Effects Of McKenzie Exercises With And Without Mulligan Mobilization In Text Neck Syndrome.

NCT06131697 | Unknown

• 1 other identifier: REC/RCR & AHS/23/0156
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

This study aims to determine the effect of McKenzie exercises with and without Sustained Natural Apophyseal glide on pain, disability, and craniocervical angle in adults with Text neck syndrome.

Conditions

Neck Syndrome; Forward Head Posture

Keywords

Text Neck Syndrome; McKenzie Exercises; Sustained Natural Apophyseal Glide; Neck Pain

Outcome Measures

Primary Outcomes (3)

• Numeric pain rating scale (NPRS)

  The NPRS is a subjective pain rating scale using an 11-point scale from 0 to 10, where 0 means 'no pain' and 10 means 'intolerable pain'. Participants select the whole number that best represents their level of pain. The reliability is \>0.95 with ICC values 0.86-0.95.

  4th week

• Neck disability index (NDI)

  NDI has 10 domains covering pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Scores range from 0 to 50, with 50 being the greatest levels of dysfunction. It is a valid and realiable tool with ICC=0.98.

  4th week

• Photogrammetry for Craniocervical angle (image j software)

  Craniocervical angle can be measured using the lateral photos exposing C7 and the ear. The participants will maintain the natural head posture through the measurement method of self-balance posture. It is the angle made by the line that connects the seventh cervical spine with the tragus and the horizontal line of the seventh cervical spine in the sitting and standing positions. A CVA of \<49° is characterized as FHP. Image J is an image processing and analysis program that can read both image file formats and raw formats. It can display, edit, analyze, process, store, and print images, as well as measure distances and angles. It has been introduced as a reliable assessment tool used to measure cervical angles in several studies on forward head posture with ICC of 0.997.

  4th week

Secondary Outcomes (1)

• Smartphone Addiction Scale

  1st day

Study Arms (2)

McKenzie Exercises without Mulligan Mobilization

EXPERIMENTAL

McKenzie Exercises including retraction with neck flexion, extension, lateral flexion and rotation exercises.

Other: McKenzie Exercises without Mulligan Mobilization

McKenzie Exercises with Mulligan Mobilization

EXPERIMENTAL

McKenzie Exercises including retraction with neck flexion, extension, lateral flexion and rotation exercises and Sustained Natural Apophyseal glide.

Other: McKenzie Exercises with Mulligan Mobilization

Interventions

McKenzie Exercises without Mulligan Mobilization OTHER

McKenzie Exercises will be comprised of four exercise programs. Retraction with neck flexion, extension, lateral flexion and rotation exercises. Each exercise will be performed with two sets of 10 reps with 10 secs hold twice a week for the time period of four weeks.

McKenzie Exercises without Mulligan Mobilization

McKenzie Exercises with Mulligan Mobilization OTHER

McKenzie Exercises will be comprised of four exercise programs. Retraction with neck flexion, extension, lateral flexion and rotation exercises. Each exercise will be performed with two sets of 10 reps with 10 secs hold twice a week for the time period of four weeks. Along McKenzie exercises Sustained Natural Apophyseal Glide will be given with the tip of thumb placed at an angle of 45° along the eyeball direction reinforced by another thumb. This exercise will be performed for three sets of six repetitions twice a week for the time period of four weeks.

McKenzie Exercises with Mulligan Mobilization

Eligibility Criteria

• Age: 18 Years - 35 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age (18-35 years) Male and Female CVA \<49° Using smart phone for more than 5 hours a day Having history of more than 3 months Score more than 3 on NPRS and more than 10 on NDI Score of SAS\> 88

You may not qualify if:

• Neck surgery Spinal infection or inflammatory disorder Diagnosed cases of disc prolapse, stenosis, herniation, spondylolisthesis and osteoporosis, torticollis, scoliosis.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Shalamar Hospital

Lahore, Punjab Province, 54600, Pakistan

RECRUITING

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Ali Raza

  Riphah International University

  PRINCIPAL INVESTIGATOR

• Fizza Khan

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, PhD

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Imran Amjad, PhD

CONTACT

051-5481826; imran.amjad@riphah.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants of both group will be informed about the possible risks and potential benefits but they won't know which group they are placed in. The participants must sign consent forms agreeing to the experiment. Concealment will be done via sealed opaque envelopes.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 9, 2023
• First Posted: November 14, 2023
• Study Start: May 10, 2023
• Primary Completion: December 10, 2023
• Study Completion: January 10, 2024
• Last Updated: November 14, 2023

Record last verified: 2023-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)