Mulligan Mobilization & Stretching Effects of Cervical

NCT ID: NCT07045974

Last Updated: 2025-09-11

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 30 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-07-15
• Study Completion Date: 2026-01-30

Brief Summary

1. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing pain in individuals with cervical radiculopathy.

2. To evaluate the effectiveness of mulligan mobilization and stretching exercises in reducing disability in individuals with cervical radiculopathy.

3. To evaluate the effectiveness of mulligan mobilization and stretching exercises at improving ranges in individuals with cervical radiculopathy.

Detailed Description

Cervical Radiculopathy is a condition characterized by dysfunction of cervical spinal nerve roots which occurs as a result of compression or inflammatory pathology from a space occupying lesion such as a disc herniation, decreased disc height and degenerative changes of the uncovertebral joints anteriorly and zygoapophyseal joints posteriorly. Cervical radiculopathy constitutes 5%-36% of all radiculopathies. In general, rate of occurrence of cervical radiculopathy is 83/100,000 with an increased prevalence in the fifth decade of life (203/100,000).

Conditions

Cervical Radiculopathy

Study Design

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

Study Groups

Group A-Mulligan Mobilization

Mulligan SNAGs mobilization technique was applied at level C4/5.

Group Type: EXPERIMENTAL

Group A-Mulligan Mobilization

Intervention Type: OTHER

Group A will receive Mulligan mobilizations (SNAGs). Mulligan SNAGs mobilization technique was applied at level C4/5. Subjects were placed in sitting position and therapist stood behind the patient with therapist's thumbs on spinous process of particular vertebra. Mobilization was given by active movement followed by passive overpressure based on the movement restricted. The duration of treatment was three sets of ten repetitions each.

Conventional treatment include the following:

Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), and manual traction along with deep neck flexor, and isometric neck strengthening.

Group B-Stretching Exercises

Cervical stretching exercises will be performed.

Group Type: EXPERIMENTAL

Group B-Stretching Exercises

Intervention Type: OTHER

Group B will receive stretching exercises. Subject was asked to lie supine on the plinth and the head was held at the edge of the plinth by the therapist. Then with one hand the therapist held the neck in cervical lateral flexion to the opposite side so as to achieve the stretching of the trapezius muscle. Myofascial release by applying sustained finger pressure for 5-10 s on the involved trapezius was given. A gentle myofascial stretching force was applied to take up slack and sustained until a release occurred. This protocol comprised four sets of 15 stretches with 3 min rest.

Conventional treatment include the following:

Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), manual traction along with deep neck flexor, and isometric neck strengthening.

Interventions

Group A-Mulligan Mobilization

Group A will receive Mulligan mobilizations (SNAGs). Mulligan SNAGs mobilization technique was applied at level C4/5. Subjects were placed in sitting position and therapist stood behind the patient with therapist's thumbs on spinous process of particular vertebra. Mobilization was given by active movement followed by passive overpressure based on the movement restricted. The duration of treatment was three sets of ten repetitions each.

Conventional treatment include the following:

Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), and manual traction along with deep neck flexor, and isometric neck strengthening.

Intervention Type: OTHER

Group B-Stretching Exercises

Group B will receive stretching exercises. Subject was asked to lie supine on the plinth and the head was held at the edge of the plinth by the therapist. Then with one hand the therapist held the neck in cervical lateral flexion to the opposite side so as to achieve the stretching of the trapezius muscle. Myofascial release by applying sustained finger pressure for 5-10 s on the involved trapezius was given. A gentle myofascial stretching force was applied to take up slack and sustained until a release occurred. This protocol comprised four sets of 15 stretches with 3 min rest.

Conventional treatment include the following:

Subjects in both the groups were treated with hot pack (20 min), TENS (2 to 10 Hz), manual traction along with deep neck flexor, and isometric neck strengthening.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

• Participants falling in this category would be recruited into the study.

• Both genders
• Age between 20-50 years
• Subjects with neck pain radiating down to the arm
• Patients with positive findings for spurling test, Upper Limb Tension Test (ULTT), cervical distraction test and cervical rotation test towards the symptomatic side
• Subjects who were willing to participate in the study and willing to take treatment for cervical radiculopathy.

Exclusion Criteria

• Participant failing to fall in this category would be excluded of the study.

• Systemic disease potentially affecting the musculoskeletal system Patients experiencing primary shoulder or upper extremity problem of local origin
• Patients with any cardiovascular disorders and respiratory disorders
• Patients with any other pathological conditions involving cervical spine like vertebro basilar insufficiency and canal stenosis
• Patients having osteophytes in cervical vertebrae
• Patients who were undergoing treatment for neck pain with other means of physiotherapy at the time of the study
• Hypermobile joints of cervical vertebrae, Cervical fractures, spinal surgery or other spinal pathologies (i.e. ankylosing spondylitis, spondylolysthesis)
• Peripheral nerve lesions like neurotemesis and axonotemesis

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 50 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ayesha Sadiq, MSPT (OMPT)

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Leady Reading Hospital (LRH), Hayatabad Medical Complex (HMC)

Peshawar, KPK, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Ayesha Sadiq, MSPT (OMPT)

Role: CONTACT

ayesha.sadiq@riphah.edu.pk

03346257484

Facility Contacts

Dr. Hakeem Khan, MS

Role: primary

hakimullah.khan1992@gmail.com

03363199633

Other Identifiers

REC-01012 Mahnoor Ali

Identifier Type: -

Identifier Source: org_study_id