Mckenzie Versus Maitland Cervical Mobilization Technique in Management of Non-specific Neck Pain.
NCT ID: NCT07290374
Last Updated: 2025-12-18
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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NOT_YET_RECRUITING
NA
45 participants
INTERVENTIONAL
2025-12-12
2026-04-15
Brief Summary
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Detailed Description
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Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach.
45 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive Mckenzie exercise in the form of repeated movements in the direction of painful \& restricted movement .Group B: will receive Maitland's cervical mobilization in the form of posterior-anterior (PA) glide.Group C: will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises).
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
DOUBLE
Study Groups
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Mckenzie exercises group
This group will receive Mckenzie exercises and the conventional treatment 3 sessions per week for four weeks
Mckenzie exercises
Fifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions:
1. Repeated movements in the direction of the dysfunction.
2. Repeated movements with patient overpressure.
3. Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times.
This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
Maitland mobilization for cervical spine group
This group will receive Maitland mobilization for cervical spine and the conventional treatment 3 sessions per week for four weeks
Maitland mobilization for cervical spine
Fifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM.
This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
The onventional treatment group
This group will receive only the conventional treatment 3 sessions per week for four weeks
The conventional treatment group
Fifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of:
1. Source of superficial heat using hot packs for 15 minutes.
2. Postural correction exercises.
3. Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation).
4. Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles).
5. Chin tuck exercises.
6. Scapular stabilization exercises.
Interventions
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Mckenzie exercises
Fifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions:
1. Repeated movements in the direction of the dysfunction.
2. Repeated movements with patient overpressure.
3. Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times.
This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
Maitland mobilization for cervical spine
Fifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM.
This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
The conventional treatment group
Fifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of:
1. Source of superficial heat using hot packs for 15 minutes.
2. Postural correction exercises.
3. Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation).
4. Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles).
5. Chin tuck exercises.
6. Scapular stabilization exercises.
Eligibility Criteria
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Inclusion Criteria
* All participants will have neck pain with mobility deficit according to ICF classification of neck pain..
* Duration of symptoms is more than 3 months to be chronic.
* Subjects of both genders will be involved in the study.
* Subject are young adult with the age span between 18 \&29 years because this period is characterized by extensive changes, handling choices and opportunities such as moving out from home, choice of education and career, and establishing an adult lifestyle.
* All participants will be selected with body mass index (BMI) between 18.5 and 24.9kg/cm2 which is considered the normal range of BMI.
Exclusion Criteria
* Whiplash injuries.
* Inflammatory arthropathy.
* Myelopathy.
* If neck pain is associated with radiculopathy.
* Vertebrobasilar insufficiency.
* Red flags suggesting of cancer or infection .
* Fracture.
* Diabetic patients.
* Hypertensive patients.
* Obese subjects.
* Vertigo.
* Thoracic outlet syndrome.
18 Years
29 Years
ALL
No
Sponsors
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Cairo University
OTHER
Responsible Party
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Mahmoud Salah Abd-Elfattah
Assistant Lecturer
Central Contacts
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Mahmoud Salah Abd-elfattah, Assistant lecturer
Role: CONTACT
Phone: +201068419431
Email: [email protected]
Mahmoud Salah Abd-Elfattah, Assistant lecturer
Role: CONTACT
Phone: 01068419431
Email: [email protected]
Other Identifiers
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P.T.REC/012/006047
Identifier Type: -
Identifier Source: org_study_id