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

Nonspecific Neck Pain Clinical Trial

Official title:

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

Clinical Trial Details — Status: Enrolling by invitation

Administrative data

• NCT number: NCT03089021
• Other study ID #: IRB -PGS-2016-03-143
• Status: Enrolling by invitation
• Phase: N/A
• First received: March 20, 2017
• Last updated: September 19, 2017
• Start date: December 20, 2016
• Est. completion date: December 28, 2017

Study information

• Verified date: September 2017
• Source: Dammam University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial 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

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.

Recruitment information / eligibility

• Status: Enrolling by invitation
• Enrollment: 22
• Est. completion date: December 28, 2017
• Est. primary completion date: November 1, 2017
• Accepts healthy volunteers: No
• Gender: All
• Age group: 20 Years to 50 Years

Eligibility

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.

Related Conditions & MeSH terms

• Neck Pain
• Nonspecific Neck Pain

Intervention

Other:
• mulligan mobilization
mobilization with movement for spinous process or facet joint.
• maitland mobilization
posterioanterior of spinous process or facet joint.

Locations

Country	Name	City	State
Saudi Arabia	King Abdulaziz Hospital	Jeddah

Sponsors (1)

Lead Sponsor	Collaborator
Dammam University

Country where clinical trial is conducted

Saudi Arabia, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	State trait anxiety inventory questionnaire (STAI-Y):	It has 20 items for assessing trait anxiety and 20 for state anxiety	3 weeks
Other	Beck depression inventory questionnaire (BDI)	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	3 weeks
Other	Fear avoidance believe questionnaire (FABQ)	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	3 weeks
Other	pain catestrophizing scale		3 weeks
Primary	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	3 weeks
Primary	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.	3 weeks
Secondary	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.	3 weeks
Secondary	joint position sense	it will be measured by using the (CROM) device	3 weeks
Secondary	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	3 weeks