search
Back to results

Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain

Primary Purpose

Nonspecific Neck Pain

Status
Unknown status
Phase
Not Applicable
Locations
Saudi Arabia
Study Type
Interventional
Intervention
mulligan mobilization
maitland mobilization
Sponsored by
Imam Abdulrahman Bin Faisal University
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nonspecific Neck Pain focused on measuring neck pain,

Eligibility Criteria

20 Years - 50 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • • Patients aged between 20 to 50 years.

    • Neck pain more than one week without radicular symptoms.
    • Pain on posterior neck from superior nuchal line to first thoracic vertebra.

Exclusion Criteria:

  • • Patient contraindicate to mobilization (pregnancy, whiplash injury, tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis and resting blood pressure higher than 140/90 mmHg).

    • Cervical radiculopathy.
    • Fibromyalgia pain syndrome.
    • Previous neck surgery.
    • Neck pain associate with vertigo caused by vertebrobasilar insufficiency or chronic headache.
    • Patient received physical therapy treatment in the previous three months.
    • Psychiatric disorders.
    • Vestibular system deficits.

Sites / Locations

  • King Abdulaziz Hospital

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

mulligan mobilization

maitland mobilization

Arm Description

mobilization for spinous process or facet with neck movement 10 repetetions for 3 times.

maitland mobilization for spinous process or facet joint for 2 min and repeated 3 times.

Outcomes

Primary Outcome Measures

pain pressure threshold
It will be measured with an electronic algometer (Somedic AB, Farsta, Sweden) with a circular probe of 1 cm2. The PPT will be measured over the following site: (1) area of maximum tenderness over the cervical spine as identify by palpation, (2) tibialis anterior muscle (upper one-third of the muscle belly) bilateral. Tibialis anterior sites will be as remote lower limb sites to investigate any widespread changes in sensitivity. The pressure will be applied perpendicular over the identified sites at a rate of 40 KPa/s until the individual verbally states that the pressure is starting to change to a pain sensation. Then, the pressure will be stopped. The test will be repeated three times for each site within 30 second between measurements. An average of three measurements will be calculated
pain intensity
: numeric pain rating scale (NPRS) will be used to evaluate the intensity of pain perceived by patient. Pain is rated on 11 point scale from (0) no pain to (10) sever pain. The patients will be asked to point out the number that describes their pain level.

Secondary Outcome Measures

cervical range of motion
it will be measured by cervical range of motion (CROM) device. It consists of three gravitational inclinometers system for flexion, extension and lateral flexion, and magnetic inclinometer for rotation.
joint position sense
it will be measured by using the (CROM) device
neck disability index
This questioner is used to report disability results from neck pain and it is a self-report based outcome. In addition, it contains ten sections with total score of 50 points

Full Information

First Posted
March 20, 2017
Last Updated
September 19, 2017
Sponsor
Imam Abdulrahman Bin Faisal University
search

1. Study Identification

Unique Protocol Identification Number
NCT03089021
Brief Title
Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain
Official Title
Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain
Study Type
Interventional

2. Study Status

Record Verification Date
September 2017
Overall Recruitment Status
Unknown status
Study Start Date
December 20, 2016 (Actual)
Primary Completion Date
November 1, 2017 (Anticipated)
Study Completion Date
December 28, 2017 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Imam Abdulrahman Bin Faisal University

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
This study investigate the short term effect of Maitland in comparison to Mulligan mobilization with sub-acute and chronic non specific neck pain to improve neck pain, pain pressure threshold, rang of motion, joint position sense, disability, and to evaluate the interaction with psychological factors. Study design: experimental study
Detailed Description
44 patients with sub-acute or chronic neck pain will be randomized into Maitland group: 22 patients receive central postro anterior or unilateral postero anterior. Mulligan group: 22 patients receive sustain natural apophyseal glides. The treatment will be 2 times /week for three weeks. Measurement will be taken pre intervention and after three weeks for neck pain, pain pressure threshold, range of motion, joint position sense, and disability using a numeric pain rating scale, pain pressure threshold test, cervical range of motion device, and neck disability index, depression, anxiety, fear avoidance believe and pain catestrophizing respectively.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nonspecific Neck Pain
Keywords
neck pain,

