Effect of Mulligan Technique on Craniovertebral Angle in Females With Dowager's Hump

NCT07705841 | Not Yet Recruiting

• 1 other identifier: P.T.REC/012/006007
• Study Type: interventional
• Target: 56
• Locations: 0 countries
• Sites: N/A

Brief Summary

this study will be conducted to investigate the effect of Mulligan technique on craniovertebral angle, pain intensity, function neck disability, cervical range of motion, thoracic range of motion in females with dowager's hump.

Conditions

Dowagers Hum

Keywords

Mulligan Technique; Craniovertebral Angle; Females With Dowager's Hump

Outcome Measures

Primary Outcomes (2)

• pain intensity

  The patient will choose a number from the scale which represents value of pain intensity, VAS will be more than 3. Scores are based on self-reported measures of symptoms that are recorded with a single handwritten mark placed at one point along the length of a 10-cm line that represents a continuum between the two ends of the scale- "no pain" on the left end (0 cm) of the scale and the "worst pain" on the right end of the scale (10 cm).

  up to four weeks

• craniovertebral angle

  The Craniovertebral Angle (CVA) was assessed using a standardized photographic method. Participants were instructed to stand or sit in a relaxed natural posture with the head maintained in a neutral position while facing forward. The spinous process of the seventh cervical vertebra (C7) and the tragus of the ear were identified by palpation and marked with adhesive markers to improve measurement accuracy. A lateral photograph was then captured using a digital camera positioned perpendicular to the participant's sagittal plane, approximately 1 m away at shoulder height. The image was analyzed using Kinovea software by drawing a horizontal line through the C7 marker and a second line connecting the C7 marker to the tragus. The angle formed between these two lines at C7 was recorded as the CVA. A smaller CVA indicates a greater degree of forward head posture, with values below 50° commonly considered indicative of forward head posture

  up to four weeks

Secondary Outcomes (3)

• neck disability

  up to four weeks

• thoracic range of motion

  up to four weeks

• cervical range of motion

  up to four weeks

Study Arms (2)

Mulligan Technique

EXPERIMENTAL

28 female patients will receive Mulligan technique for cervical \& thoracic region and conventional treatment three times per week for four weeks

Other: : Mulligan Technique; Other: conventional treatment.

conventional treatment.

ACTIVE COMPARATOR

28 female patients will receive conventional treatment three times per week for four weeks

Other: conventional treatment.

Interventions

: Mulligan Technique OTHER

the patients will receive Mulligan technique in the form of Natural Apophyseal Glide (NAG) for cervical, Sustained natural apophysial glide ( SNAG ) for cervical,Sustained natural apophysial glide ( SNAG ) for Thoracic

Mulligan Technique

conventional treatment. OTHER

The exercise program will consist of postural correction exercises to be performed under the supervision of a physical therapist. Each session will last 15-20 minutes per day, either under supervision or practiced individually at home. The exercises will include the following: * While seated, participants will lift both hands together above the head * While seated or standing with their back against a wall, participants will straighten their back as much as possible * While seated on a chair with both hands placed on the neck or crossed over the chest on the shoulders, participants will lift their arms and extend the upper back without compensating with hip or lumbar spine movement * While standing in front of a wall, participants will slide both hands upward along the wall as high as possible , Retraction in supine position,Retraction with extension,Pectoral stretch exercise training,Upper back extension exercise from prone training

Mulligan Technique; conventional treatment.

Eligibility Criteria

• Age: 39 Years - 58 Years
• Gender Eligibility Details: Fifty-six females; age of patients will range from 39 to 58 years old, the mean menopausal age.
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• The age of patients will be ranged from 39 to 58 years old; mean menopausal age
• The patients with CVA were less than 50°.
• Pain intensity level will be examined by VAS which will be more than 3.
• Limited cervical range of motion .
• Limited thoracic range of motion (flexion, extension)
• BMI will be more than 30 kg \\m2.

You may not qualify if:

• Patients with any neck surgeries.
• Neurological infection and spinal cord injury.
• Patients with congenital musculoskeletal deformities or ankylosing spondylitis.
• Patients with cervical trauma or car accident.

Sponsors & Collaborators

• Cairo University: lead

Central Study Contacts

nadia abdelmeged, phd

CONTACT

01143372716; dr.nadiasalem91@yahoo.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: opaque sealed envelope
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: principle investigator : nadia abdelmoniem abdelmeged

Model Details: Mulligan Technique and tradional therapy

Study Record Dates

• First Submitted: July 10, 2026
• First Posted: July 15, 2026
• Study Start: July 30, 2026
• Primary Completion (Estimated): February 20, 2027
• Study Completion (Estimated): February 20, 2027
• Last Updated: July 15, 2026

Record last verified: 2026-07