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CTRI Number  CTRI/2024/05/066772 [Registered on: 03/05/2024] Trial Registered Prospectively
Last Modified On: 03/05/2024
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group Trial 
Public Title of Study   Effect of instrument on mouth opening in patients with severe neck pain 
Scientific Title of Study   Effect of Instrument assisted soft tissue mobilization on mouth opening in patients with chronic neck pain: A Randomised controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Suraj Chavan 
Designation  PG student 
Affiliation  Dr. D. Y. Patil college of Physiotherapy 
Address  Musculoskeletal department, 3rd floor, Dr. D. Y. Patil college of Physiotherapy, Pimpri

Pune
MAHARASHTRA
411018
India 
Phone  8999422263  
Fax    
Email  chavansuraj20000@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Roopa Desai 
Designation  Professor 
Affiliation  Dr. D. Y. Patil college of Physiotherapy 
Address  Musculoskeletal department, 3rd floor, Dr. D. Y. Patil college of Physiotherapy, Pimpri

Pune
MAHARASHTRA
411018
India 
Phone  9890992383  
Fax    
Email  roopa.desai@dpu.edu.in  
 
Details of Contact Person
Public Query
 
Name  Suraj Chavan 
Designation  Pg student 
Affiliation  Dr. D. Y. Patil college of Physiotherapy 
Address  Musculoskeletal department, 3rd floor, Dr. D. Y. Patil college of Physiotherapy, Pimpri

Pune
MAHARASHTRA
411018
India 
Phone  8999422263  
Fax    
Email  chavansuraj20000@gmail.com  
 
Source of Monetary or Material Support  
Dr. D. Y. Patil college of Physiotherapy Pimpri, Pune India, 411018 
Suraj Chavan 
 
Primary Sponsor  
Name  Suraj Chavan Dr D Y Patil college of Physiotherapy Pimpri 
Address  Musculoskeletal department, 3rd floor, Dr. D. Y. Patil college of Physiotherapy, Pimpri 
Type of Sponsor  Other [self] 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Roopa Desai  Dr. D. Y. Patil College of Physiotherapy  Dr. D. Y. Patil college of Physiotherapy OPD Ground Floor, Pimpri, Pune 411018
Pune
MAHARASHTRA 
9890992383

roopa.desai@dpu.edu.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics committee of Dr. D. Y. Patil college of Physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: M799||Soft tissue disorder, unspecified,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Instrument Assisted Soft Tissue Mobilization  IASTM 2 sessions in a week with Hot Pack stretching and neck isometric for 5 days a week for 30 minutes duration for 4 weeks  
Comparator Agent  Routine Physiotherapy Exercises  Hot Pack, stretching and neck isometric for 5 days a week for 20 minutes duration for 4 weeks. 
 
Inclusion Criteria  
Age From  20.00 Year(s)
Age To  50.00 Year(s)
Gender  Both 
Details  Individuals with chronic neck pain with difficulty in mouth opening.
At least two to three trigger points in Neck flexors and Extensors.
 
 
ExclusionCriteria 
Details  Patients with cervical radiculopathy, History of neck surgery.
Diagnosis of systematic disease like Ankylosing Spondylitis, Spinal deformities.
H/O cardiovascular diseases, Neurological diseases.
Conditions contraindicated for IASTM technique like open wounds, unhealed fracture (cervical) , Skin hypersensitivity, hematoma 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Not Applicable 
Blinding/Masking   Participant Blinded 
Primary Outcome  
Outcome  TimePoints 
Numerical pain rating scale
Vernier Caliper


 
Pre 0th week
post 4th week


 
 
Secondary Outcome  
Outcome  TimePoints 
not applicable
 
not applicable
 
 
Target Sample Size   Total Sample Size="60"
Sample Size from India="60" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   Phase 2 
Date of First Enrollment (India)   15/05/2024 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="1"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
Chronic neck pain patients diagnosed with temporomandibular dysfunction often  present with musculoskeletal issues characterized  by pain, stiffness, and reduced
range of motion in the cervical spine. This condition predominantly affects the cervical spine, but its impact can extend to adjacent anatomical structures, including the
temporomandibular joint (TMJ) responsible for mouth openingNeck pain causes cervical muscles tightness, muscles which are commonly involved are upper
trapezius, SCM, Suboccipital, Scalene, and Levator Scapulae that can affect neck movements and has direct impact on craniovertebral angle. According to studies,
cervical muscle tightness can limit mouth opening by affecting the kinetic chain. In such cases  physiotherapy treatment mainly focuses on  improvement of cervical
spine range of motion and neck pain, which leads to negligence of  TMJ evaluation and management. Previous literature suggest that IASTM has been proved for
trigger point release in patients with chronic neck pain. There is dearth in literature regarding treatment efficacy of IASTM to release triggers points and improve mouth
opening, Hence the need arises.
 
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