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
22 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
mulligan mobilization
Arm Type
Experimental
Arm Description
mobilization for spinous process or facet with neck movement 10 repetetions for 3 times.
Arm Title
maitland mobilization
Arm Type
Experimental
Arm Description
maitland mobilization for spinous process or facet joint for 2 min and repeated 3 times.
Intervention Type
Other
Intervention Name(s)
mulligan mobilization
Intervention Description
mobilization with movement for spinous process or facet joint.
Intervention Type
Other
Intervention Name(s)
maitland mobilization
Intervention Description
posterioanterior of spinous process or facet joint.
Primary Outcome Measure Information:
Title
pain pressure threshold
Description
It will be measured with an electronic algometer (Somedic AB, Farsta, Sweden) with a circular probe of 1 cm2. The PPT will be measured over the following site: (1) area of maximum tenderness over the cervical spine as identify by palpation, (2) tibialis anterior muscle (upper one-third of the muscle belly) bilateral. Tibialis anterior sites will be as remote lower limb sites to investigate any widespread changes in sensitivity. The pressure will be applied perpendicular over the identified sites at a rate of 40 KPa/s until the individual verbally states that the pressure is starting to change to a pain sensation. Then, the pressure will be stopped. The test will be repeated three times for each site within 30 second between measurements. An average of three measurements will be calculated
Time Frame
3 weeks
Title
pain intensity
Description
: numeric pain rating scale (NPRS) will be used to evaluate the intensity of pain perceived by patient. Pain is rated on 11 point scale from (0) no pain to (10) sever pain. The patients will be asked to point out the number that describes their pain level.
Time Frame
3 weeks
Secondary Outcome Measure Information:
Title
cervical range of motion
Description
it will be measured by cervical range of motion (CROM) device. It consists of three gravitational inclinometers system for flexion, extension and lateral flexion, and magnetic inclinometer for rotation.
Time Frame
3 weeks
Title
joint position sense
Description
it will be measured by using the (CROM) device
Time Frame
3 weeks
Title
neck disability index
Description
This questioner is used to report disability results from neck pain and it is a self-report based outcome. In addition, it contains ten sections with total score of 50 points
Time Frame
3 weeks
Other Pre-specified Outcome Measures:
Title
State trait anxiety inventory questionnaire (STAI-Y):
Description
It has 20 items for assessing trait anxiety and 20 for state anxiety
Time Frame
3 weeks
Title
Beck depression inventory questionnaire (BDI)
Description
it contains 21 items; each item has four self evaluation statements in a time frame of two weeks, and scores from 0 to 3. The total score for 21 items range from 0 to 63
Time Frame
3 weeks
Title
Fear avoidance believe questionnaire (FABQ)
Description
this questionnaire can assess the fear avoidance believe about the pain. It consists of 16 items. First five questions are related to fear avoidance of physical activities (FABQ- PA). Then the eleven questions are related to avoidance of work (FABQ-W). The score for each question is ranged from 0 (strong disagreement) to 6 (strong agreement). The total score is ranged from 0 to 66. Higher score is represented high level of fear avoidance believe
Time Frame
3 weeks
Title
pain catestrophizing scale
Time Frame
3 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Maximum Age & Unit of Time
50 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: • Patients aged between 20 to 50 years. Neck pain more than one week without radicular symptoms. Pain on posterior neck from superior nuchal line to first thoracic vertebra. Exclusion Criteria: • Patient contraindicate to mobilization (pregnancy, whiplash injury, tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis and resting blood pressure higher than 140/90 mmHg). Cervical radiculopathy. Fibromyalgia pain syndrome. Previous neck surgery. Neck pain associate with vertigo caused by vertebrobasilar insufficiency or chronic headache. Patient received physical therapy treatment in the previous three months. Psychiatric disorders. Vestibular system deficits.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
samar alansari, master
Organizational Affiliation
Imam Abdulrahman Bin Faisal University
Official's Role
Principal Investigator
Facility Information:
Facility Name
King Abdulaziz Hospital
City
Jeddah
Country
Saudi Arabia

12. IPD Sharing Statement

Plan to Share IPD
Undecided
IPD Sharing Plan Description
only coded data (describtive)

Learn more about this trial

Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain

We'll reach out to this number within 24 hrs