Effects of Mulligan Mobilization With and Without Sling Exercises in Non-specific Neck Pain

NCT06241014 | Completed

• 1 other identifier: REC/RCR & AHS/23/0157
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain is one of the common musculoskeletal problems. People with neck pain can have difficulties with daily activities and be limited in work and social participation. Main symptoms of people with neck pain include pain, decreased range of motion (ROM), muscle weakness and dysfunction. Common neck pain causes include degenerative disc disease, herniated disc disease, cervical radiculopathies, myofascial pain syndrome and viral infections. Muscular strains, postural and ergonomics are also related to neck pain and whiplash injuries. The onset of pain may be insidious or may follow trauma, and it may be recurrent or persistent in nature. Ideally, the pain goes away in 1-3 weeks, but in some cases it persists and become chronic neck pain. The aim of this study is to compare the effects of mulligan mobilization with and without sling exercises on pain, and disability in non-specific neck pain. Non-specific neck pain reduces range of motion which may be linked to mechanical restriction between two or more vertebrae and muscular spasm.

Conditions

Neck Pain

Keywords

Mulligan Exercises; Sling Exercises; Neck disability

Outcome Measures

Primary Outcomes (3)

• Numerical Pain Rating Scale

  Patient level of pain will be assessed using this scale. In a Numerical Rating Scale (NRS), this scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain" patients are asked to circle the number between 0 and 10, that fits best to their pain intensity. NRS scores ≤ 5 correspond to mild, scores of 6-7 to moderate and scores ≥8 to severe pain in terms of pain-related interference with functioning.

  upto 4 weeks

• Neck Disability Index

  NDI is a simple ten-item questionnaire used to assess patients with neck pain. The questionnaire was devised and validated in English. It consists of ten questions each with six answers (scoring 0-5 points). The NDI has a fair to moderate test-retest reliability in patients with mechanical neck pain.

  upto 4 weeks

• Universal Goniometer

  A goniometer will be used in the study to measure shoulder flexion, internal rotation and external rotation. Goniometer is an instrument that measures the available range of motion at a joint. To .measure the range of motion physical therapists most commonly use a goniometer. Therapist can use a goniometer to assess what the range of motion is at the initial assessment.

  upto 4 weeks

Study Arms (2)

Group A: Group A will be treated with mulligan mobilizations and Sling exercises.

EXPERIMENTAL

Group A: In this group, Subjects will be treated with Mulligan mobilizations along with sling exercises. Mulligan mobilizations include SNAGs. Participants will receive 3 sets of mulligan mobilization techniques per session, each set involving 10 times repetition of the exercise. The interval between the sets will be 15 to 20 seconds. The technique will be repeated total of six times, having two sessions per week for 3 weeks. The sling exercise program will also be applied for 3 weeks, 2 times a week for 20 minutes per day.

Other: Mulligan Mobilization and Sling Exercises

Group B: Group B will be treated with mulligan mobilizations alone.

ACTIVE COMPARATOR

Group B: In this group, Subjects will be treated with Mulligan mobilizations and sling exercises. Mulligan mobilizations include SNAGs. Participants will receive 3 sets of mulligan mobilization techniques per session, each set involving 10 times repetition of the exercise. The interval between the sets will be 15 to 20 seconds. The technique will be repeated a total of six times, having two sessions per week for 3 weeks.

Other: Mulligan Mobilization

Interventions

Mulligan Mobilization and Sling Exercises OTHER

Mulligan mobilizations along with sling exercises. Mulligan mobilizations include SNAGs. Participants will receive 3 sets of mulligan mobilization techniques per session, each set involving 10 times repetition of the exercise. The interval between the sets will be 15 to 20 seconds. The technique will be repeated total of six times having two sessions per week for 3 weeks. For the sling exercise, the sling exercise program will also be applied for 3 weeks, 2 times a week for 20 minutes per day. To perform the exercise, the subjects will be instructed with a demonstration and explanation.

Group A: Group A will be treated with mulligan mobilizations and Sling exercises.

