MCKENZIE EXERCISES VERSUS MULLIGAN MOBILIZATION IN TEXT NECK SYNDROME

NCT ID: NCT07103954

Last Updated: 2025-08-05

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 64 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2025-05-01
• Study Completion Date: 2025-11-01

Brief Summary

Neck pain is an important public health issue that affects the whole population. Consequently, there is a significant decrease in the quality of work and life and can have a negative socioeconomic impact on both individuals and society. For the treatment of pain in the spine and extremities, especially the neck, the McKenzie method of mechanical diagnosis and therapy (MMDT) is a popular choice. Mulligan mobilization approach was found to be beneficial for both pain and functioning in individuals with mechanical neck discomfort.

Detailed Description

Text Neck Syndrome, commonly referred to as turtle neck posture, is the fourth leading cause of disability globally. Different exercises and techniques have been implemented to manage it. Individually, there have been several studies conducted on McKenzie exercises and Mulligan mobilization. This study will provide valuable insights into the comparative effectiveness of McKenzie exercises and Mulligan mobilization for text neck syndrome. This study's findings will contribute to the development of evidence-based guidelines for managing TNS, enhancing clinical decision-making, and improving patient outcomes.

Conditions

Neck Pain; Text Neck Posture; Text Neck Syndrome

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

McKenzie Exercise plus CPT

In this group, McKenzie exercises with conventional physical therapy.

Group Type: EXPERIMENTAL

McKenzie Exercises plus Conventional Physical Therapy

Intervention Type: OTHER

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation.

For McKenzie exercises, the participant will be in a comfortable sitting posture with proper back support. He will be asked to perform the following exercises:

1. Retraction in supine and sitting positions

2. Retraction with patient and therapist overpressure

3. Retraction with extension and rotation

4. Rotation with patient and therapist overpressure

5. Lateral flexion

6. Lateral flexion with patient and therapist overpressure • All these exercises will be done with a hold of one or two seconds and the movement is then repeated for five to six times.

Mulligan Exercise plus CPT

In this group, Mulligan mobilization with conventional physical therapy. The

Group Type: ACTIVE_COMPARATOR

Mulligan Mobilization with Conventional Physical Therapy

Intervention Type: OTHER

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation.

The Mulligan mobilization, the patient will be seated in a comfortable position on a chair and the therapist stood behind to perform the mulligan mobilization. A gliding force will be applied by the therapist on the patient's spinous process or on the facet joint of the superior vertebra of the target segment for treatment. This gliding force will be maintained by the therapist. Then the patient will move his head towards the painful side (flexion, extension, rotation, and lateral flexion), and more pressure will be applied by the patient at the end of active movement. The Mulligan mobilization will be repeated 10 times for 3 sets.

Interventions

McKenzie Exercises plus Conventional Physical Therapy

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation.

For McKenzie exercises, the participant will be in a comfortable sitting posture with proper back support. He will be asked to perform the following exercises:

1. Retraction in supine and sitting positions

2. Retraction with patient and therapist overpressure

3. Retraction with extension and rotation

4. Rotation with patient and therapist overpressure

5. Lateral flexion

6. Lateral flexion with patient and therapist overpressure • All these exercises will be done with a hold of one or two seconds and the movement is then repeated for five to six times.

Intervention Type: OTHER

Mulligan Mobilization with Conventional Physical Therapy

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation.

The Mulligan mobilization, the patient will be seated in a comfortable position on a chair and the therapist stood behind to perform the mulligan mobilization. A gliding force will be applied by the therapist on the patient's spinous process or on the facet joint of the superior vertebra of the target segment for treatment. This gliding force will be maintained by the therapist. Then the patient will move his head towards the painful side (flexion, extension, rotation, and lateral flexion), and more pressure will be applied by the patient at the end of active movement. The Mulligan mobilization will be repeated 10 times for 3 sets.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

Age 20 to 45 years

• Both genders will be included. A minimum of three hours must be spent using smartphones every day. More than one year of using any electronic gadgets. Craniovertebral Angle < 53

Exclusion Criteria

• Any known illness that may cause pain in the upper limbs or neck.(e.g Rheumatoid arthritis) Any cervical spine injuries. Any neurological or cardiovascular issue (e.g epilepsy, hypertension) Pregnancy

• Minimum Eligible Age: 20 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

University of Lahore

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ashfaq Prof. Ahmad, PhD

Role: STUDY_CHAIR

University of Lahore

Locations

The University of Lahore

Lahore, Punjab Province, Pakistan

Site Status: RECRUITING

Countries

Pakistan

Central Contacts

Ayesha Jamil, Master of Philosophy

Role: CONTACT

ayesha.jamil@uipt.uol.edu.pk

+923244481031

Sana Allah Dita, MS in MSK Physiotherapy

Role: CONTACT

Asnayygill@gmail.com

+92 306 9457421

Facility Contacts

Ayesha Jamil, Master of Philosophy

Role: primary

ayesha.jamil@uipt.uol.edu.pk

+923244481031

Sana Allah dita, Master of Science

Role: backup

Other Identifiers

Sana Allah dita

Identifier Type: -

Identifier Source: org_study_id