Comparing the Efficacy of First Rib Maitland Mobilisation and Muscle Energy Technique on Pain, Disability and Head Position Sense in Patients with Chronic Mechanical Neck Pain

Background: Neck pain is a common musculoskeletal problem in the General population. Upper trapezius is a superficial postural muscle that tends to get shortened due to overuse activity which causes neck pain and reduces neck mobility. The aim of this study was to compare the immediate effect of Muscle energy technique (MET) and passive stretching of upper trapezius muscle in neck pain patients.Methods: An experimental study was undertaken during period from March 2017 to March 2018. 358 participants with Neck pain were included in this study. Participants were divided in two groups: Group A received Hot pack and MET for upper Trapezius. Group B received Hot pack and Passive stretching for upper trapezius. Visual analogue scale (VAS) at end range of motion (ROM), same cervical side flexion and opposite side cervical rotation by goniometer and tape were taken as outcome measures. Participants were assessed prior to the treatment, immediately after the treatment and post 24 hours to see the carry over treatment.Results: Mann Whitney U test showed that VAS at end range of motion, opposite side cervical rotation and same side cervical side flexion had significant improvement in MET group as compared to passive stretching group (p<0.0001). Carry over effect was less significant with p<0.0001.Conclusions: A single session of MET for upper trapezius muscle reduced the pain intensity (VAS) and increased the cervical rotation and cervical side flexion.

Download Full-text

Effect of muscle energy technique Versus Motor control Exercise adjunct to conventional therapy on Pain, Range of motion and functional disability in patient with chronic neck pain

10.21203/rs.3.pex-1489/v1 ◽

2021 ◽

Author(s):

Deepak Jain ◽

Deepali Patil ◽

Pratik Phansopkar

Keyword(s):

Motor Control ◽

Neck Pain ◽

Conventional Therapy ◽

Functional Disability ◽

Chronic Neck Pain ◽

Long Term Effects ◽

Muscle Energy Technique ◽

Muscle Energy ◽

The Impact ◽

Control Exercise

Abstract Background: - Neck pain is defined as mechanical, neuropathic or secondary to any other disorder and it can be acute, 6 weeks; sub acute, 3 months; chronic, >3 months. types of potential causes for neck pain: medical effects, severe or non-threatening causes, usual and rare conditions, and genuine and invalid causes. Motor control was defined as motor relearning program with emphasis on coordination and holding capabilities of specific neck flexor, extensor, and shoulder girdle muscles. MET is a method of treatment that involves the voluntary contraction of a Patients muscle in a precisely controlled direction, against a counterforce provided by the therapist.Methodology: - In the study 50 chronic neck pain patients will be enrolled. And will be divided into 25 in each group. One group will receive Muscle Energy Technique and the other group will receive Motor Control Exercise as well as conventional therapy for 4 weeks. Pain, ROM and strength will be evaluated using the standard technique. Discussion: - The goal of this Interventional study is to examine the impact of MET versus MCE with conventional therapy on patients with chronic neck pain. This research will help in identifying rapid and long term effects of MET versus MCE with conventional therapy on patients with chronic neck pain. The clinical trial registry-India(CTRI) registration number for this trial is CTRI/2021/05/033497.

Download Full-text

Efek Thoracic Manipulation Terhadap Perubahan Lingkup Gerak Sendi Cervical Pada Non-Specific Neck Pain

Media Kesehatan Politeknik Kesehatan Makassar ◽

10.32382/medkes.v16i1.2147 ◽

2021 ◽

Vol 16 (1) ◽

pp. 43

Author(s):

Sudaryanto Sudaryanto ◽

Syahyu Ratih Fahria Madu

Keyword(s):

