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IRCT20210806052089N1 IRCT 2021-09-07 Yasmin physiotherapy centre Effectiveness of acupressure in patients with perceived stress related sub-acute neck pain. Effectiveness of Acupressure with Stretching and Acupressure Technique alone in Patients with Perceived Stress Related Sub-Acute Neck Pain 2021-06-11 anticipated 48 Complete https://irct.ir/trial/58065 interventional Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Health service research, Randomization description: Simple random sampling technique (probability sampling) where each participant has equal chance of getting enrolled into the study, was used for the sampling and after which the participants were enrolled into 2 equal treatment groups, Group A (acupressure with stretching group) and Group B (acupressure alone group) by lottery method where the selection of participants into groups depends upon the card drawn and the specific number assigned to participants, Blinding description: Participants will be aware of the description of treatments being performed in both groups but will not be aware which treatment will be performed on them. The participants of both groups will not be aware of the study groups. All the participants will be masked in the study. This will be carried out by keeping the anonymous by study period. 3 neck pain. Intervention 1: Intervention group: Group A (acupressure with stretching). The group received warm-up session of hot-pack and neck isometric exercises with 10s hold at 20% of the isometric strength repeated for 8 repetitions in 4 all 4 directions Participants in group A received acupressure at 21 acupressure points, Each of the acupoint was pressed for 10 seconds and repeated for 5 times. This acupressure treatment took almost 20 minutes of session and then group A participants received addition of stretching. Stretching techniques were performed in such order: towards lateral flexion (upper part of trapezius), ipsilateral flexion and rotation (scalene) and towards flexion (extensor muscles) each for 30 sec and repeated 2–3 times. This complete session took 30 minutes total. Intervention 2: Intervention group: Group B (Acupressure alone group). The participants of group B received warm-up of hot-pack and isometric exercise and then the acupressure therapy on all points for treatment time of 20 minutes only was performed. No - There is not a plan to make this available Justification or reason for not sharing IPD is As we have signed and assured the participants that there data will not be shared anywhere else other than this study
public Fatima Naseem Bhatti
House#p-119 Muhammad bibi colony , Faisalabad road jaranwala
Jaranwala Pakistan 38000 +92 41 4312868 Fatimabhatti1765@yahoo.com The university of Faisalabad scientific Fatima Naseem Bhatti
House#p-119 Muhammad bibi colony, Faisalabad road, Jaranwala
Jaranwala Pakistan 38000 +92 41 4312868 Fatimabhatti1765@yahoo.com The university of Faisalabad Pakistan Middle aged male and female participants between minimum age of 30 and maximum of 50 years Effectiveness of Acupressure with Stretching and Acupressure Technique alone in Patients with Perceived Stress Related Sub-Acute Neck Pain moderate score perceived stress scale score (14 or greater) Willing to participate by signing the consent form With neck pain history of >30 days (sub-acute) Complain of neck pain > 30mm on VAS, (moderate) Non-radiating neck pain Not undergoing psychiatry treatment or psychotropic medication were included into study 30 years 50 years Both Participants with any diagnosed musculoskeletal disorder (spondylolisthesis, spondylitis, Rheumatoid arthritis etc.) Pregnant females, Participants suffering from cancer, Undergone surgery in past 3 months With neck pain history of >90 days (chronic) HIV disorders, swelling, skin issues High blood pressure Any wound or contagious disease at the acupressure points Any neurological disorder (Parkinson’s, dementia, stroke etc.) Any vascular disorders (phlebitis, vertebral or carotid artery disorders,atherosclerosis etc.) Any infectious disease (T.B, Hepatitis etc.) were excluded from study M54.2 Cervicalgia Treatment - Other Treatment - Other Intervention group: Group A (acupressure with stretching). The group received warm-up session of hot-pack and neck isometric exercises with 10s hold at 20% of the isometric strength repeated for 8 repetitions in 4 all 4 directions Participants in group A received acupressure at 21 acupressure points, Each of the acupoint was pressed for 10 seconds and repeated for 5 times. This acupressure treatment took almost 20 minutes of session and then group A participants received addition of stretching. Stretching techniques were performed in such order: towards lateral flexion (upper part of trapezius), ipsilateral flexion and rotation (scalene) and towards flexion (extensor muscles) each for 30 sec and repeated 2–3 times. This complete session took 30 minutes total. Intervention group: Group B (Acupressure alone group). The participants of group B received warm-up of hot-pack and isometric exercise and then the acupressure therapy on all points for treatment time of 20 minutes only was performed. Visual Analogous Scale. Timepoint: Baseline, after 2weeks(6th session), after 4weeks(12th session). Method of measurement: This involves pain range from no pain to max unbearable pain. Here, the VAS is considered as a horizontal line that measures 100mm in length. The patient marks the line at the point they think the severity of their perception of pain can represent. Neck Disability Index. Timepoint: Baseline and after 4th week (12th session). Method of measurement: Neck disability index (NDI) is a questionnaire used to assess the disability caused by the neck pain in everyday life. It involves 10 questions related to the activities of daily livings, that gives 6 possible options and point ranging 0-5, the least one is marked gives 0 score and last option being marked gives the 5 points, total points are 50 and the scoring is done by, dividing the patient score by 50 and multiplying by 100 gives a score in percent. If certain question (e.g. x) is missed because the patient doesn’t do it, then total score will be divided by (50-x) points.The interpretation of NDI is given as: 0-4points (0-8%) no disability,5-14points (10 – 28%) mild disability,15-24points (30-48%) moderate disability,25-34points (50- 64%) severe disability,35-50points (70-100%) complete disability. Perceived stress scale. Timepoint: Baseline and after 4th week (12th session). Method of measurement: The perceived stress scale (PSS) is most commonly used psychometric scale for the measurement of perception of stress.This is simple questionnaire with simple and related to nature questions. It descripts the feeling of patient regarding certain aspects in last month.The scores of PSS are obtained by simply reversing the patient’s responses of positive sensed questions “4, 5, 7 and 8”. i.e. (0=4, 1=3, 2=2, 3=2, 4=0) and then summing up all responses. The score can range from 0-40 where the higher scores represent higher level of stress by patient. The scoring is interpreted as: 0-13= low perceived stress,14-26= moderate perceived stress and 27-40= high perceived stress. Cervical range of motion. Timepoint: Baseline and after 4th week (12th session). Method of measurement: The cervical ranges of motion (flexion, extension, side bending and rotation) was measured by using Goniometer. Yasmin physiotherapy centre Approved 2021-05-21 Ethics and technical committee of university of Faisalabad The university of Faisalabad,university town, Sargodha road ,Faisalabad Faisalabad Punjab Pakistan Approved 2021-06-21 Ethics and technical committee of university of Faisalabad The university of Faisalabad,university town, Sargodha road ,Faisalabad Faisalabad Punjab Pakistan