Effect of Graston technique versus Ischemic compression in students who developed neck pain during distance learning in COVID-19: A randomize clinical trial
The objective of study is to compare the effects of Graston technique versus ischemic compression on pain, ROM of cervical spine along with functional performance among students with neck pain.
Design
A randomized clinical not blind trial. Sample size 54 divided in 2 groups. Total 12 treatment sessions will be
given to subjects in 4 weeks with 3 sessions/week.
Settings and conduct
Setting: Sargodha Institute of Health Sciences 117-C, Zafar Ullah Road, Satellite Town Sargodha and Fatima hospital, University road, Sargodha.
Participants/Inclusion and exclusion criteria
Inclusion criteria:
Male and female subjects aged 18-25 years with neck pain from previous 2-3 months. Mobile phone usage >4 hours daily. Neck pain with reduced cervical range of motion (ROM).NPRS value >4 and NDI score greater than 10.
Exclusion criteria:
Subjects with cervical rib, migraine problem, vertebrobasilar artery insufficiency (VBI).
Subjects with diagnosed cases of discogenic disease, spinal infection and inflammatory disorders, scoliosis and neck surgery or trauma.
Intervention groups
Patients will be randomly divided into two groups with 27 subjects in each group. After taking baseline assessment Group A will be treated with hot pack for 7-10 min. Graston technique will be performed on neck for 5 min. On the other hand Group B will be treated with hot pack for 7-10 min. Ischemic compression approach will be performed on neck for 5 min. one set of 5 repetitions will be given.3 sessions per week on alternate days for 4 weeks treatment will be carried out. Treatment time of each session will be
approximately 15 minutes.
Effect of Graston technique versus Ischemic compression in students who developed neck pain during distance learning in COVID-19: A randomize clinical trial
Public title
Effect of Graston technique versus Ischemic compression in students who developed neck pain during distance learning in COVID-19: A randomize clinical trial
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Male and female subjects aged 18-25 years.
Neck pain from previous 2-3 months.
Mobile phone usage >4 hours daily.
Neck pain with reduced cervical range of motion (ROM).
NPRS value >4.
NDI score greater than 10.
Exclusion criteria:
Subjects with cervical rib.
Subjects with migraine problem.
Subjects with vertebrobasilar artery insufficiency (VBI).
Subjects with diagnosed cases of discogenic disease.
Spinal infection and inflammatory disorder.
Scoliosis
Neck surgery or trauma
Age
From 18 years old to 25 years old
Gender
Both
Phase
N/A
Groups that have been masked
No information
Sample size
Target sample size:
54
Randomization (investigator's opinion)
Randomized
Randomization description
Randomization by lottery method. Allocation concealment through sealed envelopes.
Blinding (investigator's opinion)
Not blinded
Blinding description
Placebo
Not used
Assignment
Parallel
Other design features
Non-probability convenient sampling technique will be used to recruit the individuals for the study and then randomization will be done by lottery method to divide the individuals in two interventional groups. Sealed envelops will be used for allocation concealment.
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
Ethical Review Committee of Sargodha Institute of Health Sciences, Affiliated with GCU Faisalabad
Street address
117-C, Zafar Ullah Road, Satellite Town Sargodha
City
Sargodha
Postal code
40100
Approval date
2021-07-17, 1400/04/26
Ethics committee reference number
SIHS/21/159
Health conditions studied
1
Description of health condition studied
Neck pain that is perceived anywhere in the posterior region of the cervical spine, from the superior nuchal line to the first thoracic spinous process.
ICD-10 code
M54.2
ICD-10 code description
Cervicalgia
Primary outcomes
1
Description
Pain
Timepoint
Before treatment and after treatment(4th week)
Method of measurement
Numeric pain rating scale(NPRS)
2
Description
Functional performance
Timepoint
Before treatment and after treatment(4th week)
Method of measurement
Neck disability index(NDI)
3
Description
Cervical AROM
Timepoint
Before treatment and after treatment(4th week)
Method of measurement
Universal goniometer
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: After taking base line measures Group A will be treated with hot pack for 7-10 min. Graston technique will be performed on neck for 5 min.3 sessions per week on alternate days for 4 weeks treatment will be given.
Category
Treatment - Other
2
Description
Intervention group: After taking base line measures Group B will be treated with hot pack for 7-10 min. Ischemic compression approach will be performed on neck for 5 min. One set of 5 repetitions will be given.3 sessions per week on alternate days for 4 weeks treatment will be carried out.
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Sargodha Institute of Health Sciences 117-C, Zafar Ullah Road, Satellite Town Sargodha
Full name of responsible person
Mushyyaida Iqbal
Street address
Chak no 127 NB Sillanwali Sargodha
City
Sargodha
Postal code
40100
Phone
+92 48 3252717
Email
mushyyaida.iqbal127@gmail.com
Web page address
http://sihs.edu.pk
2
Recruitment center
Name of recruitment center
Fatima Hospital, University road Sargodha, Pakistan