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NCT Number: NCT07326696

Thoracic Thrust With Cervical Non-Thrust Mobilization in Mechanical Neck Pain

This study is a randomised controlled trial and the purpose of this study is to determine the effects of thoracic thrust with cervical non-thrust mobilization in mechanical neck pain on components such as pain, thoracic range of motion, kyphotic angle, craniovertebral angle and proprioception.

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Key information

Conditions

Chronic Mechanical Neck Pain Neck Pain Neurologic Manifestations Pain Pathological Conditions, Signs and Symptoms Signs and Symptoms

Age range

20 year–40 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Foundation University College of Physical Therapy

Islamabad, Punjab Province, 46000, Pakistan

Location status: Recruiting

Location contact

Ayesha Aslam, DPT

CONTACT

[email protected]

03348648229

About this study

Particiapants will be divided into two groups through coin toss method, one group will recieve thoracic manipulation as addition to cervical mobilization and therapeutic exercises.

Who can participate

Healthy volunteers accepted: No

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

Inclusion criteria

  • Both male and female
  • Age: 20-40 years
  • Numeric pain rating scale (3<) (13)
  • Neck pain for more than 3 months
  • Cervical hypomobility (C2-C7)
  • Thoracic hypomobility (T1-T6)
  • CranioVertebral Angle < 48 Degrees

Exclusion criteria

  • Serious pathology (e.g. neoplasm, fracture)
  • History of whiplash injury within the past 6 months
  • Cervical spinal stenosis
  • Radiculopathy
  • Neurological deficit
  • Structural deformities
  • Vertebrobasilar artery insufficiency
  • Pregnancy
  • Prior surgery of cervical or thoracic spine

Treatment and study plan

Group A:Thoracic thrust

Procedure

Group A will receive manipulation protocol as addition to standard treatment. Manipulation protocol:

High velocity, low amplitude as described by Maitland on thoracic hypomobile segments (T1-6)

Therapeutic exercise protocol:

Cervical and thoracic mobility exercises.

Group B: Cervical non thrust mobilization

Procedure

Intervention:

Group B will receive mobilization, post-facilitation stretch and exercise protocol.

Mobilization protocol:

Grade III or IV mobilization as described by Maitland on cervical Hypomobile segments (C2-7)

Therapeutic exercise protocol:

Cervical and thoracic mobility exercises.

Primary outcomes

  1. Pain Intensity

    Time frame: baseline, 1st and 2nd week

    Pain will be assessed by Numeric pain scale rating (NPRS).It is numeric 11-point scale, with 0 meaning no pain and 10 being worst pain.

  2. Thoracic kyphosis

    Time frame: baseline, 1st week and 2nd week

    Thoracic Kyphosis is measured by Inclinometer. It is measured via summation of angles of two inclinometers, placed on anatomical landmarks (T1-3-12).

  3. Thoracic Range of Motion

    Time frame: baseline, 1st week, 2nd week

    Thoracic ROM (rotation) is measured by Inclinometer. Measured by placing the inclinometer at T1 segment with participant in a lumbar locked position.

  4. Craniovertebral angle

    Time frame: baseline,1st week, 2nd week

    Craniovertebral angle (CVA)is measured by Goniometer. it is Angle measured between tragus of ear and C7 spinous process.

  5. Proprioception

    Time frame: baseline, 1st and 2nd week

    Proprioception is measured by Joint position sense/ error test. Participant wears a laser mounted headband and performs active neck movements with eyes closed on a target.

Study contacts

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

Ayesha Aslam

CONTACT

[email protected]

03348648229

Quratulain Saeed, MS-OMPT

CONTACT

[email protected]

03315562889

Sponsors and collaborators

Lead sponsor

Foundation University Islamabad

Other

Registry information

Important dates

Study start
2025
Primary completion
2025
Study completion
2026
First posted
Jan 8, 2026
Registry last updated
Jan 8, 2026

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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