Years to 55 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Inclusion Criteria:

Participants falling in this category would be recruited into the study.
Age 25 to 55 years
Pain in neck with no known cause for > 3 months
Resting systolic blood pressure between 90 to 139 mmHg
resting diastolic blood pressure between 60 to 88 mmHg
resting heart rate between 60 to 100 beats/min
no prior exposure to antero-posterior and lateral mobilizations

Exclusion Criteria:

Participants falling in this category would be excluded from the study.
age <25 and >55
current smokers
history of fainting spells, diabetes mellitus, spinal surgery and whiplash injury( in last 6 months)
taking medications for blood thinning, diabetes mellitus
having neurologic or cardiovascular disease, radiating pain, cervicogenic headaches
movement coordination impairment
athletes
unable to read and write

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Rawal General Hospital Rawalpindi	Rawalpindi	Punjab	Pakistan	44000

Sponsors and Collaborators

Riphah International University

Investigators

Principal Investigator: Waqar Ahmed Awan, PhD, Riphah International University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.

Responsible Party:

Riphah International University

ClinicalTrials.gov Identifier:

NCT05186584

Other Study ID Numbers:

Ayesha Afsar

First Posted:

Jan 11, 2022

Last Update Posted:

Apr 18, 2022

Last Verified:

Apr 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

Maitland mobilization

Additional relevant MeSH terms:

Neck Pain

Study Results

No Results Posted as of Apr 18, 2022