Neck Pain ◽

Control Group ◽

Paired Sample ◽

Muscle Energy Technique ◽

Post Test ◽

Randomized Control ◽

Muscle Energy

ABSTRAK Latar Belakang: Non-spesific neck pain merupakan nyeri leher yang tidak beradiasi ke lengan atau upper extremitas, dimana nyeri terjadi pada area leher, occipital, dan punggung bagian atas. Pada umumnya nyeri muncul pada akhir keterbatasan ekstensi, lateral fleksi, rotasi, dan fleksi. Metode: Penelitian ini adalah penelitian quasi eksperimen dengan desain randomized control group pre test – post test, bertujuan untuk mengetahui efek penambahan Thoracic Manipulation pada intervensi Ultrasound dan Muscle Energy Technique terhadap peningkatan LGS cervical pada penderita non-spesific neck pain. Sampel penelitian adalah mahasiswa jurusan fisioterapi yang mengeluh non-spesific neck pain (sesuai dengan kriteria inklusi), dan diperoleh jumlah sampel sebanyak 24 orang yang dibagi secara acak ke dalam 2 kelompok. Alat ukur yang digunakan adalah inclinometer. Hasil: Berdasarkan analisis uji paired sample t pada kelompok kontrol dan perlakuan diperoleh nilai p < 0,05 untuk LGS ekstensi, lateral fleksi, dan rotasi cervical, yang berarti bahwa kelompok kontrol (Ultrasound dan Muscle Energy Technique) dan kelompok perlakuan (Ultrasound, Muscle Energy Technique dan Thoracic Manipulation) dapat memberikan peningkatan LGS cervical yang signifikan. Berdasarkan uji independen sample t, diperoleh nilai p > 0,05 untuk LGS ekstensi, lateral fleksi, dan rotasi cervical, yang berarti tidak ada perbedaan yang signifikan antara Ultrasound, Muscle Energy Technique, Thoracic Manipulation dan Ultrasound, Muscle Energy Technique terhadap peningkatan LGS cervical. Kesimpulan: Kesimpulan penelitian ini adalah penambahan Thoracic Manipulation pada intervensi Ultrasound dan Muscle Energy Technique tidak lebih efektif secara signifikan terhadap peningkatan LGS cervical pada penderita non-spesific neck pain. Kata Kunci : Thoracic Manipulation, LGS Cervical, Non-Spesific Neck Pain

Download Full-text

Controlled intervention to compare the efficacies of manual pressure release and the muscle energy technique for treating mechanical neck pain due to upper trapezius trigger points

Journal of Pain Research ◽

10.2147/jpr.s172711 ◽

2018 ◽

Vol Volume 11 ◽

pp. 3151-3160 ◽

Cited By ~ 5

Author(s):

Richa Kashyap ◽

Amir Iqbal ◽

Ahmad H. Alghadir

Keyword(s):

Neck Pain ◽

Trigger Points ◽

Pressure Release ◽

Upper Trapezius ◽

Muscle Energy Technique ◽

Manual Pressure ◽

Muscle Energy

Download Full-text

Comparison of effectiveness of muscle energy technique with Mulligan mobilization in patients with non-specific neck pain

Journal of the Pakistan Medical Association ◽

10.47391/jpma.981 ◽

2021 ◽

pp. 1-10

Author(s):

Anam Manzoor ◽

Naveed Anwar ◽

Kehkshan khalid ◽

Rizwan Haider ◽

Mehwish Saghir ◽

...

Keyword(s):

Neck Pain ◽

Pain Intensity ◽

Functional Status ◽

Group Analysis ◽

Neck Disability Index ◽

Muscle Energy Technique ◽

The Mean ◽

Muscle Energy ◽

Neck Disability ◽

Group 1

Abstract Background: Neck pain is very common in general population. The onset of pain may be sudden or insidious, recurrent or persistent in nature. The prevalence of neck pain in Pakistan is not known. The neck pain that persists for more than 3 months is called chronic neck pain. There are different physiotherapy techniques to manage nonspecific neck pain including Mulligan mobilization and muscle energy technique. Objective: to compare the efficacy of muscle energy technique with Mulligan mobilization in patients having non-specific neck pain. Methodology: This quasi-experimental study was conducted at Mayo hospital physiotherapy department, Lahore. The study duration was six months from March 2017 to September 2017. Sample size calculated was 56 by using g power software. Random sampling technique was used. Subjects were divided into two groups. In the group 1 patients; muscle energy technique was used and in group 2; Mulligan mobilization as natural apophyseal glides (NAGs) and sustained natural apophyseal glides (SNAGs) were used. The pain intensity, functional status of neck and cervical range of motion (ROM) were measured before and after treatment session by using visual analogue (VAS), neck disability index (NDI) and goniometer. Independent t-test was applied for between group analysis. Results: The mean age of participants is 36.89±9.28. The mean improvement in pain intensity was 3.61 for the Muscle energy technique group and for Mulligan group it was 4.86 after three weeks’ treatment. The functional status score according to neck disability index (NDI) pre-treatment mean for the group 1 was 12.04±4.69 and Continuous....

Download Full-text