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Completed

NCT Number: NCT07134062

The Effect of the Bridge Technique Mobilization With Movement Versus Trapezius Dry Needling in the Management of Cervical Dysfunction

This study investigates the effect of the Bridge technique mobilization with movement compared to the Trapezius Dry Needling technique on physiotherapy outcome in patients with cervical dysfunction.

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Key information

Conditions

Mulligan Mobilization Dry Needling Technique Physical Therapy

Age range

25 year–65 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Al Quds University

Bethlehem, Palestine, p150, Palestinian Territories

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Adult patients aged (25 - 65) years, males & females.
  • Cervical dysfunction
  • Orthopedic dysfunction without neurological defects
  • Limitation in ROM (extension & rotation)
  • VAS scale scores for neck pain must be > 4/10
  • Neck pain aggravated by neck posture or movement
  • Willing to give an informed consent

Exclusion criteria

  • Any known medical condition, cardio, cancer
  • Manipulative treatment within the past three months
  • Previous spinal surgery in the past five years
  • Current use of medication
  • Disc prolapse acute stage
  • previous epidural injection since the onset of present symptoms
  • diagnosis of any generalized neurological disorder
  • medical red flags suggestive of severe pathology
  • pregnancy

Treatment and study plan

Bridge technique MWM

Other

Patient in supine, head resting on a pillow, cervical spine relaxed in a neutral position, physiotherapist sitting or standing at the head of the table. Hands support both sides of the head through the thenar eminence on each side, fingers in contact with the C7, T1or T2 articular pillar bilaterally.

dry needling

Other

Participants in this group received two sessions per week of D.N. treatment for the trapezius muscle.

Primary outcomes

  1. Numeric Visual analogue scale (VAS)

    Time frame: pre and 1 day post treatment

    Is the most commonly used method for assessing pain intensity. The leftmost value on the 10-cm horizontal line used for VAS indicates a painless condition represented by 0. The rightmost value is 10, which represents extreme pain. The subjects rated their feelings of pain on the line by themselves, thereby quantifying the pain. The validity and reliability are very high.

  2. Quality of life Questionnaire (QoL)

    Time frame: pre and 1 day post treatment

    Is an instrument for measuring the Quality of an individual's life across a broad range of specific areas.

    Quality of life (QoL) could be viewed as a subjective, multidimensional concept that emphasizes an individual's current state's self-perception. However, the general Quality of life includes individuals' evaluation of all aspects of life, including the safety of the environment in which they live, whether they feel they have access to health care and social services, and their current spiritual status

  3. The Northwick Park Neck Pain Questionnaire (NPQ)

    Time frame: pre and 1 day post treatment

    Measures neck pain and consequent patient disabilities. It is easy to complete, to score, and it gives an objective measure to assess the monitor symptoms and outcome in patients with acute or chronic neck pain over time.

  4. Neck Disability Index (NDI)

    Time frame: pre and 1 day post treatment

    The Neck Disability Index (NDI) was grown in (1989) by Howard Vernon. The Index developed to modify the Oswestry Low Back Pain Disability Index with the original author's permission J. Fairbank, (1980). Vernon and Mior at (1991) the reliability and validity analysis finding have been published in the Manipulative and Physiologic Therapeutics Journal.

Sponsors and collaborators

Lead sponsor

Al-Quds University

Other

Registry information

Important dates

Study start
2020
Primary completion
2020
Study completion
2020
First posted
Aug 21, 2025
Registry last updated
Aug 21, 2025

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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