Thoracic Thrust With Cervical Non-Thrust Mobilization in Mechanical Neck Pain

NCT07326696 | Recruiting

• 1 other identifier: FUI/CTR/2025/23
• Study Type: interventional
• Target: 46
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomised controlled trial and the purpose of this study is to determine the effects of thoracic thrust with cervical non-thrust mobilization in mechanical neck pain on components such as pain, thoracic range of motion, kyphotic angle, craniovertebral angle and proprioception.

Conditions

Chronic Mechanical Neck Pain

Keywords

neck pain; chronic neck pain; mechanical neck pain

Outcome Measures

Primary Outcomes (5)

• Pain Intensity

  Pain will be assessed by Numeric pain scale rating (NPRS).It is numeric 11-point scale, with 0 meaning no pain and 10 being worst pain.

  baseline, 1st and 2nd week

• Thoracic kyphosis

  Thoracic Kyphosis is measured by Inclinometer. It is measured via summation of angles of two inclinometers, placed on anatomical landmarks (T1-3-12).

  baseline, 1st week and 2nd week

• Thoracic Range of Motion

  Thoracic ROM (rotation) is measured by Inclinometer. Measured by placing the inclinometer at T1 segment with participant in a lumbar locked position.

  baseline, 1st week, 2nd week

• Craniovertebral angle

  Craniovertebral angle (CVA)is measured by Goniometer. it is Angle measured between tragus of ear and C7 spinous process.

  baseline,1st week, 2nd week

• Proprioception

  Proprioception is measured by Joint position sense/ error test. Participant wears a laser mounted headband and performs active neck movements with eyes closed on a target.

  baseline, 1st and 2nd week

Study Arms (2)

Group A; thoracic thrust

EXPERIMENTAL

thoracic thrust in addition to standard treatment

Procedure: Group A:Thoracic thrust

Group B: cervical non-thrust mobilization

ACTIVE COMPARATOR

standard treatment of cervical non-thrust mobilization and home-based therapeutic exercises

Procedure: Group B: Cervical non thrust mobilization

Interventions

Group A:Thoracic thrust PROCEDURE

Group A will receive manipulation protocol as addition to standard treatment. Manipulation protocol: High velocity, low amplitude as described by Maitland on thoracic hypomobile segments (T1-6) Therapeutic exercise protocol: Cervical and thoracic mobility exercises.

Group A; thoracic thrust

Group B: Cervical non thrust mobilization PROCEDURE

Intervention: Group B will receive mobilization, post-facilitation stretch and exercise protocol. Mobilization protocol: Grade III or IV mobilization as described by Maitland on cervical Hypomobile segments (C2-7) Therapeutic exercise protocol: Cervical and thoracic mobility exercises.

Group B: cervical non-thrust mobilization

Eligibility Criteria

• Age: 20 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Both male and female
• Age: 20-40 years
• Numeric pain rating scale (3\<) (13)
• Neck pain for more than 3 months
• Cervical hypomobility (C2-C7)
• Thoracic hypomobility (T1-T6)
• CranioVertebral Angle \< 48 Degrees

You may not qualify if:

• Serious pathology (e.g. neoplasm, fracture)
• History of whiplash injury within the past 6 months
• Cervical spinal stenosis
• Radiculopathy
• Neurological deficit
• Structural deformities
• Vertebrobasilar artery insufficiency
• Pregnancy
• Prior surgery of cervical or thoracic spine

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, Punjab Province, 46000, Pakistan

RECRUITING

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

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

Central Study Contacts

Ayesha Aslam

CONTACT

03348648229; ayeshaaslam6@gmail.com

Quratulain Saeed, MS-OMPT

CONTACT

03315562889; quratulain.saeed@fui.edu.pk

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participant will be blinded to the allocation of treatement groups
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 26, 2025
• First Posted: January 8, 2026
• Study Start: January 25, 2025
• Primary Completion: December 30, 2025
• Study Completion: January 15, 2026
• Last Updated: January 8, 2026

Record last verified: 2025-12

Locations

PA (1)