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IRCT20201019049069N2 IRCT 2021-08-02 District Headquarter Hospital Sargodha Effects of Muscle Energy Technique versus Bruegger’s Relief Exercise on the Forward Head Posture among the electronic gadget users. EMETBREFHP Effects of Muscle Energy Technique versus Bruegger’s Relief Exercise on the Forward Head Posture among the electronic gadget users. 2021-07-27 anticipated 46 Complete https://irct.ir/trial/57708 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Randomization description: Non-probability convenient sampling will be used to recruit the individual for study and then randomization will be done by sealed enveloped method to divide the individuals into groups. written informed consent will be taken, Blinding description: outcome assessor will be blinded by labeling the participants with different codes. N/A forward head posture is due to extension of upper cervical spine and flexion of lower cervical spine and cause neck pain. Intervention 1: Intervention group: Before applying METs we will apply heat pack for 10-15 minutes. Protocol of Muscle Energy Technique: We will apply protocol for 4 weeks 20 Sessions (5 sessions in a week) and 10 sec rest between each segment with3-5 times repetition than their will 7-10 sec Isometric contraction followed by 5sec relaxation than 30 sec hold for MET stretch. Effort and counter pressure will be modest(20%). Cervical spine non-thrust mobilization (Grade 3) will be given to each segment from C2-C7, will be followed by rest between segments. MET will be applied to Upper trapezius, Levator scapulae, Scalene and the Pectoralis major muscles. Following the 7-10 seconds isometric contraction and complete relaxation of all elements, the stretch is maintained for 30 seconds. Intervention 2: Intervention group: Before applying Bruegger’s relief exercise we will apply heat pack for 10-15 minutes.Protocol of Bruegger’s Relief Exercise: Participant will be in a high sitting position. An elastic resistance band will be wrapped on each hand of the participant leaving the palm open and will be told to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant will be instructed to perform scapular retraction with shoulder external Than rotation, elbow extension, shoulder abduction, and extension and chin tuck. Intervention will be starts from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time would be 30 seconds, 4 sets 12 times repetition. No - There is not a plan to make this available Justification or reason for not sharing IPD is nil
public Hamna Afzal
Khushab Road، Sargodha, Punjab
Sargodha Pakistan 40100 +92 48 3768660 hamnaafzal101@gmail.com Sargodha Institute of health sciences, Government college university, Faisalabad scientific Hamna Afzal
117-C, Zafar Ullah Road, Sattelite Town, Sargodha
sargodha Pakistan 40100 +92 48 3768660 hamnaafzal101@gmail.com Sargodha Institute Of Health Sciences, Government College University Faisalabad. Pakistan  Age: participants having range 18-35 years both male and female are included.  Craniovertebral angle<52  NPRS>3 and NDI>10  Patients having neck pain due to usage of smart phones or computers for 4 hours or more per day.  Patients are willing to participate.  Patients having neck pain due to sustained posture and after activity. 18 years 35 years Both ● Inflammation malignancy, neurological disorder ● Metabolic disorders ● Neck pain radiating into arms and upper extremity ● Neck pain associated with headache and facial pain ● Recent surgery ● Vertebrobasiliar insufficiency (VBI) positive ● History of recent trauma and fractures of cervical spine ● Patients having any other therapeutic intervention or medical treatment. M54.2 Cervicalgia Treatment - Other Treatment - Other Intervention group: Before applying METs we will apply heat pack for 10-15 minutes. Protocol of Muscle Energy Technique: We will apply protocol for 4 weeks 20 Sessions (5 sessions in a week) and 10 sec rest between each segment with3-5 times repetition than their will 7-10 sec Isometric contraction followed by 5sec relaxation than 30 sec hold for MET stretch. Effort and counter pressure will be modest(20%). Cervical spine non-thrust mobilization (Grade 3) will be given to each segment from C2-C7, will be followed by rest between segments. MET will be applied to Upper trapezius, Levator scapulae, Scalene and the Pectoralis major muscles. Following the 7-10 seconds isometric contraction and complete relaxation of all elements, the stretch is maintained for 30 seconds Intervention group: Before applying Bruegger’s relief exercise we will apply heat pack for 10-15 minutes.Protocol of Bruegger’s Relief Exercise: Participant will be in a high sitting position. An elastic resistance band will be wrapped on each hand of the participant leaving the palm open and will be told to abduct and extend of thumb along with fingers, followed by wrist extension and forearm supination, the participant will be instructed to perform scapular retraction with shoulder external Than rotation, elbow extension, shoulder abduction, and extension and chin tuck. Intervention will be starts from 10 seconds hold to 30 seconds with 2 seconds increment in every session. Rest time would be 30 seconds, 4 sets 12 times repetition. Pain. Timepoint: before treatment and after treatment (4th week). Method of measurement: Numeric Pain Rating Scale (NPRS). Functional performance. Timepoint: before treatment and after treatment (4th week). Method of measurement: Neck Disability Index (NDI). Cervical AROM. Timepoint: before treatment and after treatment (4th week). Method of measurement: Universal Goniometer. Craniovertebral angle. Timepoint: before treatment and after treatment 4th week. Method of measurement: Image j software. District Headquarter Hospital Sargodha Approved 2021-07-17 Ethical review committee of sargodha institute of health sciences, Government college university Fai 117-C, Zafar Ullah Road, Sattelite Town, Sargodha sargodha punjab Pakistan