Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain
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|ClinicalTrials.gov Identifier: NCT03089021|
Recruitment Status : Enrolling by invitation
First Posted : March 24, 2017
Last Update Posted : September 20, 2017
This study investigate the short term effect of Maitland in comparison to Mulligan mobilization with sub-acute and chronic non specific neck pain to improve neck pain, pain pressure threshold, rang of motion, joint position sense, disability, and to evaluate the interaction with psychological factors.
Study design: experimental study
|Condition or disease||Intervention/treatment||Phase|
|Nonspecific Neck Pain||Other: mulligan mobilization Other: maitland mobilization||Not Applicable|
|Study Type :||Interventional (Clinical Trial)|
|Estimated Enrollment :||22 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Official Title:||Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain|
|Actual Study Start Date :||December 20, 2016|
|Estimated Primary Completion Date :||November 1, 2017|
|Estimated Study Completion Date :||December 28, 2017|
Experimental: mulligan mobilization
mobilization for spinous process or facet with neck movement 10 repetetions for 3 times.
Other: mulligan mobilization
mobilization with movement for spinous process or facet joint.
Experimental: maitland mobilization
maitland mobilization for spinous process or facet joint for 2 min and repeated 3 times.
Other: maitland mobilization
posterioanterior of spinous process or facet joint.
- pain pressure threshold [ Time Frame: 3 weeks ]It will be measured with an electronic algometer (Somedic AB, Farsta, Sweden) with a circular probe of 1 cm2. The PPT will be measured over the following site: (1) area of maximum tenderness over the cervical spine as identify by palpation, (2) tibialis anterior muscle (upper one-third of the muscle belly) bilateral. Tibialis anterior sites will be as remote lower limb sites to investigate any widespread changes in sensitivity. The pressure will be applied perpendicular over the identified sites at a rate of 40 KPa/s until the individual verbally states that the pressure is starting to change to a pain sensation. Then, the pressure will be stopped. The test will be repeated three times for each site within 30 second between measurements. An average of three measurements will be calculated
- pain intensity [ Time Frame: 3 weeks ]: numeric pain rating scale (NPRS) will be used to evaluate the intensity of pain perceived by patient. Pain is rated on 11 point scale from (0) no pain to (10) sever pain. The patients will be asked to point out the number that describes their pain level.
- cervical range of motion [ Time Frame: 3 weeks ]it will be measured by cervical range of motion (CROM) device. It consists of three gravitational inclinometers system for flexion, extension and lateral flexion, and magnetic inclinometer for rotation.
- joint position sense [ Time Frame: 3 weeks ]it will be measured by using the (CROM) device
- neck disability index [ Time Frame: 3 weeks ]This questioner is used to report disability results from neck pain and it is a self-report based outcome. In addition, it contains ten sections with total score of 50 points
- State trait anxiety inventory questionnaire (STAI-Y): [ Time Frame: 3 weeks ]It has 20 items for assessing trait anxiety and 20 for state anxiety
- Beck depression inventory questionnaire (BDI) [ Time Frame: 3 weeks ]it contains 21 items; each item has four self evaluation statements in a time frame of two weeks, and scores from 0 to 3. The total score for 21 items range from 0 to 63
- Fear avoidance believe questionnaire (FABQ) [ Time Frame: 3 weeks ]this questionnaire can assess the fear avoidance believe about the pain. It consists of 16 items. First five questions are related to fear avoidance of physical activities (FABQ- PA). Then the eleven questions are related to avoidance of work (FABQ-W). The score for each question is ranged from 0 (strong disagreement) to 6 (strong agreement). The total score is ranged from 0 to 66. Higher score is represented high level of fear avoidance believe
- pain catestrophizing scale [ Time Frame: 3 weeks ]
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03089021
|King Abdulaziz Hospital|
|Jeddah, Saudi Arabia|
|Principal Investigator:||samar alansari, master||Imam Abdulrahman Bin Faisal University|