Mulligan Mobilization OTHER

Mulligan Mobilization

Group B: Group B will be treated with mulligan mobilizations alone.

Eligibility Criteria

• Age: 25 Years - 50 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Age between 25-50 years.
• Having neck pain for at least 2 weeks
• Pain intensity of at least 2 on NPRS
• Greater than or equal to 15 points on the neck disability index (NDI)
• Having primary complaint of non-specific neck pain

You may not qualify if:

• History of Cervical surgery
• Cervicogenic headache
• Previous cervical spine surgery
• Serious Spinal pathology (like tumor, infection, and dislocation)
• Traumatic injuries (e.g., contusion, fracture, and whiplash injury)
• Vascular diseases and Neurologic disorders (e.g., trigeminal neuralgia)
• Concomitant medical diagnosis of any primary headache (vertigo, VBI or migraine)
• And clinical diagnosis of cervical radiculopathy, Spinal stenosis or myelopathy.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pro Care Health Clinic

Faisalābad, Punjab Province, 54000, Pakistan

Location

Related Publications (8)

• Buyukturan O, Buyukturan B, Sas S, Kararti C, Ceylan I. The Effect of Mulligan Mobilization Technique in Older Adults with Neck Pain: A Randomized Controlled, Double-Blind Study. Pain Res Manag. 2018 May 15;2018:2856375. doi: 10.1155/2018/2856375. eCollection 2018.

  PMID: 29861800 BACKGROUND

• Kim SY, An CM, Cha YS, Kim DH. Effects of sling-based manual therapy on cervicothoracic junction in patients with neck pain and forward head posture: A randomized clinical trial. J Bodyw Mov Ther. 2021 Jul;27:447-454. doi: 10.1016/j.jbmt.2021.03.007. Epub 2021 Mar 19.

  PMID: 34391270 BACKGROUND

• Lin KY, Tsai YJ, Hsu PY, Tsai CS, Kuo YL. Effects of Sling Exercise for Neck Pain: A Systematic Review and Meta-Analysis. Phys Ther. 2021 Aug 1;101(8):pzab120. doi: 10.1093/ptj/pzab120.

  PMID: 33929540 BACKGROUND

• Lee J-D, Shin W-S. Immediate effects of neuromuscular control exercise on neck pain, range of motion, and proprioception in persons with neck pain. Physical Therapy Rehabilitation Science. 2020;9(1):1-9.

  BACKGROUND

• Manzoor A, Anwar N, Khalid K, Haider R, Saghir M, Javed MA. Comparison of effectiveness of muscle energy technique with Mulligan mobilization in patients with non-specific neck pain. J Pak Med Assoc. 2021 Jun;71(6):1532-1524. doi: 10.47391/JPMA.981.

  PMID: 34111066 BACKGROUND

• He Y, Sun W, Zhao X, Ma M, Zheng Z, Xu L. Effects of core stability exercise for patients with neck pain: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2019 Nov;98(46):e17240. doi: 10.1097/MD.0000000000017240.

  PMID: 31725601 BACKGROUND

• Kim YW, Kim NY, Chang WH, Lee SC. Comparison of the Therapeutic Effects of a Sling Exercise and a Traditional Stabilizing Exercise for Clinical Lumbar Spinal Instability. J Sport Rehabil. 2018 Jan 1;27(1):47-54. doi: 10.1123/jsr.2016-0083. Epub 2018 Jan 17.

  PMID: 27992296 BACKGROUND

• Mun D-J, Oh H-J, Lee S-H. Effects of sling exercise on pain, trunk strength, and balance in patients with chronic low back pain. The Journal of Korean Physical Therapy. 2022;34(3):110-5.

  BACKGROUND

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Abu Zar, MS

  Riphah International University,Lahore

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 28, 2024
• First Posted: February 5, 2024
• Study Start: March 10, 2024
• Primary Completion: September 30, 2024
• Study Completion: October 10, 2024
• Last Updated: October 15, 2024

Record last verified: 2024-10

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)