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Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT03089021
Recruitment Status : Unknown
Verified September 2017 by Samar Mohammed Alansari, Dammam University.
Recruitment status was:  Enrolling by invitation
First Posted : March 24, 2017
Last Update Posted : September 20, 2017
Information provided by (Responsible Party):
Samar Mohammed Alansari, Dammam University

Brief Summary:

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

Detailed Description:
44 patients with sub-acute or chronic neck pain will be randomized into Maitland group: 22 patients receive central postro anterior or unilateral postero anterior. Mulligan group: 22 patients receive sustain natural apophyseal glides. The treatment will be 2 times /week for three weeks. Measurement will be taken pre intervention and after three weeks for neck pain, pain pressure threshold, range of motion, joint position sense, and disability using a numeric pain rating scale, pain pressure threshold test, cervical range of motion device, and neck disability index, depression, anxiety, fear avoidance believe and pain catestrophizing respectively.

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Study Type : Interventional  (Clinical Trial)
Estimated Enrollment : 22 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
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

Resource links provided by the National Library of Medicine

Arm Intervention/treatment
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.

Primary Outcome Measures :
  1. 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

  2. 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.

Secondary Outcome Measures :
  1. 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.

  2. joint position sense [ Time Frame: 3 weeks ]
    it will be measured by using the (CROM) device

  3. 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

Other Outcome Measures:
  1. State trait anxiety inventory questionnaire (STAI-Y): [ Time Frame: 3 weeks ]
    It has 20 items for assessing trait anxiety and 20 for state anxiety

  2. 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

  3. 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

  4. pain catestrophizing scale [ Time Frame: 3 weeks ]

Information from the National Library of Medicine

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Ages Eligible for Study:   20 Years to 50 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • • Patients aged between 20 to 50 years.

    • Neck pain more than one week without radicular symptoms.
    • Pain on posterior neck from superior nuchal line to first thoracic vertebra.

Exclusion Criteria:

  • • Patient contraindicate to mobilization (pregnancy, whiplash injury, tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis and resting blood pressure higher than 140/90 mmHg).

    • Cervical radiculopathy.
    • Fibromyalgia pain syndrome.
    • Previous neck surgery.
    • Neck pain associate with vertigo caused by vertebrobasilar insufficiency or chronic headache.
    • Patient received physical therapy treatment in the previous three months.
    • Psychiatric disorders.
    • Vestibular system deficits.

Information from the National Library of Medicine

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 identifier (NCT number): NCT03089021

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Saudi Arabia
King Abdulaziz Hospital
Jeddah, Saudi Arabia
Sponsors and Collaborators
Dammam University
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Principal Investigator: samar alansari, master Imam Abdulrahman Bin Faisal University

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Responsible Party: Samar Mohammed Alansari, physical therapist, Dammam University Identifier: NCT03089021     History of Changes
Other Study ID Numbers: IRB -PGS-2016-03-143
First Posted: March 24, 2017    Key Record Dates
Last Update Posted: September 20, 2017
Last Verified: September 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Undecided
Plan Description: only coded data (describtive)

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Samar Mohammed Alansari, Dammam University:
neck pain,
Additional relevant MeSH terms:
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Neck Pain
Neurologic Manifestations
Signs and Symptoms