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NOT YET RECRUITING
NCT07912112
NA

Effects of Muscle Energy Technique With and Without Scapulothoracic Mobilization on Neck Pain in Students

Sponsor: University of Management and Technology Lahore

View on ClinicalTrials.gov

Summary

Non-specific neck pain is neck pain that cannot be attributed to any known, specific pathology such as inflammatory disease, cancer, fracture or infection. Non-specific neck pain accounts for a large proportion of musculoskeletal disorders among young people, especially university students, due to prolonged static postures, prolonged screen time and poor ergonomic habits. In some cases, muscular imbalances or excessive activity of the cervical and periscapular muscles due to prolonged forward head posture is suggested to be the cause. In other cases, altered neuromuscular function, limited movement of the scapulothoracic region resulting in altered cervical mechanics or mild dysfunction of the facet joints between cervical vertebrae may be the cause. In addition to these, there may be other minor disorders that cause pain and impairment of function in the connective tissues and surrounding soft tissue components in the neck and upper thorax. When symptoms last longer than three months, the term "chronic" non-specific neck pain is used. Non-specific neck pain has been treated with numerous therapeutic interventions such as manual therapy, exercise based approaches, dry needling, postural correction and soft tissue procedures. Muscle Energy Technique (MET) is an active osteopathic manual therapies method that uses the patient's own contractions to lengthen and relax hypertonic muscles and improve joint mobility. The purpose of this study is to compare the effects of Muscle Energy Technique with and without Scapulothoracic Mobilization on pain, range of motion and disability among university students with non-specific neck pain. The study design will be a randomized clinical trial and evaluation will be done using Numeric Pain Rating Scale (NPRS), Neck Disability Index (NDI) and Goniometer. However, the most effective combination of these interventions as a method of rehabilitation for altered cervical kinematics and pain. Further research is necessary to determine the best effective mix of these interventions as a rehabilitation strategy for non-specific neck pain in college students, which reflects the complexity of the condition. This study aims to assess the response of university students with non-specific neck pain to Muscle Energy Technique with and without Scapulothoracic Mobilization in terms of pain, range of motion and impairment. A randomized clinical trial will be used as the study design. The Neck Disability Index (NDI), Goniometer and Numeric Pain Rating Scale (NPRS) will be used for evaluation. The subjects will be divided into two groups at random using non-probability convenient sampling; Group A will receive Muscle Energy Technique in addition to Scapulothoracic Mobilizations, while Group B will receive Muscle Energy Technique alone. Prior to the application of the technique, both groups will receive a 15-minute moist heat as a basic treatment for non-specific neck pain; both groups will receive 12 sessions over the course of four weeks; measurements of all outcome variables will be taken at baseline, the second week, and the fourth week. The results will be analyzed using SPSS 24.

Official title: Effects of Muscle Energy Technique With and Without Scapulothoracic Mobilization on Pain, Range of Motion and Disability Among Students With Non-Specific Neck Pain.

Key Details

Gender

All

Age Range

18 Years - 30 Years

Study Type

INTERVENTIONAL

Enrollment

60

Start Date

2026-10-28

Completion Date

2026-12-31

Last Updated

2026-11-03

Healthy Volunteers

No

Interventions

OTHER

Muscle Energy Technique + Scapulothoracic Mobilization.

will undergo scapulothoracic mobilization after receiving Muscle Energy Technique (MET) that targets the levator scapulae and upper trapezius muscles. The therapist will position the cervical spine in flexion, contralateral side bending, and minor ipsilateral rotation for the upper trapezius as the patient lies supine until the initial resistance barrier is reached. After 7-10 seconds of an isometric shoulder shrug against 20-30% therapist resistance, the participant will relax. Following relaxation, the therapist will gently stretch the new barrier and hold it there for ten to fifteen seconds. This process will be carried out five times. The cervical spine will be positioned in flexion, contralateral side bending, and contralateral rotation for the levator scapulae. The participant will attempt to raise the shoulder against therapist resistance for 7-10 seconds as part of a mild isometric contraction. After that, they will rest and stretch for 10-15 seconds. There will be five repeats

OTHER

Muscle Energy Technique.

will be given the identical MET program as Group A for the levator scapulae and upper trapezius muscles. Nevertheless, there won't be any scapulothoracic mobilization. In order to compare results and ascertain the extra impact of scapulothoracic mobilization, this group will solely receive the MET intervention. Participants in both groups will be advised to do a standardized at-home exercise regimen that includes deep cervical flexor activation activities, pectoralis muscle stretching, chin tuck movements, and scapular retraction exercises in addition to the supervised treatment sessions. Stretching exercises will be held for 30 seconds and repeated three times a day, while each exercise will be done in three sets of ten repetitions

Locations (1)

UMT, Lahore

Lahore, Punjab Province, Pakistan