Effectiveness of Mulligan Mobilization on Chronic Neck Pain and Range of Motion: A Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 76
- Locations
- 1
- Primary Endpoint
- Change from baseline in pain intensity measured by Visual Analog Scale (VAS)
Study Overview
Brief Summary
This randomized controlled trial was conducted to evaluate the effectiveness of adding Mulligan Mobilization with Movement (MWM) to conventional physiotherapy in patients with chronic mechanical neck pain. Seventy-six participants aged 18-65 years were randomly assigned to receive either conventional physiotherapy alone or conventional physiotherapy combined with MWM for four weeks. Pain intensity, cervical range of motion, and functional disability were assessed before and after the intervention. The study aimed to compare changes in pain intensity, cervical range of motion, and functional disability between the two treatment groups.
Detailed Description
Chronic mechanical neck pain is a common musculoskeletal condition associated with neck pain, reduced cervical mobility, and functional limitations. Conventional physiotherapy is commonly used in the management of chronic mechanical neck pain. Mulligan Mobilization with Movement (MWM) is a manual therapy technique that combines sustained joint mobilization with active movement and may be used as an adjunct to conventional physiotherapy.
This randomized controlled trial was conducted to investigate the effect of adding Mulligan Mobilization with Movement (MWM) to conventional physiotherapy in individuals with chronic mechanical neck pain.
A total of 76 participants aged 18 to 65 years were initially enrolled in the study. Six participants were excluded before randomization according to the study eligibility criteria. The remaining 70 participants were randomly allocated to one of two treatment groups: a control group receiving conventional physiotherapy alone (n = 32) and an experimental group receiving conventional physiotherapy combined with Mulligan Mobilization with Movement (n = 38).
Both groups received treatment three times per week for four consecutive weeks. The control group received the conventional physiotherapy program specified in the study protocol. The experimental group received the same conventional physiotherapy program with the addition of Mulligan Mobilization with Movement.
The primary outcome measures included pain intensity, cervical range of motion, and functional disability. Pain intensity was assessed using the Visual Analog Scale (VAS). Cervical range of motion was measured using goniometry. Functional disability related to neck pain was assessed using the Neck Disability Index (NDI).
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age 18-65 years
- •Chronic mechanical neck pain lasting ≥ 3 months
- •NDI score ≥ 10
- •Ability to attend 3 sessions per week
Exclusion Criteria
- •Previous cervical spine surgery
- •Cervical radiculopathy or myelopathy
- •Vertebral artery insufficiency
- •Rheumatologic or neurological disorders
- •Ongoing physiotherapy elsewhere
Arms & Interventions
Control group (A) (n = 32) received a conventional physical therapy program
Intervention: Conventional Physical Therapy Program (Other)
The experimental group (B) (n=38) received conventional program, with addition to Mulligan technique
Intervention: Conventional Physical Therapy Program (Other)
The experimental group (B) (n=38) received conventional program, with addition to Mulligan technique
Intervention: Mulligan technique (Other)
Outcomes
Primary Outcomes
Change from baseline in pain intensity measured by Visual Analog Scale (VAS)
Time Frame: Before treatment (baseline) and 4 weeks (end of treatment)
Pain intensity will be measured using the Visual Analog Scale (VAS), a 0-10 cm scale, where 0 indicates no pain and 10 indicates the worst pain. Higher scores indicate greater pain intensity and therefore worse outcomes. Pain intensity will be assessed at baseline and at the end of the 4-week intervention. The change in pain score from baseline to post-intervention will be reported.
Secondary Outcomes
- Change from baseline in cervical range of motion (ROM) measured by goniometer (degrees)(Before treatment (baseline) and 4 weeks (end of treatment))
- Change from baseline in neck-related disability measured by the Neck Disability Index (NDI)(Before treatment (baseline) and 4 weeks (end of treatment))
Investigators
Prof. Mosab Saleem Hamed Amoudi
Assistant Professor of Physical Therapy
Arab American University (Palestine)