Physiotherapy

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https://dspace.alquds.edu/handle/20.500.12213/7168

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Browsing Physiotherapy by Author "Ruqaia mohammad Hassan Malash"

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    The effect of Bridge technique mobilization with movement versus trapezius Dry Needling in the management of cervical dysfunction
    (Al-Quds University, 2021-05-16) Ruqaia mohammad Hassan Malash; رقية محمد حسن ملش
    Background: Hypomobility of the Cervicothoracic junction has been proposed as a contributing factor for cervical dysfunction. Objectives: This study investigates the effect of Bridge technique mobilization with movement compared to the Trapezius Dry Needling technique on physiotherapy outcome in patients with cervical dysfunction. Methods: A randomized clinical trial was conducted where participants with cervical dysfunction complaints were randomly assigned to either the Bridge MWM intervention group or the Trapezius Dry needling. Forty participants with a mean age of 32-year-old in the Bridge (experimental) group: and 29 years old in the Dry needling group The primary outcome measures used were visual analogue scale, Northwick Park Questionnaire, Neck Disability Index, Quality of life scale, and Goniometer for cervical extension ROM. Results: There was a statistically significant difference (improvement ) on an active cervical extension after application Bridge technique represented in the increase of the mean of extension ROM (from 23 ± to 52 ±), while in Dry needling group( from 20 ± to 37±). Statistically significant reduction of pain mean was achieved after application of the Bridge technique (from 7.9 ± to 0.3 ±), while in Dry needling group( from 7.65 ± to 4.48.±) as well as decreasing in the degree of disability in (NPQ & NDI) compared with the baseline and control group measurements (P<.005). However, an improvement was found in both groups in improving the Quality of life score. Conclusion: The study identified that both techniques are effective in improving CROM, pain, and functional abilities outcomes, but the Bridge technique was more effective than Dry Needling in the management of cervical dysfunction