Effectiveness of Mulligan Mobilization Technique And Cervical Stabilization Training in Patients With Chronic Neck Pain

Chronic Neck Pain Clinical Trial

Official title:

Comparison of Effectiveness of Mulligan Mobilization Technique and Cervical Stabilization Training in Patients With Chronic Neck Pain: A Single-Blinded Randomized Controlled Trial

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT04643028
• Other study ID #: 60116787-020/53905
• Status: Not yet recruiting
• Phase: N/A
• Start date: December 1, 2020
• Est. completion date: July 1, 2022

Study information

• Verified date: November 2020
• Source: Pamukkale University
• Contact: Serbay Sekeröz, MSc
• Phone: +905453009060
• Email: serbaysekeroz[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The aim of our study is to compare the efficiency of Mulligan mobilization technique and cervical stabilization training in patients with chronic neck pain. The results obtained from the study will contribute to the planning of the treatment of patients with chronic neck pain more effectively.

Description:

The aim of our study is to compare the efficiency of Mulligan mobilization technique and cervical stabilization training in patients with chronic neck pain. The results obtained from the study will contribute to the planning of the treatment of patients with chronic neck pain more effectively.

The hypotheses we will test for this purpose; H1. Home exercise program will improve positively after treatment in patients with chronic neck pain compared to before treatment.

H2. Mulligan mobilization will improve positively after treatment in patients with chronic neck pain compared to before treatment.

H3. Cervical stabilization training will improve positively after treatment in patients with chronic neck pain compared to before treatment.

H4. Mulligan mobilization will provide more effective results in patients with chronic neck pain compared to other applications.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 36
• Est. completion date: July 1, 2022
• Est. primary completion date: December 1, 2021
• Accepts healthy volunteers: No
• Gender: All
• Age group: 18 Years to 65 Years

Eligibility

Inclusion Criteria:

• Having neck pain lasting more than 3 months

• Expressing neck pain at least 3,5/10 points and above on a Visual Analog Scale

• Being 18-65 years old

• Agree to participate in the study

• Having obtained 5/50 points and above in Neck Disability Index

Exclusion Criteria:

• Having had spinal surgery

• Other musculoskeletal problems that may affect the cervical region such as impingement, thoracic outlet and scoliosis.

• Having a diagnosed psychiatric illness

• Having benefited from physiotherapy and / or another treatment method due to spinal pain problem in the last 1 year.

• The presence of specific pathological conditions such as malignant condition, fracture, systemic rheumatoid disease.

• Any health problem that may prevent the application of evaluations and / or treatment other than those mentioned above.

• Difficulty in communication at a level that prevents the application of evaluations and / or treatment.

Related Conditions & MeSH terms

• Chronic Neck Pain
• Neck Pain

Intervention

Other:
• Home exercise
Exercise program will include active normal joint movements in the cervical region, postural exercises, strengthening exercises for the scapular retractor muscles, and stretching exercises for the pectoral muscles, levator scapula and upper part of the trapezius and breathing/relaxation exercises.
• Mulligan mobilization
Mulligan mobilization: Mulligan mobilization will be applied to this group in addition to the exercises in the home exercise group. In painless directions, each session will be applied in 3 sets, a set of 10 repetitions.Sixty seconds of rest will be given between sets.
• Cervical stabilization
Cervical stabilization group: In addition to the exercises in the home exercise group, this group will be given cervical stabilization training that focuses on the deep neck muscles.

Locations

Country	Name	City	State
n/a

Sponsors (2)

Lead Sponsor	Collaborator
Serbay SEKEROZ	The Scientific and Technological Research Council of Turkey

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Pain Intensity	Pain intensity will be evaluated with the Visual Analogue Scale. The Visual Analogue Scale is a horizontal scale in the range of 0-10 cm, where 0 is the lowest pain and 10 the highest pain. The patient will be asked to mark the pain felt in the neck area on this line and the point marked will be measured with a ruler and recorded in cm.	5 minutes
Primary	Neck Disability	Neck Disability will be measured by Neck Disability Index. The Neck Disability Index is a frequently used scale to evaluate the level of disability due to neck pain. It consists of 10 items and 6 options under each item. Options are scored between 0-5 points. An increasing score indicates a higher level of disability.	5 minutes
Primary	Cervical Range of Motion	Cervical Range of Motion will be assessed by Baseline Bubble Inclinometer as degree of flexion-extension, rotation and lateral flexion and will be recorded.	5 minutes
Primary	Head Posture	Head posture will be evaluated using the craniovertebral angle. The decrease in the craniovertebral angle indicates an increased anterior head posture.	5 minutes
Primary	Proprioception	The "joint position sense error test" defined by Revel et al. Will be used to evaluate cervical proprioception.	5 minutes
Primary	Muscle Endurance	"Cervical Deep Flexor Muscle Endurance Test" will be used.	3 minutes
Primary	Neck Awareness	The Fremantle Neck Awareness Questionnaire, which consists of few and short questions, does not take time, is easy to access, evaluates neck perception, attention and proprioceptive awareness, will be used. An increase in the score obtained from the questionnaire indicates a decrease in neck awareness.	5 minutes