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Chronic PainNCT04872335

Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy

A study testing Gong's Mobilization and Gradually Graded Exercise Therapy in people with Chronic Pain and Neck Pain, run by Riphah International University at 2 sites in Pakistan.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This project was a Randomized clinical trial conducted to find out the Comparative Effects of Gong's Mobilization with Gradually Graded Exercise Therapy for Chronic Neck Pain among the users of Electronic Gadgets so that we can have best treatment option for patients. Read more about this study

Who is it for?
Ages 15 to 65 years
Conditions the study is for
Chronic Pain, Neck Pain, Shoulder Syndrome
What is being tested?
Gong's Mobilization and Gradually Graded Exercise Therapy
Could I receive a placebo?
No, everyone receives an active treatment
How many people
28 participants
Where
2 sitesPakistan
Study dates
15 Oct 2020to 30 Jun 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 15 to 65 years
  • All sexes
  • No healthy volunteers
  • Child, Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • • Cervical stenosis
  • History of traumatic Injury
  • Previous surgery related to cervical spine
  • Hypermobility
  • Cancer
  • Inflammatory rheumatologic diseases
Show all 9Show fewer
  • Severe psychological disorders
  • Being pregnant and
  • Intervention including exercise or physical therapy in the last 3 months.

Trial locations and contacts

2 sites in 1 country.

Pakistan2 sites

  • Riphah International University

    Lahore, Punjab Province, 54000

  • Riphah IU

    Lahore, 54000

Other trials in Pakistan

About this study

Official title: Comparative Effects of Gong's Mobilization With Gradually Graded Exercise Therapy for Chronic Neck Pain Among the Electronic Gadgets Users.

This project was a Randomized clinical trial conducted to find out the Comparative Effects of Gong's Mobilization with Gradually Graded Exercise Therapy for Chronic Neck Pain among the users of Electronic Gadgets so that we can have best treatment option for patients.

Read the detailed description

The study design was a Randomized Clinical Trial. For the study data was collected from sports and spine professionals. Sample size was calculated with the help of Epitool calculator. The study will be completed in 6 months duration. Neck Disability Index (NDI), Numeric Pain Rating Scale (NPRS) for pain intensity and Universal Goniometers for measuring (ROMs) and Forward head posture (FHP) were assessed before and 4 weeks after the treatment through the craniovertebral angle (CVA) measured from a digitized, lateral-view photograph of each subject. All the subjects were selected using Non Probability convenient sampling technique. The Subjects were randomly assigned to one of the following two groups: Gong's Mobilization (Group 1) or Gradually Graded Exercise Therapy (Group 2).This study was conducted in accordance with the rules of the Declaration of Helsinki. Written Informed consent were taken from all the subjects before participating in this trial. SPSS 25 was used for data entry and analysis.

Being tested
Gong's Mobilization, Gradually Graded Exercise Therapy
Keywords
Gong's Mobilization, Gradually graded exercise therapy
Medical subject headings
Chronic Pain, Neck Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Gong's MobilizationOther

    Group A received Gong's mobilization and common treatnent (TENs,Hot pack and cervical stretches). Gong's mobilization which is concurrent application of Apophyseal joint gliding and end range passive physiological movements while the subject's cervical postures are passively Neutral in order to induce Normal Cervical Extension. The Subjects in Group A were treated three times in a week for 4 weeks.

  • Gradually Graded Exercise TherapyOther

    The Subjects in Group B were received Exercise Therapy and common treatment (TENs, Hot pack and cervical stretches) three times in a week continue for 4 weeks . Each exercise session will take 30 min. It will be consisted of 5 min warm-up exercises, 20 min stabilization exercises, 5 min cool-down, and stretching exercises including neck and shoulder girdle muscles.

    The aim of Exercise program was to create a neutral spine and activate deep muscles of the cervical spine. The patients were educated to maintain neutral spine during the exercises and throughout the day as much as possible.

