Attock

Mechanical neck pain is a common condition characterized by pain in the neck region, often worsened by movement, and can disrupt posture, balance, and sensorimotor control. This trial aims to compare two mobilization techniques, Gongs mobilization and Kaltenborn mobilization, to see which is more effective in improving pain, range of motion, and proprioception in people with mechanical neck pain. This research may help healthcare providers improve treatment approaches for this condition. Participants will be randomly assigned to one of two groups. One group will receive Gongs mobilization combined with conventional therapy, including exercises and modalities like Hydrocollator pack and TENS, three times a week for four weeks. The other group will receive Kaltenborn mobilization with cervical traction and conventional therapy on the same schedule. Each mobilization session lasts five minutes, with exercises performed in sets of ten repetitions. During the study, pain levels will be measured using the Numeric Pain Rating Scale at four weeks. Secondary assessments include measuring neck range of motion with a goniometer and evaluating cervical joint position error to assess proprioception. Participants will attend regular sessions over four weeks, with researchers monitoring their progress and response to the treatments. This trial is expected to end in early 2025.

This research aims to evaluate the combined effects of kinesiotaping and core stability exercises on pain, functional disability, and fear-avoidance beliefs in female patients with sacroiliac joint dysfunction SIJD. SIJD is a common cause of low back pain affecting about 15-30% of cases and is often linked to abnormal joint movement or instability. Women are more at risk due to factors like increased joint mobility and biomechanical stress related to pregnancy. Participants are assigned randomly to one of two groups one group receives kinesiotaping applied weekly for six weeks alongside core stability exercises, while the other group performs only the core stability exercises. The kinesiotaping involves applying I-bands with specific tension over the sacroiliac joints. Core exercises include bridging, wall squats, knee to chest movements, prone arm and opposite leg raises, and back extensions, all with progressive repetitions or holds. During the six-week study, participants will be assessed using pain, disability, and fear-avoidance questionnaires at the end of the intervention period. Researchers will monitor pain levels with the Numeric Pain Rating Scale, functional ability with the Modified Oswestry Disability Index, and psychological factors with the Fear-Avoidance Beliefs Questionnaire. The study is open-label and involves female participants aged 20 to 50 years with chronic sacroiliac joint pain.