Mckenzie Versus Maitland Cervical Mobilization Technique in Management of Non-specific Neck Pain.

NCT07290374 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006047
• Study Type: interventional
• Target: 45
• Locations: 0 countries
• Sites: N/A

Brief Summary

This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception.

Conditions

Chronic Non-specific Neck Pain

Keywords

Maitland; Mckenzie; neck pain

Outcome Measures

Primary Outcomes (2)

• Cervical proprioception

  Cervical proprioception will be assessed using CROM device.

  4 weeks

• Cervical range of motion

  Cervical ROM will be assessed using CROM device.

  4 weeks

Secondary Outcomes (2)

• Neck function

  4 weeks

• Pain intensity

  4 weeks

Study Arms (3)

Mckenzie exercises group

EXPERIMENTAL

This group will receive Mckenzie exercises and the conventional treatment 3 sessions per week for four weeks

Other: Mckenzie exercises

Maitland mobilization for cervical spine group

EXPERIMENTAL

This group will receive Maitland mobilization for cervical spine and the conventional treatment 3 sessions per week for four weeks

Other: Maitland mobilization for cervical spine

The onventional treatment group

ACTIVE COMPARATOR

This group will receive only the conventional treatment 3 sessions per week for four weeks

Other: The conventional treatment group

Interventions

Maitland mobilization for cervical spine OTHER

Fifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM. This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.

Maitland mobilization for cervical spine group

The conventional treatment group OTHER

Fifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of: 1. Source of superficial heat using hot packs for 15 minutes. 2. Postural correction exercises. 3. Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation). 4. Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles). 5. Chin tuck exercises. 6. Scapular stabilization exercises.

The onventional treatment group

Mckenzie exercises OTHER

Fifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions: 1. Repeated movements in the direction of the dysfunction. 2. Repeated movements with patient overpressure. 3. Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times. This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.

Mckenzie exercises group

Eligibility Criteria

• Age: 18 Years - 29 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Subjects diagnosed and referred from orthopedist with chronic NSNP.
• All participants will have neck pain with mobility deficit according to ICF classification of neck pain..
• Duration of symptoms is more than 3 months to be chronic.
• Subjects of both genders will be involved in the study.
• Subject are young adult with the age span between 18 \&29 years because this period is characterized by extensive changes, handling choices and opportunities such as moving out from home, choice of education and career, and establishing an adult lifestyle.
• All participants will be selected with body mass index (BMI) between 18.5 and 24.9kg/cm2 which is considered the normal range of BMI.

You may not qualify if:

• History of cervical surgery.
• Whiplash injuries.
• Inflammatory arthropathy.
• Myelopathy.
• If neck pain is associated with radiculopathy.
• Vertebrobasilar insufficiency.
• Red flags suggesting of cancer or infection .
• Fracture.
• Diabetic patients.
• Hypertensive patients.
• Obese subjects.
• Vertigo.
• Thoracic outlet syndrome.

Sponsors & Collaborators

• Cairo University: lead

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Mahmoud Salah Abd-elfattah, Assistant lecturer

CONTACT

+201068419431; mahmoud.salah@cu.edu.eg

Mahmoud Salah Abd-Elfattah, Assistant lecturer

CONTACT

01068419431; mahmoud.salah@cu.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer

Study Record Dates

• First Submitted: December 5, 2025
• First Posted: December 18, 2025
• Study Start: December 12, 2025
• Primary Completion: April 15, 2026
• Study Completion: April 15, 2026
• Last Updated: December 18, 2025

Record last verified: 2025-12

Data Sharing

• IPD Sharing: Will not share