MCKENZIE EXERCISES VERSUS MULLIGAN MOBILIZATION IN TEXT NECK SYNDROME

NCT07103954 | Recruiting DMC

• 1 other identifier: Sana Allah dita
• Study Type: interventional
• Target: 64
• Locations: 1 country
• Sites: 1

Brief Summary

Neck pain is an important public health issue that affects the whole population. Consequently, there is a significant decrease in the quality of work and life and can have a negative socioeconomic impact on both individuals and society. For the treatment of pain in the spine and extremities, especially the neck, the McKenzie method of mechanical diagnosis and therapy (MMDT) is a popular choice. Mulligan mobilization approach was found to be beneficial for both pain and functioning in individuals with mechanical neck discomfort.

Conditions

Neck Pain; Text Neck Posture; Text Neck Syndrome

Keywords

MCKENZIE EXERCISES; MULLIGAN MOBILIZATION; TEXT NECK SYNDROME

Outcome Measures

Primary Outcomes (1)

• Pain Intensity

  The pain intensity will be measured using a visual analogue scale. The VAS is a self-reported scale that consists of anchor points for "no pain" and "worst possible pain" on a horizontal line (10 cm long). The patient is asked to mark at a single point along a 10-cm line that most accurately represent his level of pain. This line represents a continuum between the two ends of the scale, with "no pain" on the left end (0 cm) and "worst pain" on the right (10 cm).

  The pain intensity will be measured using a visual analogue scale at baseline, and change in pain intensity will be measured at 2nd week and 4th week.

Secondary Outcomes (1)

• Functional disability

  The functional disability will be measured at baseline, and change in function level will be measured at 2nd week and 4th week.

Study Arms (2)

McKenzie Exercise plus CPT

EXPERIMENTAL

In this group, McKenzie exercises with conventional physical therapy.

Other: McKenzie Exercises plus Conventional Physical Therapy

Mulligan Exercise plus CPT

ACTIVE COMPARATOR

In this group, Mulligan mobilization with conventional physical therapy. The

Other: Mulligan Mobilization with Conventional Physical Therapy

Interventions

McKenzie Exercises plus Conventional Physical Therapy OTHER

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation. For McKenzie exercises, the participant will be in a comfortable sitting posture with proper back support. He will be asked to perform the following exercises: 1. Retraction in supine and sitting positions 2. Retraction with patient and therapist overpressure 3. Retraction with extension and rotation 4. Rotation with patient and therapist overpressure 5. Lateral flexion 6. Lateral flexion with patient and therapist overpressure • All these exercises will be done with a hold of one or two seconds and the movement is then repeated for five to six times.

McKenzie Exercise plus CPT

Mulligan Mobilization with Conventional Physical Therapy OTHER

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation. The Mulligan mobilization, the patient will be seated in a comfortable position on a chair and the therapist stood behind to perform the mulligan mobilization. A gliding force will be applied by the therapist on the patient's spinous process or on the facet joint of the superior vertebra of the target segment for treatment. This gliding force will be maintained by the therapist. Then the patient will move his head towards the painful side (flexion, extension, rotation, and lateral flexion), and more pressure will be applied by the patient at the end of active movement. The Mulligan mobilization will be repeated 10 times for 3 sets.

Mulligan Exercise plus CPT

Eligibility Criteria

• Age: 20 Years - 45 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64)

You may qualify if:

• Age 20 to 45 years
• \- Both genders will be included. A minimum of three hours must be spent using smartphones every day. More than one year of using any electronic gadgets. Craniovertebral Angle \< 53

You may not qualify if:

• Any known illness that may cause pain in the upper limbs or neck.(e.g Rheumatoid arthritis) Any cervical spine injuries. Any neurological or cardiovascular issue (e.g epilepsy, hypertension) Pregnancy

Sponsors & Collaborators

• University of Lahore: lead

Study Sites (1)

The University of Lahore

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Study Officials

• Ashfaq Prof. Ahmad, PhD

  University of Lahore

  STUDY CHAIR

Central Study Contacts

Ayesha Jamil, Master of Philosophy

CONTACT

+923244481031; ayesha.jamil@uipt.uol.edu.pk

Sana Allah Dita, MS in MSK Physiotherapy

CONTACT

+92 306 9457421; Asnayygill@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: In this study, the outcome assessor will be blinded of treatment group.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 29, 2025
• First Posted: August 5, 2025
• Study Start: May 1, 2025
• Primary Completion: October 1, 2025
• Study Completion: November 1, 2025
• Last Updated: August 5, 2025

Record last verified: 2025-05

Locations

PA (1)