Comparison of Thoracic Manipulation and Muscle Energy Technique in Non-specific Mechanical Neck Pain

  • End date
    May 22, 2023
  • participants needed
  • sponsor
    Riphah International University
Updated on 4 October 2022
conventional treatment
pain relieving
range of motion exercise


To compare the effects of Thoracic manipulation and MET in relieving improving Range of motion and in improving functional disability.


Neck pain is a common musculoskeletal disorder. Mechanical neck pain is also known as non-specific neck pain and is defined as the pain anywhere within the region bounded superiorly by superior nuchal line, inferiorly by an imaginary line through the tip of first thoracic spinous process and laterally by sagittal plane tangential to the lateral borders of the neck in which pain is provoked by sustained neck posture, neck movement, pain on palpation of cervical musculature without pathologies. In most patients, neck pain can be a common cause of disability: it is associated with daily activity limitations, reduction of work productivity and decrease in quality of life. Mechanical neck pain is commonly seen in people involved in occupation like computer processing, clerical job, students and people with sedentary life style awkward occupational posture, heavy lifting and physically demanding work.

thoracic spine manipulation (TSM) is defined as a high-velocity/low amplitude movement or "thrust" directed at any segment of the thoracic spine.

Muscle energy technique (MET) is a method of treatment that involves the voluntary contraction of subject's muscles in a precisely controlled direction, against a counterforce and producing post isometric relaxation through the influence of the Golgi tendon. MET is used to decrease pain, stretch tight structures muscle and fascia, reduce muscle tone, improve local circulation, and mobilize joint restriction

Condition Neck Pain
Treatment thoracic Manipulation Posterior anterior and conventional therapy, Muscle Energy Technique (PIR) and conventional treatment
Clinical Study IdentifierNCT05315076
SponsorRiphah International University
Last Modified on4 October 2022


Yes No Not Sure

Inclusion Criteria

Patients who present with a primary complaint of mechanical neck pain (defined as pain in the region between the superior nuchal line and first thoracic spinous process) with limited Range of motion
Patients with non-radiating neck pain of moderate intensity scoring 4-8 on the numeric pain rating scale (NPRS)
Subacute or chronic cases (4 -12 weeks)
Have a Neck Disability Index (NDI) score of 20% or greater (10 points or greater on a 0-to-50 scale)
Dull aching neck pain increased by sustained postures, neck movement

Exclusion Criteria

Patients with a positive history of trauma, fracture or surgery of the cervical spine
Neck pain with radiation to the arm and upper extremity
Diagnosed cases of torticollis, and scoliosis
History of osteoporosis, Any heart disease
Taken previous physiotherapy session
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