NCT07838623

Brief Summary

This randomized controlled trial will compare the effectiveness of Kaltenborn mobilization and Mulligan mobilization in individuals with Forward Head Posture. The study will compare their effects in neck pain, craniovertebral angle, cervical range of motion, cervical proprioception, and deep neck flexor endurance after a two-week treatment program.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
44

participants targeted

Target at P25-P50 for not_applicable

Timeline
4mo left

Started Jul 2026

Shorter than P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

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Study Timeline

Key milestones and dates

Study Progress41%
Jul 2026Jan 2027

Study Start

First participant enrolled

July 22, 2026

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

September 18, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

September 24, 2026

Completed
3 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 18, 2026

Expected
1 month until next milestone

Study Completion

Last participant's last visit for all outcomes

January 18, 2027

Last Updated

September 24, 2026

Status Verified

September 1, 2026

Enrollment Period

5 months

First QC Date

September 18, 2026

Last Update Submit

September 18, 2026

Conditions

Forward Head Posture

Keywords

Cervical PainPriprioceptionJoint Range of Motion

Outcome Measures

Primary Outcomes (5)

  • Cervical Pain

    Numeric Pain Rating Scale (NPRS) will be used to measure Pain, 0 means no pain and 10 means worst pain ever.

    Baseline and after 2 weeks of treatment.

  • Cervical Range of Motion

    A bubble inclinometer will be used to measure cervical range of motion.

    Baseline and after 2 weeks of treatment

  • CranioVertebral Angle

    Kinovea software will be used to measure Craniovertebral Angle.

    baseline and after 2 weeks of treatment.

  • Cervical Joint Proprioception

    Cervical Joint Proprioception will be measured via Joint position error test.

    Baseline and after 2 weeks of treatment

  • Deep Neck Flexor Muscle Endurance

    Deep Neck Flexor Muscle Endurance will be measured by Deep Neck Flexor Muscle Endurance test.

    Baseline and after 2 weeks of treatment

Study Arms (2)

Kaltenborn mobilization group

EXPERIMENTAL
Procedure: Kaltenborn mobilization

Mulligan mobilization group

EXPERIMENTAL
Procedure: Mulligan Mobilization

Interventions

Kaltenborn mobilizationPROCEDURE

All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Kaltenborn mobilization involves applying graded, sustained cervical joint glides and distraction to hypomobile segments, beginning with Grade I-II techniques for pain relief and progressing to Grade III to improve joint mobility and reduce stiffness.

Kaltenborn mobilization group
Mulligan MobilizationPROCEDURE

All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Mulligan mobilization (SNAGs) involves applying a sustained anterosuperior glide to the affected cervical segment while the participant actively performs the restricted movement in a pain-free range, with gentle overpressure added at the end range as tolerated.

Mulligan mobilization group

Eligibility Criteria

Age18 Years - 40 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64)

You may qualify if:

  • Both male and female
  • aged between 18 to 40 years
  • CVA of \<48
  • Pain on NPRS 3-8
  • Hypo-mobility of cervical spine
  • Joint Position Error \> 4.5 in any of the cervical range
  • Participants who gave consent

You may not qualify if:

  • Acute musculoskeletal injuries of the cervical spine and shoulder in the last 6 months
  • Diagnosed cases of pathological conditions like spondylosis, cervical myelopathy
  • Whiplash injury of cervical spine in last 6 months
  • Neck and shoulder surgery
  • Diagnosed cases of osteoporosis
  • Rheumatoid arthritis
  • Uncontrolled diabetes and hypertension

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Foundation University College of Physical Therapy

Islamabad, Punjab Province, 44000, Pakistan

RECRUITING

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

PainNeurologic ManifestationsSigns and SymptomsPathological Conditions, Signs and Symptoms

Central Study Contacts

Neha Jamshaid, DPT

CONTACT

+92313-5275964nehajamshaid6@gmail.com

Quratulain Saeed, MS-OMPT

CONTACT

+92331 5562889quratulain.saeed@fui.edu.pk

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
SINGLE
Who Masked
OUTCOMES ASSESSOR
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER
Responsible Party
SPONSOR

Study Record Dates

First Submitted

September 18, 2026

First Posted

September 24, 2026

Study Start

July 22, 2026

Primary Completion (Estimated)

December 18, 2026

Study Completion (Estimated)

January 18, 2027

Last Updated

September 24, 2026

Record last verified: 2026-09

Locations

PA(1)