Effects of Active Release Versus Strain-Counter-strain Technique on Pain, Range of Motion, Cranio-vertebral Angle, and Disability in Patients With Non-Specific Neck Pain

Status: Recruiting
Location: See location...
Intervention Type: Other
Study Type: Interventional
Study Phase: Not Applicable
SUMMARY

The study design will be a randomized clinical trial (RCT) aims to compare the effects of Active Release Technique and Strain-Counterstrain on pain, range of motion, cranio-vertebral angle, and disability in patients with non-specific neck pain. Data will be collected from Safi Teaching Hospital, Faisalabad, Pakistan. Using a non-probability purposive sampling method, participants aged 18-45 years with localized cervical pain and stiffness will be selected based on inclusion and exclusion criteria. The inclusion and exclusion criteria will be; Participants aged 18-45, both male and female, experiencing neck pain for at least 2 months, with palpable taut bands in upper trapezius and SCM, active trigger points in upper trapezius, levator scapulae, and SCM, NPRS score \>3/10 for neck region, and localized pain/stiffness in cervical spine (C3-C7) without upper limb radiculopathy, confirmed by negative Spurling's test, upper limb tension test, and shoulder abduction test. Subjects will be excluded if presented with a history of Participants who received myofascial treatment in the preceding month or have a diagnosis of fibromyalgia, KNGF Clinical Practice Guideline Grade III or IV, or neurological deficits. Participants will be equally divided into 2 groups using a random number generator table. Group A will receive Active Release Technique, while Group B will receive Strain-Counterstrain. Both groups will also receive hot packs, superficial neck muscles stretching, and neck isometrics. Outcome measures, including the Numerical Pain Rating Scale for pain, goniometer for range of motion, cranio-vertebral angle measurement, Neck Disability Index, will be assessed at baseline and after four weeks. Ethical approval will be obtained from the Ethical Committee of Riphah International University, and informed consent will be secured from all participants. The outcomes will focus on pain intensity, cervical range of motion, cranio-vertebral angle, and disability, Data analysis will be performed using SPSS version 25. The findings are expected to provide valuable insights into the comparative efficacy of these manual therapy techniques, informing clinical practice and improving patient outcomes in the management of non-specific neck pain.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Maximum Age: 45
Healthy Volunteers: f
View:

• Age 18-45 years

• Both male and female

• Patients with neck pain for at least 2 months

• Palpable taut bands in upper trapezius, SCM

• ATrPs in upper trapezius, levator scapulae, SCM

• NPRS score is \>3/10 on NPRS for neck region

• Individuals with a Craniovertebral angle less than 53

• Individuals having grade 2 severity of neck pain according to KNGF Guidelines

• Localized pain/stiffness in cervical spine (C3-C7) without upper limb radiculopathy

• Diagnostic Tests: Negative Spurling's test, upper limb tension test, and shoulder abduction test

Locations
Other Locations
Pakistan
Riphah Rehabilitation Clinic
RECRUITING
Lahore
Contact Information
Primary
Syed Shakil ur Rehman, PhD
shakil.urrehman@riphah.edu.pk
+92 320 786661
Time Frame
Start Date: 2025-05-01
Estimated Completion Date: 2025-09-28
Participants
Target number of participants: 40
Treatments
Experimental: Treatment Group A
Active Release Technique
Active_comparator: Treatment Group B
Strain-counterstrain
Related Therapeutic Areas
Sponsors
Leads: Riphah International University

This content was sourced from clinicaltrials.gov