Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture

NCT06732557 | Not Yet Recruiting DMC

• 1 other identifier: P.T.REC/012/005077
• Study Type: interventional
• Target: 60
• Locations: 0 countries
• Sites: N/A

Brief Summary

sixty patients with forward head posture will be randomized to three groups Group A: will receive traditional treatment ( isometric exercise for deep neck flexors plus sub occipital release). Group B: will receive traditional treatment plus muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid. Group C: will receive traditional treatment plus mulligan mobilization

Conditions

Forward Head Posture

Keywords

forward head posture; Mulligan Mobilization; Muscle energy technique

Outcome Measures

Primary Outcomes (4)

• Pain

  Pain will be measured by visual analogue scale which is a valid and reliable scale for measuring pain starts with zero (represents no pain) and ends with 10 (represents maximum pain).

  Before the first session and at the end of the treatment program ( one month)

• Cervical range of motion

  Cervical range of motion in will be measured by cervical range of motion basic assessment device (CROM) the angle of cervical range of motion will be recorded in degrees to determine the limitation in range of motion

  Before the first session and after the end of the treatment program ( one month)

• Disability measurement

  Disability will be measured by neck disability index(NDI) is a valid and reliable scale. The NDI consists of ten questions in the following domains: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation. Scoring: Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). All section scores are then totaled. Scoring is reported on a 0-50 scale, 0 being the best possible score and 50 being the worst. Alternately, the score can be reported from 0-100. The score is often reported as a percentage (0-100%).

  Before the first session and after the end of the treatment program ( one month)

• Cervicovertebral angle

  Cervicovertebral angle (CVA) Will be measure by kinovea: Normal range is between 55 and 86, If the angle is less than 50 degrees, it will be considered to be FHP. Adhesive markers (8 mm in diameter) will be placed on the participant's C7 spinous process and tragus of the ear. The physical therapist will observe the participant from the lateral side while standing and then take a picture of the participant from a fixed distance (75 cm) and height (150 cm), then with the help of an application sealed by a password which is called KINOVEA, the angle will be measured by placing each vector as following a line from the tragus of the ear to the C7 spinous process and another horizontal line through the C7 spinous. The angle will be recorded in degrees

  Before the first session and after the end of the treatment program ( one month)

Study Arms (3)

Group A: Control group (Traditional treament)

SHAM COMPARATOR

patients will receive traditional treatment (isometric exercise for deep neck flexors plus sub occipital release).

Other: Traditional treatments

Group B (muscle energy technique group)

EXPERIMENTAL

Patients will receive muscle energy Technique for upper trapezius, elevator scapulae and sternocleidomastoid

Other: Traditional treatments; Other: muscle energy technique

Group C (Mulligan Mobilization Group)

ACTIVE COMPARATOR

Patients will receive Mulligan mobilization

Other: Traditional treatments; Other: Mulligan Mobilization

Interventions

Traditional treatments OTHER

Isometric exercise for deep neck flexors and sub occipital release

Group A: Control group (Traditional treament); Group B (muscle energy technique group); Group C (Mulligan Mobilization Group)

muscle energy technique OTHER

Muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid

Group B (muscle energy technique group)

Mulligan Mobilization OTHER

Mulligan mobilization in the form of SNAGS for rotation, lateral flexion, extension and flexion

Group C (Mulligan Mobilization Group)

Eligibility Criteria

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

You may qualify if:

• Age between 18 to 45 years
• Non specific neck pain reproduced by neck movement
• Neck pain at least within the last three months
• Limitation in cervical range of motion

You may not qualify if:

• cervical spine surgery or injury
• neurologic deficits, infection or inflammation
• cervicogenic headache

Sponsors & Collaborators

• Cairo University: lead

Related Links

• Related Info

Central Study Contacts

Radwa fayek Lecturer at Basic Science Department MTI University, Doctoral

CONTACT

02-01004466229; radwa26fayek@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: teaching assistant of Basic Science Department

Study Record Dates

• First Submitted: December 7, 2024
• First Posted: December 13, 2024
• Study Start: December 1, 2024
• Primary Completion: February 1, 2025
• Study Completion: February 1, 2025
• Last Updated: December 13, 2024

Record last verified: 2024-12