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Trial registered on ANZCTR

Registration number
Ethics application status
Date submitted
Date registered
Date last updated
Type of registration
Retrospectively registered

Titles & IDs
Public title
Manual therapy Techniques in Neck Pain
Scientific title
Efficacy of muscle energy technique compared to active isolated stretching technique in cervical pain and range of motion (ROM) limitation
Secondary ID [1] 291503 0
Nil known
Universal Trial Number (UTN)
Trial acronym
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Neck Pain 302580 0
Neck Stiffness 302581 0
Condition category
Condition code
Physical Medicine / Rehabilitation 302105 302105 0 0
Musculoskeletal 302250 302250 0 0
Other muscular and skeletal disorders

Study type
Description of intervention(s) / exposure
Muscle Energy Techniques: The shortened muscle is placed in a mid­ range position about halfway between a fully stretched and a fully relaxed state. The patient contracts the muscle isometrically, using a maximum degree of effort for 5-10 seconds while the effort is resisted completely. On release of the effort, a rapid stretch is made to a new barrier, without any 'bounce', and this is held for at least 10 seconds. The patient relaxes for approximately 20 seconds and the procedure is repeated up to complete session.
Active Isolated Stretching: Targeted muscle was identified patient was guided to actively contract the opposite muscle. At the end of patient range of motion the therapist stretch the targeted muscles by adding stretch force of less then 1 pound so that muscles are not excessively irritated. The duration of stretch should not be more then 2 seconds. The patient is now supported and guided back?to the starting position. This step is called the recovery phase. The protocol of the stretch and recovery phases is repeated for complete session. Each successive repetition usually allows for an incremental gain of a few degrees of motion of the stretch. The client should breathe out during the stretch phase and breathe in during the recovery phase.
Patients full filling Inclusion criteria were randomly assigned into two equal groups (30 in each). Group A got treatment of Muscle Energy Techniques (1 set of 10 repetitions per session, 3 sessions per week on alternate days) and Group B got Active isolated stretching (1 set of 10 repetitions per session, 3 sessions per week on alternate days). The patients were treated for the period of six weeks. Pre and post assessment was done using Inclinometer for cervical Range of Motion, Neck Disability index for disability and Visual Analogue Scale for pain.
10 Minutes Individual one-on-one Sessions for each group in the clinic performed by Manual Therapist (MS Orthopedic Manual Physical Therapy ) having at least 1 year experience.
Intervention code [1] 297572 0
Intervention code [2] 297573 0
Treatment: Other
Comparator / control treatment
Comparison between muscle energy techniques and active isolated stretching
Control group

Primary outcome [1] 301546 0
Visual Analogue Scale for Pain
Timepoint [1] 301546 0
Baseline and at 6 weeks
Primary outcome [2] 301547 0
Inclinometer for cervical Range of Motion
Timepoint [2] 301547 0
Baseline and at 6 weeks
Secondary outcome [1] 332990 0
Neck Disability index for Disability
Timepoint [1] 332990 0
Baseline and At 6 weeks

Key inclusion criteria
Patients having Mechanical neck pain for more than 3 days i.e. cervical pain and ROM limitation
Minimum age
20 Years
Maximum age
45 Years
Both males and females
Can healthy volunteers participate?
Key exclusion criteria
The patients having cervical RA, trauma, tumor or instability were excluded from the study.

Study design
Purpose of the study
Allocation to intervention
Randomised controlled trial
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Sealed opaque envelopes
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomisation using procedures like coin-tossing for the participants of the study.
Masking / blinding
Who is / are masked / blinded?

Intervention assignment
Other design features
Not Applicable
Type of endpoint(s)
Statistical methods / analysis

Recruitment status
Date of first participant enrolment
Date of last participant enrolment
Date of last data collection
Sample size
Accrual to date
Recruitment outside Australia
Country [1] 8754 0
State/province [1] 8754 0
Khyber Pukhtunkhwa

Funding & Sponsors
Funding source category [1] 295990 0
Self funded/Unfunded
Name [1] 295990 0
Aftab Ahmad
Address [1] 295990 0
Babu Gari Street Mahboob Gari. PO Kababyan 25000, Warsak Road Peshawar, Khyber Pukhtoonkhwa
Country [1] 295990 0
Primary sponsor type
Northwest General Hospital & Research Centre
Habib Physiotherapy Complex Phase V, near Rehman Medical Institue, Peshawar, Khyber Pukhtoon Khwa
Secondary sponsor category [1] 294877 0
Name [1] 294877 0
Riphah International University
Address [1] 294877 0
7th Avenue, Sector G-7/4, Islamabad
Country [1] 294877 0

Ethics approval
Ethics application status
Ethics committee name [1] 297252 0
Institutional Ethical Committee, Riphah International university
Ethics committee address [1] 297252 0
7th Avenue, Sector G-7/4, Islamabad
Ethics committee country [1] 297252 0
Date submitted for ethics approval [1] 297252 0
Approval date [1] 297252 0
Ethics approval number [1] 297252 0

Brief summary
Physical therapy treatment for the neck pain is utilized around the globe. There are many treatment protocols for management of the neck pain. Among these techniques our study is focused on the two famous techniques Muscles energy technique (MET) and Active isolated stretching. This study will bring information for the practitioners to use most up to date management techniques, which would prove more useful and helpful for the patients in the long run. Due to advancement in education around the world, the modern world is prone to rely on more evidence based treatment protocols. The study would add extra strength to the modern techniques.
Trial website
Trial related presentations / publications
Public notes

Principal investigator
Name 73470 0
Dr Yasir Jalal
Address 73470 0
Street Saeed Abad, pajagi road, Peshawa, Khyber Pukhtunkhwa
National College of Sciences (NCS) University System
Country 73470 0
Phone 73470 0
+92 3158582732
Fax 73470 0
Email 73470 0
Contact person for public queries
Name 73471 0
Dr Aftab Ahmad
Address 73471 0
Mahboob Gari, Post Office Kabayan, Warsak Road Peshawar Khyber Pukhtoonkhwa
Hayatabad Medical Complex
Country 73471 0
Phone 73471 0
+92 3239260705
Fax 73471 0
Email 73471 0
Contact person for scientific queries
Name 73472 0
Dr Aftab Ahmad
Address 73472 0
Mahboob Gari, Post Office Kabayan, Warsak Road Peshawar Khyber Pukhtoonkhwa
Hayatabad Medical Complex
Country 73472 0
Phone 73472 0
+92 3239260705
Fax 73472 0
Email 73472 0

No information has been provided regarding IPD availability
Summary results
Have study results been published in a peer-reviewed journal?
Other publications
Have study results been made publicly available in another format?
Results – basic reporting
Results – plain English summary