Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain

Not Applicable

• Conditions: Nonspecific Neck Pain
• Interventions: Other: mulligan mobilization; Other: maitland mobilization

• Registration Number: NCT03089021
• Lead Sponsor: Imam Abdulrahman Bin Faisal University

Brief Summary

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

Detailed Description

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.

Study Timeline

• Study Start: 2016-12-20
• Study First Submitted: 2017-03-20
• Study First Submitted QC: 2017-03-23
• Study First Posted: 2017-03-24
• Status Verified: 2017-09
• Last Update Submitted: 2017-09-19
• Last Update Posted: 2017-09-20
• Primary Completion: 2017-11-01
• Study Completion: 2017-12-28

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

• • 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.

Exclusion Criteria

• • 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.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
mulligan mobilization	mulligan mobilization	mobilization for spinous process or facet with neck movement 10 repetetions for 3 times.
maitland mobilization	maitland mobilization	maitland mobilization for spinous process or facet joint for 2 min and repeated 3 times.

Primary Outcome Measures

Name	Time	Method
pain pressure threshold	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	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.

Secondary Outcome Measures

Name	Time	Method
cervical range of motion	3 weeks	it will be measured by cervical range of motion (CROM) device. It consists of three gravitational inclinometers system for flexion, extension and lateral flexion, and magnetic inclinometer for rotation.
joint position sense	3 weeks	it will be measured by using the (CROM) device
neck disability index	3 weeks	This questioner is used to report disability results from neck pain and it is a self-report based outcome. In addition, it contains ten sections with total score of 50 points

Trial Locations

Locations (1)

King Abdulaziz Hospital; 🇸🇦 Jeddah, Saudi Arabia