Mulligan and Mckenzie Exercises Alongwith Stabilization Exercises in Patients With Chronic Neck Pain

NCT ID: NCT06340113

Last Updated: 2024-08-28

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 22 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-11-20
• Study Completion Date: 2024-06-01

Brief Summary

The goal of this [type of study: Randomized control trial] is to [ compare the effectiveness of Mulligan and McKenzie Exercises along with stabilization exercises on pain, range of motion and disability ] in [ in patients with chronic neck pain].The main question it aims to answer is:

• Wether Mulligan is more effective or Mckenzie exercises along with stabilization exercises in the treatment of patients with chronic neck pain Group 1 will recieve Mulligan and stabilization exercises Group 2 will recieve Mckenzie and stabilization exercises

Detailed Description

Chronic neck pain is a prevalent and multifaceted condition, affecting a substantial portion of the general population (16.7% to 75.1%). Different techniques have been used to treat chronic neck pain. In this study, I will be comparing two manual therapy techniques along with stabilization exercises and will check which manual technique with stabilization exercise is more effective in the treatment of chronic neck pain. One of the techniques is Mulligan technique. The other one is the self-treatment approach of the McKenzie technique, . Additionally, cervical stabilization exercises, incorporating progressive stages, aim to enhance neuromuscular control.

The research involves two intervention groups (Group A and Group B) receiving specific treatments over 32 sessions within an eight-week period. Group A incorporates the Mulligan technique, cervical and scapulothoracic stabilization exercises, and transcutaneous electrical nerve stimulation (TENS) with a heating pad. Group B undergoes hot packs and TENS, followed by McKenzie exercises and cervical and scapulothoracic stabilization exercises. Outcomes, encompassing pain levels, range of motion (ROM), and Neck Disability Index (NDI) scores, will be evaluated using the Numeric Pain Rating Scale, Goniometer, and Neck Disability Scale. Data analysis will employ SPSS version 26. Data will be collected at baseline, immediately post-intervention, and at follow-up intervals.

Conditions

Neck Pain

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

MCKENZIE AND STABILIZATION EXERCISES

In this group, 11 participants will be included. the interventions will be given for 15 mint. The exercises then repeated five or six times in a Session. the session will be of 45 mins, 3 session per week

Group Type: EXPERIMENTAL

MCKENZIE AND STABILIZATION EXERCISES

Intervention Type: PROCEDURE

In this group 11 participants will receive McKenzie protocol with stabilization exercises. Participants will be asked to sit to treat extension deficit. The participant will be in a comfortable sitting position with a proper back support. Head is kept in forward facing without any up and done movement (10 to 15 times). Then, he restored the neutral sitting posture, and at the end of the range of motion (ROM), he' tuck in" chin by pushing the chin with his fingers (10 to 15 times). The exercises then repeated five or six times in a Session. the session will be of 45 mins, 3 session per week. At end of each session patients will do stabilization exercises with 10reps of each exercise with 10sec hold

MULLIGAN AND STABILIZATION EXERCISES

In this group, 11 participants will be included. the interventions will be given for 15 mint. The exercises then repeated five or six times in a Session. the session will be of 45 mins, 3 session per week for 10 weeks

Group Type: EXPERIMENTAL

MULLIGAN AND STABILIZATION EXERCISES

Intervention Type: PROCEDURE

. The technique will include Self-sustained Natural Apophyseal Glide (SNAGs), Natural Apophyseal Glides (NAGs), and mobilization techniques.. The participants will receive three sets of Mulligan Mobilization, each set involving 10 repetitions of the exercise, with an interval of 15 to 20 seconds between the sets.At end of each session patients will do stabilization exercises with 10reps of each exercise with 10sec hold.

Interventions

MCKENZIE AND STABILIZATION EXERCISES

In this group 11 participants will receive McKenzie protocol with stabilization exercises. Participants will be asked to sit to treat extension deficit. The participant will be in a comfortable sitting position with a proper back support. Head is kept in forward facing without any up and done movement (10 to 15 times). Then, he restored the neutral sitting posture, and at the end of the range of motion (ROM), he' tuck in" chin by pushing the chin with his fingers (10 to 15 times). The exercises then repeated five or six times in a Session. the session will be of 45 mins, 3 session per week. At end of each session patients will do stabilization exercises with 10reps of each exercise with 10sec hold

Intervention Type: PROCEDURE

MULLIGAN AND STABILIZATION EXERCISES

. The technique will include Self-sustained Natural Apophyseal Glide (SNAGs), Natural Apophyseal Glides (NAGs), and mobilization techniques.. The participants will receive three sets of Mulligan Mobilization, each set involving 10 repetitions of the exercise, with an interval of 15 to 20 seconds between the sets.At end of each session patients will do stabilization exercises with 10reps of each exercise with 10sec hold.

Intervention Type: PROCEDURE

Other Intervention Names

MCKENZIE PROTOCOL AND RHYTHMICAL STABILIZATION EXERCISES; MULLIGAN AND RHYTHMICAL STABILIZATION EXERCISES

Eligibility Criteria

Inclusion Criteria

• Age 40-65 Localized chronic neck pain for more than 3 months

Exclusion Criteria

• Participants suffering their neck pain was caused by any other complications.

• Minimum Eligible Age: 40 Years
• Maximum Eligible Age: 65 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Sanaullah, ms

Role: PRINCIPAL_INVESTIGATOR

riphah lahore

Locations

Riphah international university

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/RCR & AHS/23/0108 NASHIA

Identifier Type: -

Identifier Source: org_study_id