The Comparsion of MCkenzie and Mulligan Exercise in Patients With Non-Specific Neck Pain

NCT05496699 | Completed

• 1 other identifier: IstinyeFTR
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Non-specific neck pain (NSBA) is defined as pain in the posterior and lateral parts of the neck in the absence of neurological and specific pathologies (fracture, infection, inflammation, etc.) between the superior nuchael line and the 1st thoracic vertebra. The lifetime neck pain rate is approximately 12-70%; Neck pain is the reason for admission in approximately 25% of applications to outpatient clinics of the Physical Medicine and Rehabilitation Clinic. Neck pain is the most common spinal problem after low back pain, and it is defined as nonspecific neck pain due to its multifactorial etiology. Many conservative treatment methods are used in the treatment of NSBA. These include medical treatments, exercise, massage, acupuncture, neural therapy and physical therapy modalities. The basis of Mulligan's theory is based on a positional error that develops secondarily, causing misplacement of the joint. With the Mulligan mobilization technique, the joint is displaced to normal and positional error is corrected. Restoration of motion is aimed by repositioning the bone. The main indication in this technique is increased pain, stiffness and weakness in movement. The Mulligan mobilization technique is performed by asking for active movement while maintaining a manually applied joint shift. Painless movement is aimed at the joint. According to the general principles of Mulligan treatment, all techniques are applied in a way that does not cause pain and creates an effect that will eliminate the pain in a short time after the application.

Conditions

Neck Pain

Keywords

neck pain; exercise; manuel therapy; physiotherapy

Outcome Measures

Primary Outcomes (2)

• Visual Analog Scale

  A visual analog scale will be used to assess participants' degree of neck pain before and after treatment. It will be created by marking the instantaneous pain according to the levels on a scale with the visual analog scale. The pain felt by the person will be marked as "0: no pain", "10: I feel very severe pain". Scoring will be made from the parts marked on the plane over the points given by the person. The validity and reliability study of the scale was done by Price et al. made by The scale was adapted to Turkish by A. Aydın et al.

  First week

• Neck Disability Index

  In order to evaluate neck functionality, Vernon et al. Developed by Turkish version study Aslan et al. made by The Neck Disability Questionnaire includes a total of 10 questions such as pain, personal care, concentration, working, driving, and sleeping. Each question will be scored between 0-5 points. The survey will be evaluated out of a maximum of 50 points. 0 points means no restrictions, 50 points means full apology. 0-4 points will be considered as no disability, 5-14 points as mild disability, 14-24 points as moderate disability, 25-34 points as severe disability and 35 and above as complete disability.

  First week

Secondary Outcomes (4)

• Evaluation of Muscle Strength

  First week

• Tampa Kinesiophobia Scale

  First week

• Fremantle Neck Awareness Questionnaire

  First week

• Corbin Posture Analysis

  First week

Study Arms (2)

mckenzie group

EXPERIMENTAL

Mckenzie exercise protocol will be applied to the participants in this group. It will be applied to the participants for 4 weeks and 5 days a week for 30 minutes. The exercise program will be performed by the patient under the supervision of a physiotherapist.

Behavioral: Mckenzie Exercises

mullgian group

EXPERIMENTAL

Mulligan exercise protocol will be applied to the participants in this group. It will be applied to the participants for 4 weeks and 5 days a week for 30 minutes. The exercise program will be performed by the patient under the supervision of a physiotherapist.

Behavioral: Mulligan Exercise

Interventions

Mckenzie Exercises BEHAVIORAL

1. Cervical Retraction Exercise in Sitting Position The participant sits on the chair, puts the second and third fingers on his chin and pushes his head posteriorly and inferiorly. 2. Cervical Rotation Exercise in Sitting Position 3. Cervical Retraction Exercise in Supine Position 4. Cervical Rotation Exercise in Supine Position The participant turns his head to the right and left, respectively, while taking his head back in the supine position with his head out of the bed. 5. Cervical Lateral Flexion Exercise 6. Cervical Flexion Exercise in Sitting Position

mckenzie group

Mulligan Exercise BEHAVIORAL

The exercises to be applied are listed below. 1- C1-C2 Self Mobilization Slip is applied for natural apophyseal cervical right rotation. The belt is put on level C1. At the same time, the participant actively pulls the belt and turns his head to the right. To facilitate the rotation of the belt in C1, pressure is applied to the belt in the same direction as C2 and rotation of the head towards the restricted side is requested. It waits like this for 3 seconds. These movements are done in the painless range.

mullgian group

Eligibility Criteria

• Age: 18 Years - 45 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Individuals with neck pain of unknown origin for more than 3 months
• Individuals between the ages of 18-45
• Non-smokers
• Individuals who have the ability to understand and apply Turkish written and verbal instructions

You may not qualify if:

• Individuals with a history of neck injury, micro or macro trauma,
• Individuals with tumors in and around the spinal cord,
• Individuals who have undergone surgery from the neck and shoulder region,
• Individuals with positive Vertebrobacillary Artery Test,
• Female individuals who are pregnant, individuals receiving hormone therapy,
• Individuals with neurological disease,
• Individuals with neuropathic pain due to neurological and systemic disorders,
• Patients with any loss of function in the upper extremities due to musculoskeletal disease

Sponsors & Collaborators

• Istinye University: lead

Study Sites (1)

İstinye University

Istanbul, 16360, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Neck Pain; Motor Activity

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Behavior

Study Officials

• Burcu Pamukçu

  Istinye University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate Professor

Model Details: 2 group, intervention

Study Record Dates

• First Submitted: February 7, 2022
• First Posted: August 11, 2022
• Study Start: April 1, 2022
• Primary Completion: May 1, 2022
• Study Completion: June 1, 2022
• Last Updated: August 11, 2022

Record last verified: 2022-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)