Evidence map›Paper›PMID 34454582›Full record

ArticleTrials2021

Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial.

Prabu Raja G, Shyamasunder Bhat N, César Fernández-de-Las-Peñas, Ranganath Gangavelli, Fiddy Davis, Ravi Shankar, Anupama Prabhu

3 registry-linked trialsAbstract readClinical Trial Protocol
In one paragraph

Article in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05404659 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Comparative Effects of Oscillatory Mobilizations and Mckenzie Retraction Exercises on Pain, Range of Motion and Disability in Patients With Mechanical Neck Pain

TypeinterventionalSponsorRiphah International UniversityRan2022 to 2023Enrolled26ConditionsMechanical Neck PainArmsOscillatory Mobilization, Mckenzie Retraction Exercises
NCT06522230 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Analyzing the Perceived Impact of Fascial Stretch Therapy on the Post-exercise Recovery Process.

TypeinterventionalSponsorUniversity of British ColumbiaRan2024 to 2025Enrolled5ConditionsExercise TherapyArmsFascial Stretch Therapy
NCT07725861 narecruitingnot on this mapstarted 2026, after this paper: background citation

Effects of Strain Counter Strain With and Without Sustained Natural Aphophyseal Glide on Pain Range Of Motion ,Craniovertebral Angle and Disability in Patients With Non Specific Neck Pain

TypeinterventionalSponsorRiphah International UniversityRan2026 to 2026Enrolled68ConditionsCervical PainArmsStrain Counterstrain + SNAG with Common Treatment, Strain Counterstain (SCS) only
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Massage for neck pain.The Cochrane database of systematic reviews · 2024
    Pooled it
  2. Effectiveness and safety of thoracic manipulation in the treatment of neck pain: An updated systematic review and meta-analysis.Technology and health care : official journal of the European Society for Engineering and Medicine · 2024
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Prabu Raja GInterdisciplinary Centre for Craniofacial and Orofacial pain Research, Department of Exercise and Sports Science, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576 104, India.ORCID http://orcid.org/0000-0003-3009-9251
Shyamasunder Bhat NDepartment of Orthopedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India.
César Fernández-de-Las-PeñasDepartment of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain.
Ranganath GangavelliDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.
Fiddy DavisDepartment of Exercise and Sports Sciences, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.
Ravi ShankarDepartment of Data Science, Manipal Academy of Higher Education, Manipal, India.
Anupama PrabhuDepartment of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMechanical neck pain (MNP) is a commonly occurring musculoskeletal condition that is usually managed using electrical modalities, joint mobilization techniques, and therapeutic exercises, but has limited evidence of their efficacy. Pathology (densification) of the deep cervical fascia that occurs due to the increased viscosity of hyaluronic acid (HA) may induce neck pain and associated painful symptoms of the upper quarter region. Fascial manipulation (FM) and yoga poses are considered to reduce the thixotropy of the ground substances of the deep fascia and improve muscle function. The purpose of this study is to investigate the effect of FM and sequential yoga poses (SYP) when compared to the usual care on pain, function, and oculomotor control in MNP.

methodsThis FaCe-Man trial will recruit 160 patients with subacute and chronic mechanical neck pain diagnosed using predefined criteria. Participants will be randomized to either the intervention group or the usual care group, using a random allocation ratio of 1:1. Patients in the intervention group will receive FM (4 sessions in 4 weeks) and SYP (12 weeks) whereas the standard care group will receive cervical mobilization/ thoracic manipulation (4 sessions in 4 weeks) and therapeutic exercises (12 weeks). The primary outcome is the change in the numeric pain rating scale (NPRS). The secondary outcomes include changes in the patient-specific functional scale and oculomotor control, myofascial stiffness, fear-avoidance behavior questionnaire, and elbow extension range of motion during neurodynamics test 1. DISCUSSION: If found effective, FM along with SYP investigated in this trial can be considered as a treatment strategy in the management of mechanical neck pain. Considering the magnitude of the problem, and the pragmatic and patient-centered approach to be followed, it is worth investigating this trial.

trial registrationClinicalTrials.gov CTRI/2020/01/022934 . Registered on January 24, 2020 with ctri.nic.in. Clinical Trials Registry - India.

Indexed as

Manipulation, SpinalYogaHumansNeck PainPain MeasurementPosturePragmatic Clinical Trials as TopicRandomized Controlled Trials as TopicActive stretchingCervical painConnective tissueEye movementsMusculoskeletal manipulationSoft tissue therapy

Identifiers

PMID34454582
PMCPMC8399821

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.