scholarly journals Effect of Muscle Energy Technique versus Motor Control Exercise Adjunct to Conventional Therapy on Pain, Range of Motion and Functional Disability in Patients with Chronic Neck Pain – A Research Protocol

Author(s):  
Deepak Jain ◽  
Deepali Patil ◽  
Pratik Phansopkar

Background: Physical, neuropathic, or secondary causes can all contribute to neck difficulty. Any other illness might be acute 6 weeks, subacute 3 months, or chronic (lasting more than 6 weeks) (lasting up to three months). Physical consequences, life-distressing or non-life- distressing causes, large and small factors, reliable and inaccurate neck pain. Motor control is a motor retraining programme that focuses on the neck flexors, extensors, and shoulder girdle muscle's coordination and holding skills. MET is a treatment method that makes use of the patient's muscles contracting in a specific, directed manner against a therapist-applied counterforce. Methodology: The participants in the study will be enrolled of 50 patients who suffer from prolonged neck pain. And each group will be split into 25 people. One group will get MET for four weeks, whilst the other will get MCE and traditional treatment. Pain, ROM, and Functional Disability will be reviewed using a methodical approach. Conclusion: We need to see how this experiment affects people of MET versus MCT in addition to conventional therapy core on pain, ROM and functional Impairment on neck discomfort that persists. In conclusion, the focus of this research is to find out the efficacy of MET versus MCT in addition to standard therapy, as well as its impact on chronic Neck discomfort has a negative impact on one's quality of life. This study will aid in the relief of chronic neck pain.

2021 ◽  
Author(s):  
Deepak Jain ◽  
Deepali Patil ◽  
Pratik Phansopkar

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.


2015 ◽  
Vol 16 (6) ◽  
Author(s):  
Parisa Nejati ◽  
Hooman Angoorani ◽  
Farnaz Khatami ◽  
Reza Mousavi

2021 ◽  
pp. 026921552110380
Author(s):  
Zohre Khosrokiani ◽  
Amir Letafatkar ◽  
Amy Gladin

Objective: We investigated whether adding lumbar motor control training with a pressure biofeedback unit improves outcomes of a conservative deep cervical flexor motor control program on neck pain, neck disability, deep cervical flexor endurance, and health status in middle-aged patients with chronic neck pain and forward head posture after eight weeks of interventions. Design: Randomized controlled trial. Setting: Outpatient setting. Subjects and interventions: A total of 113 males and females (mean age 39 ± 5 years) with chronic neck pain were randomized to three treatment groups, group 1 ( n = 38) combined deep cervical flexor motor-control training and lumbar motor control exercise, group 2 ( n = 37) deep cervical flexor motor control training alone, and group 3 ( n = 38) passive treatment and education. Main outcome measures: Pain, neck disability, deep cervical flexor muscular endurance, and health status. Results: There were significant improvements in the combination group compared with the deep cervical flexor motor-control group alone ( d = 2.03, 95% confidence interval (CI): −2.8 to −1.27, P = 0.021) for pain ( d = −0.99, 95% CI = −1.75 to −0.23, P = 0.023), disability ( d = 1.92, 95% CI = 0.86 to 2.98, P = 0.001), deep cervical flexor endurance, and ( d = −2.75, 95% CI = −8.81 to −1.68, P = 0.037) for health status favoring the combination group. There were significant between-group differences favoring both active groups versus the passive control in all out comes. Conclusion: The addition of Lumbar motor control training as a complementary treatment may enhance effectiveness of deep cervical flexor motor control training on neck pain, neck disability, and deep cervical flexor endurance in patients with chronic moderate neck pain and forward head posture.


BMJ Open ◽  
2019 ◽  
Vol 9 (5) ◽  
pp. e026632 ◽  
Author(s):  
Sook-Hyun Lee ◽  
Jinho Lee ◽  
Yoon Jae Lee ◽  
Me-riong Kim ◽  
Jae Heung Cho ◽  
...  

