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NCT Number: NCT06732557

Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture

sixty patients with forward head posture will be randomized to three groups Group A: will receive traditional treatment ( isometric exercise for deep neck flexors plus sub occipital release).

Group B: will receive traditional treatment plus muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid.

Group C: will receive traditional treatment plus mulligan mobilization

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Key information

Age range

18 year–45 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age between 18 to 45 years
  • Non specific neck pain reproduced by neck movement
  • Neck pain at least within the last three months
  • Limitation in cervical range of motion

Exclusion criteria

  • cervical spine surgery or injury
  • neurologic deficits, infection or inflammation
  • cervicogenic headache

Treatment and study plan

traditional treatments

Other

Isometric exercise for deep neck flexors and sub occipital release

Muscle Energy Technique

Other

Muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid

Mulligan mobilization

Other

Mulligan mobilization in the form of SNAGS for rotation, lateral flexion, extension and flexion

Primary outcomes

  1. Pain

    Time frame: Before the first session and at the end of the treatment program ( one month)

    Pain will be measured by visual analogue scale which is a valid and reliable scale for measuring pain starts with zero (represents no pain) and ends with 10 (represents maximum pain).

  2. Cervical range of motion

    Time frame: Before the first session and after the end of the treatment program ( one month)

    Cervical range of motion in will be measured by cervical range of motion basic assessment device (CROM) the angle of cervical range of motion will be recorded in degrees to determine the limitation in range of motion

  3. Disability measurement

    Time frame: Before the first session and after the end of the treatment program ( one month)

    Disability will be measured by neck disability index(NDI) is a valid and reliable scale.

    The NDI consists of ten questions in the following domains: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation.

    Scoring: Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). All section scores are then totaled. Scoring is reported on a 0-50 scale, 0 being the best possible score and 50 being the worst. Alternately, the score can be reported from 0-100. The score is often reported as a percentage (0-100%).

  4. Cervicovertebral angle

    Time frame: Before the first session and after the end of the treatment program ( one month)

    Cervicovertebral angle (CVA) Will be measure by kinovea:

    Normal range is between 55 and 86, If the angle is less than 50 degrees, it will be considered to be FHP. Adhesive markers (8 mm in diameter) will be placed on the participant's C7 spinous process and tragus of the ear. The physical therapist will observe the participant from the lateral side while standing and then take a picture of the participant from a fixed distance (75 cm) and height (150 cm), then with the help of an application sealed by a password which is called KINOVEA, the angle will be measured by placing each vector as following a line from the tragus of the ear to the C7 spinous process and another horizontal line through the C7 spinous. The angle will be recorded in degrees

Study contacts

Contact information is provided by the study sponsor or research team.

Radwa fayek Lecturer at Basic Science Department MTI University, Doctoral

CONTACT

[email protected]

02-01004466229

Sponsors and collaborators

Lead sponsor

Cairo University

Other

Registry information

Official study title

Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture: a Randomized Controlled Trial

Important dates

Study start
2024
Primary completion
2025
Study completion
2025
First posted
Dec 13, 2024
Registry last updated
Dec 13, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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