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

Not Applicable

• Conditions: Chronic Neck Pain

• Registration Number: NCT04643028
• Lead Sponsor: Serbay SEKEROZ

Brief 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.

Detailed 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.

Study Timeline

• Status Verified: 2020-11
• Study First Submitted: 2020-11-22
• Study First Submitted QC: 2020-11-22
• Last Update Submitted: 2020-11-22
• Study First Posted: 2020-11-24
• Last Update Posted: 2020-11-24
• Study Start: 2020-12-01
• Primary Completion: 2021-12-01
• Study Completion: 2022-07-01

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 36

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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Pain Intensity	5 minutes	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.
Proprioception	5 minutes	The "joint position sense error test" defined by Revel et al. Will be used to evaluate cervical proprioception.
Muscle Endurance	3 minutes	"Cervical Deep Flexor Muscle Endurance Test" will be used.
Neck Awareness	5 minutes	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.
Neck Disability	5 minutes	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.
Cervical Range of Motion	5 minutes	Cervical Range of Motion will be assessed by Baseline Bubble Inclinometer as degree of flexion-extension, rotation and lateral flexion and will be recorded.
Head Posture	5 minutes	Head posture will be evaluated using the craniovertebral angle. The decrease in the craniovertebral angle indicates an increased anterior head posture.