Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture: a Randomized Controlled Trial
Trial Snapshot
- Phase
- Not Applicable
- Status
- Not yet recruiting
- Sponsor
- Cairo University
- Enrollment
- 60
- Primary Endpoint
- Pain
Study Overview
Brief Summary
sixty patients with forward head posture will be randomized to three groups Group A: will receive traditional treatment ( isometric exercise for deep neck flexors plus sub occipital release).
Group B: will receive traditional treatment plus muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid.
Group C: will receive traditional treatment plus mulligan mobilization
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 45 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Age between 18 to 45 years
- •Non specific neck pain reproduced by neck movement
- •Neck pain at least within the last three months
- •Limitation in cervical range of motion
Exclusion Criteria
- •cervical spine surgery or injury
- •neurologic deficits, infection or inflammation
- •cervicogenic headache
Arms & Interventions
Group C (Mulligan Mobilization Group)
Patients will receive Mulligan mobilization
Intervention: Traditional treatments (Other)
Group A: Control group (Traditional treament)
patients will receive traditional treatment (isometric exercise for deep neck flexors plus sub occipital release).
Intervention: Traditional treatments (Other)
Group B (muscle energy technique group)
Patients will receive muscle energy Technique for upper trapezius, elevator scapulae and sternocleidomastoid
Intervention: Traditional treatments (Other)
Group B (muscle energy technique group)
Patients will receive muscle energy Technique for upper trapezius, elevator scapulae and sternocleidomastoid
Intervention: muscle energy technique (Other)
Group C (Mulligan Mobilization Group)
Patients will receive Mulligan mobilization
Intervention: Mulligan Mobilization (Other)
Outcomes
Primary Outcomes
Pain
Time Frame: Before the first session and at the end of the treatment program ( one month)
Pain will be measured by visual analogue scale which is a valid and reliable scale for measuring pain starts with zero (represents no pain) and ends with 10 (represents maximum pain).
Cervical range of motion
Time Frame: Before the first session and after the end of the treatment program ( one month)
Cervical range of motion in will be measured by cervical range of motion basic assessment device (CROM) the angle of cervical range of motion will be recorded in degrees to determine the limitation in range of motion
Disability measurement
Time Frame: Before the first session and after the end of the treatment program ( one month)
Disability will be measured by neck disability index(NDI) is a valid and reliable scale. The NDI consists of ten questions in the following domains: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation. Scoring: Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). All section scores are then totaled. Scoring is reported on a 0-50 scale, 0 being the best possible score and 50 being the worst. Alternately, the score can be reported from 0-100. The score is often reported as a percentage (0-100%).
Cervicovertebral angle
Time Frame: Before the first session and after the end of the treatment program ( one month)
Cervicovertebral angle (CVA) Will be measure by kinovea: Normal range is between 55 and 86, If the angle is less than 50 degrees, it will be considered to be FHP. Adhesive markers (8 mm in diameter) will be placed on the participant's C7 spinous process and tragus of the ear. The physical therapist will observe the participant from the lateral side while standing and then take a picture of the participant from a fixed distance (75 cm) and height (150 cm), then with the help of an application sealed by a password which is called KINOVEA, the angle will be measured by placing each vector as following a line from the tragus of the ear to the C7 spinous process and another horizontal line through the C7 spinous. The angle will be recorded in degrees
Secondary Outcomes
No secondary outcomes reported
Investigators
Mariam Nazih Radwan Meshref
teaching assistant of Basic Science Department
Cairo University