Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain
试验速览
- 阶段
- 不适用
- 入组人数
- 22
- 试验地点
- 1
- 主要终点
- pain pressure threshold
研究概览
简要总结
This study investigate the short term effect of Maitland in comparison to Mulligan mobilization with sub-acute and chronic non specific neck pain to improve neck pain, pain pressure threshold, rang of motion, joint position sense, disability, and to evaluate the interaction with psychological factors.
Study design: experimental study
详细描述
44 patients with sub-acute or chronic neck pain will be randomized into Maitland group: 22 patients receive central postro anterior or unilateral postero anterior. Mulligan group: 22 patients receive sustain natural apophyseal glides. The treatment will be 2 times /week for three weeks. Measurement will be taken pre intervention and after three weeks for neck pain, pain pressure threshold, range of motion, joint position sense, and disability using a numeric pain rating scale, pain pressure threshold test, cervical range of motion device, and neck disability index, depression, anxiety, fear avoidance believe and pain catestrophizing respectively.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 20 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •• Patients aged between 20 to 50 years.
- •Neck pain more than one week without radicular symptoms.
- •Pain on posterior neck from superior nuchal line to first thoracic vertebra.
排除标准
- •• Patient contraindicate to mobilization (pregnancy, whiplash injury, tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis and resting blood pressure higher than 140/90 mmHg).
- •Cervical radiculopathy.
- •Fibromyalgia pain syndrome.
- •Previous neck surgery.
- •Neck pain associate with vertigo caused by vertebrobasilar insufficiency or chronic headache.
- •Patient received physical therapy treatment in the previous three months.
- •Psychiatric disorders.
- •Vestibular system deficits.
研究组 & 干预措施
mulligan mobilization
mobilization for spinous process or facet with neck movement 10 repetetions for 3 times.
干预措施: mulligan mobilization (Other)
maitland mobilization
maitland mobilization for spinous process or facet joint for 2 min and repeated 3 times.
干预措施: maitland mobilization (Other)
结局指标
主要结局
pain pressure threshold
时间窗: 3 weeks
It will be measured with an electronic algometer (Somedic AB, Farsta, Sweden) with a circular probe of 1 cm2. The PPT will be measured over the following site: (1) area of maximum tenderness over the cervical spine as identify by palpation, (2) tibialis anterior muscle (upper one-third of the muscle belly) bilateral. Tibialis anterior sites will be as remote lower limb sites to investigate any widespread changes in sensitivity. The pressure will be applied perpendicular over the identified sites at a rate of 40 KPa/s until the individual verbally states that the pressure is starting to change to a pain sensation. Then, the pressure will be stopped. The test will be repeated three times for each site within 30 second between measurements. An average of three measurements will be calculated
pain intensity
时间窗: 3 weeks
: numeric pain rating scale (NPRS) will be used to evaluate the intensity of pain perceived by patient. Pain is rated on 11 point scale from (0) no pain to (10) sever pain. The patients will be asked to point out the number that describes their pain level.
次要结局
- cervical range of motion(3 weeks)
- joint position sense(3 weeks)
- neck disability index(3 weeks)
研究者
Samar Mohammed Alansari
physical therapist
Imam Abdulrahman Bin Faisal University