    Scapulothoracic stabilization exercises were included_ specific exercises for the muscles affecting scapular orientation related to neck pain. The subjects were educated to maintain the positions and contractions during the exercises including scapular retraction, eccentric scapular retraction, and combined scapular retraction with shoulder lateral rotation, forward punch, and dynamic hug.

Study groups in NCT04872335
Study groupRoleWhat they receive
Gong's MobilizationExperimentalSubjects received gong's mobilization three times in a week for 4 weeks.
Receives: Other: Gong's Mobilization
Gradually Graded Exercise TherapyExperimentalSubjects received gradually graded exercise therapy three times in a week for 4 weeks.
Receives: Other: Gradually Graded Exercise Therapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Change in Pain Intensity by 'Numeric Pain Rating Scale'

    Change in pain from baseline was measured at 12th session. The Numerical Pain Rating Scale (NPRS) is an 11 point pain scale that is completed by subject himself, under the supervision of researcher.

    Measured: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

  2. Change in Neck disability Index 'NDI' score

    Change in Neck disability Index score 'NDI' from baseline was measured at 12th session. This questionnaire or tool has been designed to give us information as to how neck pain of the subject has affected his/her ability to manage in everyday life.

    Measured: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

Secondary outcomes (2)

  1. Change in Cervical Range of Motion (ROM) measured by Universal Goniometer.

    Change in Cervical Range of motion (ROM) from baseline was measured at 12th session.

    Measured: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

  2. Change in Craniovertebral angle CVA measured from a digitized, lateral-view photograph of each subject.

    Change in Craniovertebral angle (CVA) from baseline was measured at 12th session. Craniovertebral angle (CVA) is a factor that significantly influences pain in those individuals with a forward head posture (FHP). Craniovertebral angle (CVA) (the angle between the horizontal line passing through C7 and a line extending from the tragus of the ear to C7).

    Measured: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted4 May 2021
  2. Study start15 Oct 2020
  3. Primary completion30 Apr 2021
  4. Study completion30 Jun 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Participant
Enrolment
28 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04872335
Sponsor's protocol ID
REC/Lhr/20/0104
Status last verified
Jul 2021
First submitted
26 Mar 2021
Last updated
14 Jul 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Celenay ST, Kaya DO, Akbayrak T. Cervical and scapulothoracic stabilization exercises with and without connective tissue massage for chronic mechanical neck pain: A prospective, randomised controlled trial. Man Ther. 2016 Feb;21:144-50. doi: 10.1016/j.math.2015.07.003. Epub 2015 Jul 15.

    PubMed 26211422

  • Gong W. The effects of cervical joint manipulation, based on passive motion analysis, on cervical lordosis, forward head posture, and cervical ROM in university students with abnormal posture of the cervical spine. J Phys Ther Sci. 2015 May;27(5):1609-11. doi: 10.1589/jpts.27.1609. Epub 2015 May 26.

    PubMed 26157273

  • McLean SM, Klaber Moffett JA, Sharp DM, Gardiner E. A randomised controlled trial comparing graded exercise treatment and usual physiotherapy for patients with non-specific neck pain (the GET UP neck pain trial). Man Ther. 2013 Jun;18(3):199-205. doi: 10.1016/j.math.2012.09.005. Epub 2012 Oct 22.

    PubMed 23085116

  • Kim DH, Kim CJ, Son SM. Neck Pain in Adults with Forward Head Posture: Effects of Craniovertebral Angle and Cervical Range of Motion. Osong Public Health Res Perspect. 2018 Dec;9(6):309-313. doi: 10.24171/j.phrp.2018.9.6.04.

    PubMed 30584494

Questions about this trial

What is this clinical trial studying?

A study testing Gong's Mobilization and Gradually Graded Exercise Therapy in people with Chronic Pain and Neck Pain, run by Riphah International University at 2 sites in Pakistan.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 14 Jul 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in Pakistan. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Change in Pain Intensity by 'Numeric Pain Rating Scale' (time frame: Baseline (pre treatment readings), Immediate after treatment and post treatment readings( at 4th week)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04872335, which also lists 4 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Jul 2021.

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