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The Effect of Mulligan Mobilization Technique

Not Applicable
Conditions
Orthopedic Disorder of Spine
Physical Therapy
Manual Therapy
Interventions
Other: Control group
Other: Mulligan group
Registration Number
NCT05074576
Lead Sponsor
Istanbul Medipol University Hospital
Brief Summary

The aim of this study is to investigate the effect of the Mulligan mobilization technique on pain intensity and range of motion individuals with neck pain. The patients were randomized into two groups. Group 1 is the Mulligan Mobilization group and the second group is the control group.

Detailed Description

The study is designed as a single-center, parallel-group, randomized controlled clinical trial in Istanbul Medipol university hospital.

The study will be conducted on 40 volunteers with mechanical neck pain. The patients were randomized into two groups. Groups were determined by randomization method with closed box. A random paper was drawn for the participants included in the study.

Inclusion criterias are being between age of 25-65 years, having neck pain for at least 2 weeks, participants that were diagnosed with MNP by a doctor, having no contraindicated condition for manual treatment. Exclusion criterias were surgical indications and/ or surgery history for cervical region, history of trauma to the cervical region and those with systemic disease, participation of physical therapy and rehabilitation program in the last one year, fibromyalgia, presence of cardiac pacemaker, intra-articular steroid injection in neck joint in the last three months.

In the intervention; Mulligan mobilization technique, electroterapy and active range of motion and stretching exercises carried out in Mulligan group while only electrotherapy agents and exercises are applied as a classical treatment to the control group. Goniometer for the range of motion of the neck (ROM), Visual Analogue Scale (VAS), Neck Pain And Disability Scale (NPDS), Short Form Health Survey (SF-36) will be used for evaluation.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Being between age of 25-65 years,
  • having neck pain for at least 2 weeks,
  • participants that were diagnosed with MNP by a doctor,
  • having no contraindicated condition for manual treatment.
Exclusion Criteria
  • surgical indications and/ or surgery history for cervical region,
  • history of trauma to the cervical region and those with systemic disease,
  • participation of physical therapy and rehabilitation program in the last one year,
  • fibromyalgia,
  • presence of cardiac pacemaker,
  • intra-articular steroid injection in neck joint in the last three months.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control groupControl groupElectroterapy agents are applied in the contro group
Mulligan groupMulligan groupIn addition to the conventional treatments, Sustained Natural Apophysial Gliding (SNAG) a type of Mulligan mobilization technique is applied.
Primary Outcome Measures
NameTimeMethod
Life quality15 minutes

Quality of life of the participants are evaluated by Short Form 36 (SF-36). It is a self-assessment scale developed by Rond Corporation in 1992. Short Form 36 (SF-36) is a personalized scale that assesses the general health status of the patients with 36 questions, 8 Sub-Items (Physical function, physical role weakness, body pain, general health, vitality, social function, emotional function, mental function). SF-36 scale is scored from 0 to 100 (0 = worst, 100 = best)

Pain status5 minutes

Pain intensity is evaluated with visual analog scale (VAS) in two conditions during activity and resting time. This method, which is developed to determine the intensity of pain to indicate by numbers. It begins with the absence of pain (0) on numerical scale and ends the level of unbearable pain

Range of Motion10 minutes

Universal goniometer is used to measure the joint position and joint range of motion measurements based on Kendall and American Association of Orthopedic Surgeons. The participant is in the sitting position and asked to perform active cervical region flexion, extension, right and left rotation, right and left lateral flexion of the neck movements and performed degrees are recorded.

Disability status10 minutes

The items assess the severity of pain and the relationship between pain, occupational, social, recreational, emotional factors. It determines the effect of neck pain on disability, functionality and quality of life. Total score is the sum of the points in each item and ranges from 0 to 100. High scores indicate that more affected status

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ozge Ozlu

🇹🇷

Istanbul, Beykoz, Turkey

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