Effectiveness of Mulligan Mobilization Technique And Cervical Stabilization Training in Patients With Chronic Neck Pain

NCT04643028 | Unknown

• 1 other identifier: 60116787-020/53905
• Study Type: interventional
• Target: 36
• Locations: 0 countries
• Sites: N/A

Brief Summary

The aim of our study is to compare the efficiency of Mulligan mobilization technique and cervical stabilization training in patients with chronic neck pain. The results obtained from the study will contribute to the planning of the treatment of patients with chronic neck pain more effectively.

Conditions

Chronic Neck Pain

Outcome Measures

Primary Outcomes (7)

• Pain Intensity

  Pain intensity will be evaluated with the Visual Analogue Scale. The Visual Analogue Scale is a horizontal scale in the range of 0-10 cm, where 0 is the lowest pain and 10 the highest pain. The patient will be asked to mark the pain felt in the neck area on this line and the point marked will be measured with a ruler and recorded in cm.

  5 minutes

• Neck Disability

  Neck Disability will be measured by Neck Disability Index. The Neck Disability Index is a frequently used scale to evaluate the level of disability due to neck pain. It consists of 10 items and 6 options under each item. Options are scored between 0-5 points. An increasing score indicates a higher level of disability.

  5 minutes

• Cervical Range of Motion

  Cervical Range of Motion will be assessed by Baseline Bubble Inclinometer as degree of flexion-extension, rotation and lateral flexion and will be recorded.

  5 minutes

• Head Posture

  Head posture will be evaluated using the craniovertebral angle. The decrease in the craniovertebral angle indicates an increased anterior head posture.

  5 minutes

• Proprioception

  The "joint position sense error test" defined by Revel et al. Will be used to evaluate cervical proprioception.

  5 minutes

• Muscle Endurance

  "Cervical Deep Flexor Muscle Endurance Test" will be used.

  3 minutes

• Neck Awareness

  The Fremantle Neck Awareness Questionnaire, which consists of few and short questions, does not take time, is easy to access, evaluates neck perception, attention and proprioceptive awareness, will be used. An increase in the score obtained from the questionnaire indicates a decrease in neck awareness.

  5 minutes

Study Arms (3)

Home exercise

OTHER

The exercise program will include active normal joint movements in the cervical region, postural exercises, strengthening exercises for the scapular retractor muscles, and stretching exercises for the pectoral muscles, levator scapula and upper part of the trapezius and breathing/relaxation exercises.

Other: Home exercise

Mulligan mobilization

OTHER

Mulligan mobilization will be applied to this group in addition to the exercises in the home exercise group. In painless directions, each session will be applied in 3 sets, a set of 10 repetitions. Sixty seconds of rest will be given between sets.

Other: Mulligan mobilization

Cervical stabilization

OTHER

In addition to the exercises in the home exercise group, this group will be given cervical stabilization training that focuses on the deep neck muscles.

Other: Cervical stabilization

Interventions

Home exercise OTHER

Exercise program will include active normal joint movements in the cervical region, postural exercises, strengthening exercises for the scapular retractor muscles, and stretching exercises for the pectoral muscles, levator scapula and upper part of the trapezius and breathing/relaxation exercises.

Home exercise

Mulligan mobilization OTHER

Mulligan mobilization: Mulligan mobilization will be applied to this group in addition to the exercises in the home exercise group. In painless directions, each session will be applied in 3 sets, a set of 10 repetitions.Sixty seconds of rest will be given between sets.

Mulligan mobilization

Cervical stabilization OTHER

Cervical stabilization group: In addition to the exercises in the home exercise group, this group will be given cervical stabilization training that focuses on the deep neck muscles.

Cervical stabilization

Eligibility Criteria

• Age: 18 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Having neck pain lasting more than 3 months
• Expressing neck pain at least 3,5/10 points and above on a Visual Analog Scale
• Being 18-65 years old
• Agree to participate in the study
• Having obtained 5/50 points and above in Neck Disability Index

You may not qualify if:

• Having had spinal surgery
• Other musculoskeletal problems that may affect the cervical region such as impingement, thoracic outlet and scoliosis.
• Having a diagnosed psychiatric illness
• Having benefited from physiotherapy and / or another treatment method due to spinal pain problem in the last 1 year.
• The presence of specific pathological conditions such as malignant condition, fracture, systemic rheumatoid disease.
• Any health problem that may prevent the application of evaluations and / or treatment other than those mentioned above.
• Difficulty in communication at a level that prevents the application of evaluations and / or treatment.

Sponsors & Collaborators

• Serbay SEKEROZ: lead
• The Scientific and Technological Research Council of Turkey: collaborator

Study Officials

• Emine Aslan Telci, Professor

  Professor

  STUDY DIRECTOR

Central Study Contacts

Serbay Şekeröz, MSc

CONTACT

+905453009060; serbaysekeroz@gmail.com

Emine Aslan Telci, Professor

CONTACT

+902582964272; easlantelci@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: The evaluator who made the outcome measurements will not have any information about the group of participants.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Research Assistant

Study Record Dates

• First Submitted: November 22, 2020
• First Posted: November 24, 2020
• Study Start: December 1, 2020
• Primary Completion: December 1, 2021
• Study Completion: July 1, 2022
• Last Updated: November 24, 2020

Record last verified: 2020-11