Effectiveness of Mulligan Mobilization on Chronic Neck Pain and Range of Motion: A Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 76
- 试验地点
- 1
- 主要终点
- Change from baseline in pain intensity measured by Visual Analog Scale (VAS)
研究概览
简要总结
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.
详细描述
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).
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
- 18 Years 至 65 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Age 18-65 years
- •Chronic mechanical neck pain lasting ≥ 3 months
- •NDI score ≥ 10
- •Ability to attend 3 sessions per week
排除标准
- •Previous cervical spine surgery
- •Cervical radiculopathy or myelopathy
- •Vertebral artery insufficiency
- •Rheumatologic or neurological disorders
- •Ongoing physiotherapy elsewhere
研究组 & 干预措施
Control group (A) (n = 32) received a conventional physical therapy program
干预措施: Conventional Physical Therapy Program (Other)
The experimental group (B) (n=38) received conventional program, with addition to Mulligan technique
干预措施: Conventional Physical Therapy Program (Other)
The experimental group (B) (n=38) received conventional program, with addition to Mulligan technique
干预措施: Mulligan technique (Other)
结局指标
主要结局
Change from baseline in pain intensity measured by Visual Analog Scale (VAS)
时间窗: 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.
次要结局
- 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))
研究者
Prof. Mosab Saleem Hamed Amoudi
Assistant Professor of Physical Therapy
Arab American University (Palestine)