Lillian Cecilia Aartee, A (2019) Effect of integrated neuromuscular inhibition technique Versus TENS with passive stretching in patients with upper trapezius trigger points in non-specific neck pain. Masters thesis, PPG College of Physiotherapy, Coimbatore.
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Abstract
STATEMENT OF THE PROBLEM: “Effect of Integrated Neuromuscular Inhibition Technique versus TENS with passive stretching in patients with upper trapezius trigger points in non-specific neck pain.” OBJECTIVES: 1. To compare the effectiveness of Integrated Neuromuscular Inhibition Technique and TENS with passive stretching in patients with upper trapezius trigger points in non-specific neck pain. 2. To find out the effectiveness of INIT in patients with upper trapezius trigger points in non-specific neck pain. 3. To find out the effectiveness of TENS with passive stretching in patients with upper trapezius trigger points in non-specific neck pain. HYPOTHESES: NULL HYPOTHESIS: There is no significant difference between INIT and TENS with passive stretching in the treatment of trigger points of upper trapezius in non- specific neck pain. ALTERNATE HYPOTHESIS: There is a significant difference between INIT and TENS with passive stretching in the treatment of trigger points of upper trapezius in non- specific neck pain. METHODOLOGY: STUDY DESIGN: Pre test and Post test experimental study design. STUDY SETTING: The study was conducted at Department of Physiotherapy, Ashwin Hospital, Coimbatore. STUDY POPULATION: Patients with non-specific neck pain were selected after due consideration of the inclusion and exclusion criteria. STUDY DURATION: The study was conducted over a period of one year. Individual subjects underwent treatment duration of four weeks. SELECTION OF SAMPLES: Total of 30 subjects were included for the study by using convenience sampling method. INCLUSION CRITERIA: • Patients with non-specific neck pain with upper trapezius trigger points are included for this study. • Age group of 20-40 yrs. • Both male and female patients. • Duration: neck pain of less than 3months duration. EXCLUSIVE CRITERIA: • Subjects with moderate to severe cervical, thoracic and shoulder degenerative pathology. • Individuals with neuromuscular entrapment. • Subjects having recent history of trauma to neck or shoulder. • Subjects with any systemic disorder. • Subjects with congenital and acquired spinal deformities. • Subjects with any space occupying lesion in neck and shoulder region. • Subjects with any metal implants, open wounds or infection in that areas, malignant conditions and pregnant patients. CONCLUSION: The aim of this study was to compare the effect of integrated neuromuscular inhibition technique and TENS with passive stretching on pain and function in patients with non-specific neck pain. 30 subjects were selected between the age group of 20-40 years after due consideration of inclusive and exclusive criteria. The subjects were allocated into two groups as group A and group B. Group A received integrated neuromuscular inhibition technique and group B received TENS with passive stretching. The study duration was 4 weeks. Before and after 4 weeks of the study, the outcome measures were recorded. Pain was assessed by using visual analogue scale and neck function by neck disability index scale. Statistical analysis was done by using student‘t’ test. Paired‘t’ test was used to find out the improvement within the group. Unpaired‘t’ test was used to find out the difference between two groups. The results showed that there was a significant difference between integrated neuromuscular inhibition technique and TENS with passive stretching in reducing pain and improving neck function in patients with non-specific neck pain. This study concluded that effect of integrated neuromuscular inhibition technique (INIT) is more effective than TENS with passive stretching on upper trapezius trigger points in reducing pain and improvement of function in patients with non specific neck pain.
| Item Type: | Thesis (Masters) |
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| Additional Information: | Reg.No.271610207 |
| Uncontrolled Keywords: | Integrated Neuromuscular Inhibition Technique, TENS, Passive Stretching, Upper Trapezius Trigger Points, Non-Specific Neck Pain. |
| Subjects: | PHYSIOTHERAPY > Physiotherapy in Orthopaedics |
| Depositing User: | Ravindran C |
| Date Deposited: | 01 Oct 2019 11:55 |
| Last Modified: | 05 Oct 2019 06:14 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11654 |
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