To compare effectiveness of JANDAS Approach versus McKenzie Retraction exercises on pain, disability and quality of life among Chronic Neck Pain Patients.
Design
Randomized clinical trial
Settings and conduct
This study will be conducted at Arif Memorial Teaching Hospital, Lahore
Participants/Inclusion and exclusion criteria
Inclusion criteria:
Patients, 25-40 years of age suffering from neck pain duration more than 6 months will be include in this study.
Exclusion criteria:
Subjects with a history of severe trauma such as fracture, congenital disorder of cervical spine, spondylolisthesis, any neck tumor, myelopathy, tendinopathy, rheumatoid arthritis or having ankylosing spondylosis will be exclude from this study
Intervention groups
There will be two intervention groups. Group A will be treated with JANDA,s approach and group B will be treated with McKenzie retraction exercises.
Main outcome variables
NPRS questionnaire will be used to check pain severity level, while NDI will be used for neck disability and SF36 questionnaire will be used for quality of life
General information
Reason for update
Acronym
IRCT registration information
IRCT registration number:IRCT20221205056713N2
Registration date:2024-07-25, 1403/05/04
Registration timing:registered_while_recruiting
Last update:2024-07-25, 1403/05/04
Update count:0
Registration date
2024-07-25, 1403/05/04
Registrant information
Name
hafiza Nida Rasheed
Name of organization / entity
Rashid Latif Medical college, Lahore
Country
Pakistan
Phone
+92 336 4535979
Email address
naddia.rasheed20@gmail.com
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2024-07-23, 1403/05/02
Expected recruitment end date
2024-12-22, 1403/10/02
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
Effectiveness of JANDAS approach Versus McKenzie retraction exercises on pain, disability and quality of life among chronic neck pain patients
Public title
Effects of JANDA,s approach and McKenzie retraction exercise in treatment of neck pain
Purpose
Treatment
Inclusion/Exclusion criteria
Inclusion criteria:
Patient with neck pain duration more than 6 months
Age Group - 25-40 years
Exclusion criteria:
Subjects with a history of severe trauma such as fracture
Congenital disorder of cervical spine.
Patient who will diagnosed with Spondylolisthesis, Myelopathy and Tendinopathy, Rheumatoid Arthritis, Ankylosing Spondylosis or have tumor,
Age
From 25 years old to 40 years old
Gender
Both
Phase
N/A
Groups that have been masked
Outcome assessor
Sample size
Target sample size:
50
Randomization (investigator's opinion)
Randomized
Randomization description
Participants will be randomly divided in two groups (group A group B) by using lottery method. Both groups will be given conventional physical therapy treatment. Group A patients will treated with McKenzie retraction. Group B patients will treated with the JANDAS approach. Both groups will assessed before and after the treatment.
Blinding (investigator's opinion)
Single blinded
Blinding description
The outcome assessor will not know which participant will allocated in group A or group B. so study will single blinded
Placebo
Not used
Assignment
Parallel
Other design features
Secondary Ids
empty
Ethics committees
1
Ethics committee
Name of ethics committee
The institutional board of Rashid Latif Medical College, Lahore
Street address
35KM Ferozepur Road, Lahore.
City
Lahore
Postal code
54900
Approval date
2023-10-12, 1402/07/20
Ethics committee reference number
IRB/2023127
Health conditions studied
1
Description of health condition studied
Chronic Neck Pain
ICD-10 code
ICD-10 code description
Primary outcomes
1
Description
Pain
Timepoint
Before intervention and 4 weeks after intervention
Method of measurement
The Numerical Rating Scale is an 11-point scales for self-report of pain.
2
Description
Disability
Timepoint
Before intervention and 4 weeks after intervention
Method of measurement
The NDI is a standard instrument for measuring self-rated disability due to neck pain.
3
Description
Quality of life
Timepoint
Before intervention and 4 weeks after intervention
Method of measurement
SF-36 is composed of eight multi-item scales (Physical Functioning, Role-Physical, Bodily Pain, General Health, Vitality, Social Functioning, Role-Emotional, Mental Health) to determine quality of life.
Secondary outcomes
empty
Intervention groups
1
Description
Intervention group: group A will be treated with JANDAS Approach. Begin with a thorough assessment of the patient's posture and movement patterns. Assess weakness in opposing muscle groups, such as the deep neck flexors, lower trapezius, and scapular stabilizers. Identify any muscle imbalances between flexors and extensors, lateral flexors, and rotators. Prescribe specific exercises to address identified weaknesses and imbalances. Examples may include cervical flexor endurance exercises, scapular stabilization exercises, and stretching for overactive muscles. Repeat these exercises 3 days per week for 4 weeks. Assessment of patient's symptoms will take before and after treatment.
Category
Treatment - Other
2
Description
Intervention group: Group B will be treated with McKenzie retraction exercise. Sit or stand with a straight posture, looking straight ahead. Ask patient Slowly retract your head backward, creating a double chins effect. Maintain the retracted position for a few seconds, feeling a gentle stretch at the back of your neck. Slowly return your head to the neutral position. Repeat the movement several times in a controlled manner. Repeat these exercises 3 days per week for 4 weeks. Assessment of patient's symptoms will take before and after treatment.
Category
Treatment - Other
Recruitment centers
1
Recruitment center
Name of recruitment center
Arif memorial teaching hospital, Lahore
Full name of responsible person
Areej Baloch
Street address
35-KM, Ferozepur Road. Lahore.
City
Lahore
Postal code
54900
Phone
+92 313 1706714
Email
areejbaloch44@gmail.com
Sponsors / Funding sources
1
Sponsor
Name of organization / entity
Rashid Latif Medical college
Full name of responsible person
Hafiza Nida Rasheed
Street address
35-KM, Ferozepur Road. Lahore.
City
Lahore
Postal code
54900
Phone
+92 336 4535979
Email
naddia.rasheed20@gmail.com
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Rashid Latif Medical college
Proportion provided by this source
100
Public or private sector
Private
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic
Person responsible for general inquiries
Contact
Name of organization / entity
Rashid Latif Medical College
Full name of responsible person
Areej Baloach
Position
Physical Therapist
Latest degree
Bachelor
Other areas of specialty/work
Physiotherapy
Street address
35-KM, Ferozepur Road. Lahore.
City
Lahore
Province
Punjab
Postal code
54900
Phone
+92 321 1185253
Email
areejbaloch44@gmail.com
Person responsible for scientific inquiries
Contact
Name of organization / entity
Rashid Latif Medical College
Full name of responsible person
Hafiza Nida Rasheed
Position
Physical Therapist
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
35-KM, Ferozepur Road. Lahore
City
Lahore
Province
Punjab
Postal code
54900
Phone
+92 336 4535979
Email
naddia.rasheed20@gmail.com
Person responsible for updating data
Contact
Name of organization / entity
Rashid Latif Medical college
Full name of responsible person
Hafiza Nida Rasheed
Position
Physiotherapist
Latest degree
Master
Other areas of specialty/work
Physiotherapy
Street address
35-KM, Ferozepur Road. Lahore.
City
Lahore
Province
Punjab
Postal code
54900
Phone
+92 336 4535979
Fax
Email
naddia.rasheed20@gmail.com
Sharing plan
Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available