EFFECTIVENESS OF MUSCLE ENERGY TECHNIQUE (MET) VS. TRANSVERSE OSCILLATORY PRESSURE (TOP) IN MECHANICAL NECK PAIN: A RANDOMIZED CLINICAL TRIAL
Main Article Content
Keywords
Abstract
Introduction: In the general community, mechanical neck pain is a rather prevalent issue. It continues to place a significant burden on patients in terms of pain, disability, and economic loss, as well as on society in terms of healthcare costs and lost productivity. There are several different therapy options for mechanical neck discomfort, but experts disagree on the best course of action. Objectives: The aim of the study is to compare the clinical effectiveness of Muscle Energy Technique (MET) and Transverse Oscillatory Pressure (TOP) to determine the most beneficial approach for Mechanical Neck Pain (MNP). Methodology: It was decided to conduct a randomized controlled trial. 30 people who had mechanical neck pain were randomly assigned to the TOP or MET groups. MET was given to the first group, and TOP to the second. Conventional treatment was given to both groups. For three weeks, there was one daily treatment and three weekly treatments. The neck disability index (NDI), a universal goniometer, and a visual analogue scale (VAS) were used to measure the severity of pain, range of motion (ROM), and functional disability, respectively. Immediately before treatment and following the final session, the outcome measures VAS, NDI, and ROM were collected. Result: Pre-post values for groups A and B were analysed using paired t-tests, while post-post data for comparison between groups A and B were analysed using unpaired t-tests. Pre-post values for VAS, NDI, and CROM revealed a significant improvement in both groups. The MET group, however, significantly improved in VAS, NDI, and CROM for post-post values as compared to the TOP group. In the study, post-treatment results demonstrate a significantly greater improvement in pain, range of motion, and functional impairment with Muscle Energy Technique than with Transverse Oscillatory Pressure technique in patients with mechanical neck discomfort.
Downloads
References
1. Tank KD, Choksi P, Makwana P. To study the effect of muscle energy technique versus mulligan snags on pain, range of motion and functional disability for individuals with mechanical neck pain: A comparative study. Int J Physiother Res.2018;6(1):2582-87. 2. Raja R, Kotteeswaran K, Anandh V. The Effects of Thoracic Thrust Manipulation and Neck Flexibility Exercises for the Management of the Patients with Mechanical Neck Pain. Indian Journal of Physiotherapy and Occupational Therapy. 2015 Oct;9(4):169. 3. Binder AI. Cervical spondylosis and neck pain. Bmj. 2007 Mar 8;334(7592):527-31 4. Masaracchio M, Kirker K, States R, Hanney WJ, Liu X, Kolber M. Thoracic spine manipulation for the management of mechanical neck pain: A systematic review and meta-analysis. PloS one. 2019 Feb 13;14(2):e0211877. 5. Chaitow L, Crenshaw K. Muscle energy techniques. Elsevier Health Sciences; 2006. 6. Di Fabio RP. Efficacy of manual therapy. Physical therapy. 1992 Dec 1;72(12):853- 64. 7. Ojoawo AO, Olabode AD. Comparative effectiveness of transverse oscillatory pressure and cervical traction in the management of cervical radiculopathy: A randomized controlled study. Hong Kong Physiotherapy Journal. 2018 Dec 14;38(02):149-60. 8. Phadke A, Bedekar N, Shyam A, Sancheti P. Effect of muscle energy technique and static stretching on pain and functional disability in patients with mechanical neck pain: A randomized controlled trial. Hong Kong Physiotherapy Journal. 2016 Dec 1;35:5-11. 9. Ojoawo AO, Olabode A, Esan O, Badru A, Odejide S, Arilewola B. Transverse oscillatory pressure in management of cervical radiculopathy: A randomised controlled study. Hong Kong Physiotherapy Journal. 2016 Jun 1;34:19-26. 10. Liyanage E, Liyanage I, Khan M. Efficacy of Isometric Neck exercises and stretching with ergonomics over ergonomics alone in Computer Professionals. International Journal of Scientific and Research Publications. 2014 Sep;4(9):2250-3153. 11. Bronfort G, Evans R, Anderson AV, Svendsen KH, Bracha Y, Grimm RH. Spinal manipulation, medication, or home exercise with advice for acute and subacute neck pain: a randomized trial. Annals of internal medicine. 2012 Jan 3;156(1_Part_1):1-0. 12. Noori SA, Rasheed A, Aiyer R, Jung B, Bansal N, Chang KV, Ottestad E, Gulati A. Therapeutic ultrasound for pain management in chronic low back pain and chronic neck pain: a systematic review. Pain Medicine. 2020 Jul 1;21(7):1482-93. 13. Morishita K, Karasuno H, Yokoi Y, Morozumi K, Ogihara H, Ito T, Hanaoka M, Fujiwara T, Fujimoto T, Abe K. Effects of therapeutic ultrasound on range of motion and stretch pain. Journal of physical therapy science. 2014;26(5):711-5. 14. Wahyuddin W, Vongsirinavarat M, Mekhora K, Bovonsunthonchai S, Adisaipoapun R. Immediate effects of muscle energy technique and stabilization exercise in patients with chronic low back pain with suspected facet joint origin: A pilot study. Hong Kong Physiotherapy Journal. 2020 Dec 20;40(02):109-19. 15. Trivedi P, Bhatt P, Dhanakotti S, Nambi G. Comparison of muscle energy technique and myofascial release technique on pain and range of motion in patients with temporomandibular joint dysfunction: a randomized controlled study. Int J Physiother Res. 2016;4(6):1788-92.
Article Sidebar
Article Details
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Transfer of Copyright and Permission to Reproduce Parts of Published Papers.
Authors retain the copyright for their published work. No formal permission will be required to reproduce parts (tables or illustrations) of published papers, provided the source is quoted appropriately and reproduction has no commercial intent. Reproductions with commercial intent will require written permission and payment of royalties.
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.