Clinical Research Directory

Acute Effects of Cervical Manual Therapy on Eye Blood Flow

This study evaluates the acute effects of cervical manual therapy on retinal and choroidal microvascular perfusion using optical coherence tomography angiography (OCTA). In this prospective randomized sham-controlled trial, 100 patients with chronic mechanical neck pain were randomly assigned to receive either cervical high-velocity low-amplitude manipulation combined with Maitland mobilization (manual therapy group) or sham treatment. Bilateral OCTA examinations were performed at baseline and at 15, 30, 60, and 120 minutes after intervention. The primary outcome is whole-image density Secondary outcomes include whole-image and parafoveal vessel density, radial peripapillary capillary (RPC) density, subfoveal choroidal thickness, foveal avascular zone parameters, retinal nerve fiber layer thickness, ganglion cell complex thickness, and macular thickness. The study aims to determine whether cervical manual therapy produces a significant augmentation of retinal and choroidal perfusion compared with sham treatment, with peak effects expected at 60 minutes post-intervention.

Bruegger's Relief Exercise in Chronic Mechanical Neck Pain

The aim of this randomized controlled trial is to determine the effect of Bruegger's Relief Exercise combined with conventional physical therapy on pain intensity, functional disability, cervical range of motion, and craniovertebral angle in patients with chronic mechanical neck pain

Targeted Cervical Versus Integrated Trunk and Diaphragmatic Muscle Retraining for Chronic Mechanical Neck Pain

Persistent pain, functional disability, cervical motor control deficit, and abnormal posture are associated with chronic mechanical neck pain. This study aimed to evaluate the efficacy of an integrated physiotherapy program of cervical motor control training, lumbopelvic stabilization, diaphragmatic breathing exercises, and pressure biofeedback versus conventional cervical physiotherapy in patients with chronic mechanical neck pain through a randomized controlled trial. 40 eligible participants were randomly assigned to the experimental or control group. The two groups were all given supervised physiotherapy three times a week for 6 weeks plus a standardized home exercise program. The main aim was to investigate the efficacy of the interventions on pain intensity and neck related disability. Secondary outcomes were CROM, DCFE, head position, and patient perceived recovery. Outcome measures were conducted at both baseline and the end of the six-week intervention.

Comparison Between Bowen Therapy and Myofascial Release Technique on Chronic Neck Pain

Mechanical neck pain (MNP) refers to aches and pains in the cervical spine and around the cervicothoracic junction that do not have a specific anatomical or physical source. Multiple non-invasive physiotherapy methods can be used for treating MNP including bowen therapy and myofascial release therapy. Main objective of the study is to evaluate effect of bowen therapy in the treatment of MNP, improving range of motion and functional limitation among bankers of faisalabad

Thoracic Thrust With Cervical Non-Thrust Mobilization in Mechanical Neck Pain

This study is a randomised controlled trial and the purpose of this study is to determine the effects of thoracic thrust with cervical non-thrust mobilization in mechanical neck pain on components such as pain, thoracic range of motion, kyphotic angle, craniovertebral angle and proprioception.