IntroductionDoin therapy is a manual therapy used in Korean rehabilitation medicine. Recently, the use of acupuncture with Doin has increased in clinics and clinical trials have demonstrated its effects. However, well-designed studies examining the efficacy and cost-effectiveness of acupuncture with Doin therapy are rare.Methods and analysisThis multicentre, assessor-blinded, randomised controlled trial with two parallel groups aims to evaluate the clinical effects and cost-effectiveness of acupuncture with Doin therapy. A total of 124 patients (with a neck pain duration of 6 months or longer and a Numeric Rating Scale ≥5) will be recruited at five Korean medicine hospitals. Patients will be randomly allocated to acupuncture with Doin therapy (n=62) and acupuncture alone (n=62) for 5 weeks of treatment. This study will be carried out with outcome assessor and statistician blinding. The primary outcome measure will consist of improvement in neck pain using the Visual Analogue Scale at 6 weeks. The secondary outcomes including measures of pain, functional disability, health-related quality of life and economic evaluation will be conducted at 6 weeks, and 3, 6, 9 and 12 months after treatmentEthics and disseminationThe project is approved by the Institutional Review Board (IRB) of the Jaseng Hospital of Korean Medicine and the Kyung Hee University Korean Medicine Hospital at Gangdong. Dissemination will occur after the findings from this study are published in other peer reviewed journals.Trial registration numbersNCT03558178; KCT0003068; Pre-results.


SLEEP ◽  
2020 ◽  
Vol 43 (Supplement_1) ◽  
pp. A464-A464
Author(s):  
S Yamada ◽  
K Yamada

Abstract Introduction Recent studies have suggested that chronic musculoskeletal system pain, including chronic neck pain, accounts for approximately 70% of all sleeping disorders. Simultaneously, sleeping disorders increase pain sensitivity and create a vicious cycle of chronic neck pain. Patients with chronic pain experience a variety of somatic symptoms (e.g., Stomach or bowel problems, Back pain, Pain in your joints, headaches, chest pain, shortness of breath, dizziness, fatigue, and Trouble sleeping) that are difficult to treat. However, treatment of both neck chronic pain and sleeping disorders through cervical posture management by adjusting height of the pillow used while sleeping has yet to be considered. Methods Patients who visited our hospital with chief complaints of chronic neck pain were rated according to the Numerical Rating Scale (NRS) and were asked to answer the Somatic Symptom Scale-8 (SSS-8), to ascertain the degree of somatic symptoms. Out of all the patients, only 84 scored at least 8 out of 32 in the SSS-8. Based on the individual results of the 84 respondents, they were given customized pillows to be used for 3 months. The pillows were adjusted using the SSS method developed at our clinic. We adjusted the height of the pillow by 5mm increments to check the cervical inclination angle at approximately 15 degrees in supine position, lateral position with the center line from face to neck at left-right symmetry and finally confirming smooth turning over. The respondents performed NRS and SSS-8 after 2 weeks and 3 months of using the pillow. Results The results of this study showed that at 0 weeks / 2 weeks / 3 months. NRS score was 6.8 / 5.1 / 4.1 (p <0.01), and the overall SSS-8 score was 13.2 / 9.9 / 8.2 (p <0.01), showed a marked improvement. By symptom, all symptoms except Stomach or bowel problems showed significant improvement. Trouble sleeping showed the highest improvement at 2.6 / 1.7 / 1.3 (p <0.01). Conclusion Chronic neck pain and sleeping disorders improved in the patients. These results suggested that cervical posture management by adjusting height of the pillow is an effective treatment method. Support None


2019 ◽  
Vol 42 ◽  
pp. 52-59 ◽  
Author(s):  
Carmen Martin-Gomez ◽  
Rebeca Sestelo-Diaz ◽  
Victor Carrillo-Sanjuan ◽  
Marcos Jose Navarro-Santana ◽  
Judit Bardon-Romero ◽  
...  

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