The Effect of the Bridge Technique Mobilization With Movement Versus Trapezius Dry Needling in the Management of Cervical Dysfunction

NCT07134062 | Completed

• 1 other identifier: 117/REC/2020
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

This study investigates the effect of the Bridge technique mobilization with movement compared to the Trapezius Dry Needling technique on physiotherapy outcome in patients with cervical dysfunction.

Conditions

Mulligan Mobilization; Dry Needling Technique; Physical Therapy

Outcome Measures

Primary Outcomes (4)

• Numeric Visual analogue scale (VAS)

  Is the most commonly used method for assessing pain intensity. The leftmost value on the 10-cm horizontal line used for VAS indicates a painless condition represented by 0. The rightmost value is 10, which represents extreme pain. The subjects rated their feelings of pain on the line by themselves, thereby quantifying the pain. The validity and reliability are very high.

  pre and 1 day post treatment

• Quality of life Questionnaire (QoL)

  Is an instrument for measuring the Quality of an individual's life across a broad range of specific areas. Quality of life (QoL) could be viewed as a subjective, multidimensional concept that emphasizes an individual's current state's self-perception. However, the general Quality of life includes individuals' evaluation of all aspects of life, including the safety of the environment in which they live, whether they feel they have access to health care and social services, and their current spiritual status

  pre and 1 day post treatment

• The Northwick Park Neck Pain Questionnaire (NPQ)

  Measures neck pain and consequent patient disabilities. It is easy to complete, to score, and it gives an objective measure to assess the monitor symptoms and outcome in patients with acute or chronic neck pain over time.

  pre and 1 day post treatment

• Neck Disability Index (NDI)

  The Neck Disability Index (NDI) was grown in (1989) by Howard Vernon. The Index developed to modify the Oswestry Low Back Pain Disability Index with the original author's permission J. Fairbank, (1980). Vernon and Mior at (1991) the reliability and validity analysis finding have been published in the Manipulative and Physiologic Therapeutics Journal.

  pre and 1 day post treatment

Study Arms (2)

Group 1 Bridge technique mobilization with movement

ACTIVE COMPARATOR

Patient in supine, head resting on a pillow, cervical spine relaxed in a neutral position, physiotherapist sitting or standing at the head of the table. Hands support both sides of the head through the thenar eminence on each side, fingers in contact with the C7, T1or T2 articular pillar bilaterally

Other: Bridge technique MWM

Group 2 Dry Needling

ACTIVE COMPARATOR

Participants in this group received two sessions per week of D.N. treatment for the trapezius muscle.

Other: Dry Needling

Interventions

Bridge technique MWM OTHER

Patient in supine, head resting on a pillow, cervical spine relaxed in a neutral position, physiotherapist sitting or standing at the head of the table. Hands support both sides of the head through the thenar eminence on each side, fingers in contact with the C7, T1or T2 articular pillar bilaterally.

Group 1 Bridge technique mobilization with movement

Dry Needling OTHER

Participants in this group received two sessions per week of D.N. treatment for the trapezius muscle.

Group 2 Dry Needling

Eligibility Criteria

• Age: 25 Years - 65 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Adult patients aged (25 - 65) years, males \& females.
• Cervical dysfunction
• Orthopedic dysfunction without neurological defects
• Limitation in ROM (extension \& rotation)
• VAS scale scores for neck pain must be \> 4/10
• Neck pain aggravated by neck posture or movement
• Willing to give an informed consent

You may not qualify if:

• Any known medical condition, cardio, cancer
• Manipulative treatment within the past three months
• Previous spinal surgery in the past five years
• Current use of medication
• Disc prolapse acute stage
• previous epidural injection since the onset of present symptoms
• diagnosis of any generalized neurological disorder
• medical red flags suggestive of severe pathology
• pregnancy

Sponsors & Collaborators

• Al-Quds University: lead

Study Sites (1)

Al Quds University

Bethlehem, Palestine, p150, Palestinian Territories

Location

MeSH Terms

Interventions

Dry Needling

Intervention Hierarchy (Ancestors)

Complementary Therapies; Therapeutics; Physical Therapy Modalities

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: SPONSOR

Study Record Dates

• First Submitted: August 14, 2025
• First Posted: August 21, 2025
• Study Start: May 1, 2020
• Primary Completion: August 20, 2020
• Study Completion: December 1, 2020
• Last Updated: August 21, 2025

Record last verified: 2020-03

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)