Efficacy of Muscle Energy Technique and Deep Neck Flexors Training in Mechanical Neck Pain- A Randomized Clinical Trial

Yadav, Harshita; Goyal, Manu

doi:10.5455/ijtrr.00000048

Cited by 14 publications

(19 citation statements)

References 13 publications

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“…The results of present study were in agreement with other previous studies that showed that the PIR has a significant effect in reduction of pain and increasing of ROM in the neck area or in other areas of the body [10][11][12][13][14][15][16][17]19,23]. However, the results of the current study showed increase in all ranges of neck motion which is superior to other studies conducted on neck pain [10,23].…”

Section: Discussionsupporting

confidence: 90%

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Effect of post isometric relaxation technique in the treatment of mechanical neck pain

Laithy¹,

Fouda²

2018

Phys Ther Rehabil

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Background and purpose: Neck pain is one of the most common musculoskeletal disorders in the general population which have large economic burden on the health care system. So, the purpose of the study was to investigate the effect of muscle energy technique in form of post isometric relaxation (PIR) with the traditional physical therapy treatment versus traditional physical therapy treatment alone on pain and range of motion (ROM) in patients with chronic mechanical neck pain (MNP). Materials and methods: Thirty patients randomly assigned into two equal groups. Group A received a traditional physical therapy program while group B received the same program in addition to PIR technique instead of passive stretching. Neck pain and disability was measured using neck pain and disability scale while ROM of the cervical spine was measured by OB goniometer. Results: There were significant decreases (P<0.05) in pain and there were significant increases (P<0.05) in ROM post treatment for both groups. However, there was significance differences (P<0.05) between both groups post treatment in the measurable variables. Conclusion: Adding PIR technique to the conventional physical therapy treatment program of chronic MNP was more effective in reducing pain and functional disability and increasing cervical ROM than the traditional treatment program alone.

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Section: Discussionsupporting

confidence: 90%

“…More recently, the treatment approaches for MNP evolved from a passive treatment technique towards more active treatment technique [11]. The MET is an advanced stretching techniques have been used in symptomatic as well as in asymptomatic population [11][12][13][14][15][16][17][18][19]. However, conflicting results are seen.…”

mentioning

confidence: 99%

Effect of post isometric relaxation technique in the treatment of mechanical neck pain

Laithy¹,

Fouda²

2018

Phys Ther Rehabil

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“…13 The possible hypoalgesic effect can be explained by golgi tendon reflex inhibition, sympathoexcitation evoked by somatic efferents and localized activation of periaqueductal gray matter, which can be produced by muscle and joint proprioception activation. 30 The other possible mechanism for the therapeutic effects of MET may involve a variety of biomechanical mechanisms such as the change in tissue fluids, altered proprioceptions, motor programming and control and neurophysiologic responses. 31…”

Section: Discussionmentioning

confidence: 99%

Effect of muscle energy technique with and without strain–counterstrain technique in acute low back pain — A randomized clinical trial

Patel

Eapen

Ceepee

et al. 2018

Hong Kong Physiother. J.

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Background: Muscle energy technique (MET) and strain–counterstrain (SCS) technique are found to be effective as a sole treatment of acute low back pain (LBP), but the combined effect of these two techniques has not been evaluated. Objective: The purpose of this randomized clinical trial was to evaluate the added effect of SCS to MET in acute LBP patients. Methods: In this trial, 50 patients were randomly allocated to MET or MET-SCS group to receive the assigned two treatment sessions for two consecutive days. Oswestry disability index (ODI) and Roland Morris disability questionnaire (RMDQ), visual analogue scale (VAS), lumbar range of motion (ROM) were recorded at baseline, after first and second session. Results: All the outcome measures showed statistically significant ([Formula: see text]) improvement in both the groups after second session. Between the groups, analysis showed no statistically significant difference ([Formula: see text]) after the first or second session. Conclusions: The improvement after second treatment sessions was noted in pain, ROM, and disability in both the groups, but immediate effect was seen only on pain intensity after first treatment session. When compared between the groups, no added effect of SCS to MET was found in reducing pain and disability and increasing lumbar ROM in acute LBP patients.

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“…Most previous studies have focused on manipulation and mobilization techniques, but in the present study, we have focused on soft tissue release and muscle energy techniques. Since the role of the soft tissues and muscles in the neck area is very important, techniques that we used could be safer and more effective in the treatment of non-specific CNP [23,31,32].…”

Section: Comparing the Results With Other Studiesmentioning

confidence: 99%

“…Studies have found that manual therapy techniques and exercise therapy applied to neck can temporarily relieve nonspecific CNP [31][32][33][34][35]. Given the inconclusive previous research results and the rising rate of neck pain [36], this study was designed to assess the effects of exercise and manual therapy on neck ROM and pain in patients with nonspecific CNP.…”

Section: Introductionmentioning

confidence: 99%

The Effect of Combination Therapy; Manual Therapy and Exercise, in Patients With Non-Specific Chronic Neck Pain: A Randomized Clinical Trial

Ghodrati

Mosallanezhad

Shati

et al. 2017

PTJ

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Neck pain is one of the most common health problems that its prevalence ranges from 34% to 50%. Chronic Neck Pain (CNP) is also a frequent complaint in the general population. The pathogenesis of nonspecific CNP is not clear. This study aimed to assess the effects of soft tissue release, muscle energy techniques and exercise on neck Range of Motion (ROM), Neck Disability Index (NDI), and pain in patients with nonspecific CNP. Methods: This is a randomized, single-blind, clinical study conducted on two groups of patients in Iran, during 2016-2017. Group A received intervention treatment and group B, as control, received no treatment for 21 days. Each group consisted of 12 participants who were selected considering inclusion and exclusion criteria. Each patient in group A received manual treatment protocols (soft tissue release and muscle energy techniques) plus exercise therapy, in six sessions, one session per day, two days a week over a period of 21 days. Clinical assessments were performed at the first and last session (before and after the treatment). Before starting the study, the reliabilities of measurement methods were evaluated and the results were acceptable. Clinical assessments included neck ROM, NDI and pain based on Visual Analogue Scale (VAS). Repeated measures ANOVA test was performed for data analysis using SPSS (version 20). Results: Totally, 16 women and 8 men were participated in this study. To test the hypothesis and analysis of the study variables at regular intervals from the beginning to the end of treatment, repeated measures ANOVA was used. In the intervention group, the indexes showed significant improvements (P<0.001). This means that our intervention treatment was effective. Conclusion: The study results support the effectiveness of the combination therapy (soft tissue release, muscle energy techniques plus exercise therapy) with some improvements in the neck ROM, NDI and pain (Based on VAS scores) for the management of patients with non-specific CNP.

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Efficacy of Muscle Energy Technique and Deep Neck Flexors Training in Mechanical Neck Pain- A Randomized Clinical Trial

Cited by 14 publications

References 13 publications

Effect of post isometric relaxation technique in the treatment of mechanical neck pain

Effect of post isometric relaxation technique in the treatment of mechanical neck pain

Effect of muscle energy technique with and without strain–counterstrain technique in acute low back pain — A randomized clinical trial

The Effect of Combination Therapy; Manual Therapy and Exercise, in Patients With Non-Specific Chronic Neck Pain: A Randomized Clinical Trial

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