Effectiveness of Mulligan Mobilization Technique And Cervical Stabilization Training in Patients With Chronic Neck Pain

Comparison of Effectiveness of Mulligan Mobilization Technique and Cervical Stabilization Training in Patients With Chronic Neck Pain: A Single-Blinded Randomized Controlled Trial

The aim of our study is to compare the efficiency of Mulligan mobilization technique and cervical stabilization training in patients with chronic neck pain. The results obtained from the study will contribute to the planning of the treatment of patients with chronic neck pain more effectively.

Study Overview

• Status: Unknown
• Conditions: Chronic Neck Pain
• Intervention / Treatment: Other: Home exercise; Other: Mulligan mobilization; Other: Cervical stabilization

Detailed Description

The aim of our study is to compare the efficiency of Mulligan mobilization technique and cervical stabilization training in patients with chronic neck pain. The results obtained from the study will contribute to the planning of the treatment of patients with chronic neck pain more effectively.

The hypotheses we will test for this purpose; H1. Home exercise program will improve positively after treatment in patients with chronic neck pain compared to before treatment.

H2. Mulligan mobilization will improve positively after treatment in patients with chronic neck pain compared to before treatment.

H3. Cervical stabilization training will improve positively after treatment in patients with chronic neck pain compared to before treatment.

H4. Mulligan mobilization will provide more effective results in patients with chronic neck pain compared to other applications.

• Study Type: Interventional
• Enrollment (Anticipated): 36
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Serbay Şekeröz, MSc; Phone Number: +905453009060; Email: serbaysekeroz@gmail.com
• Study Contact Backup: Name: Emine Aslan Telci, Professor; Phone Number: +902582964272; Email: easlantelci@gmail.com

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 18 years to 65 years (Adult, Older Adult)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

Description

Inclusion Criteria:

• Having neck pain lasting more than 3 months
• Expressing neck pain at least 3,5/10 points and above on a Visual Analog Scale
• Being 18-65 years old
• Agree to participate in the study
• Having obtained 5/50 points and above in Neck Disability Index

Exclusion Criteria:

• Having had spinal surgery
• Other musculoskeletal problems that may affect the cervical region such as impingement, thoracic outlet and scoliosis.
• Having a diagnosed psychiatric illness
• Having benefited from physiotherapy and / or another treatment method due to spinal pain problem in the last 1 year.
• The presence of specific pathological conditions such as malignant condition, fracture, systemic rheumatoid disease.
• Any health problem that may prevent the application of evaluations and / or treatment other than those mentioned above.
• Difficulty in communication at a level that prevents the application of evaluations and / or treatment.

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: Single

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Other: Home exercise; The exercise program will include active normal joint movements in the cervical region, postural exercises, strengthening exercises for the scapular retractor muscles, and stretching exercises for the pectoral muscles, levator scapula and upper part of the trapezius and breathing/relaxation exercises.	Other: Home exercise; Exercise program will include active normal joint movements in the cervical region, postural exercises, strengthening exercises for the scapular retractor muscles, and stretching exercises for the pectoral muscles, levator scapula and upper part of the trapezius and breathing/relaxation exercises.
Other: Mulligan mobilization; Mulligan mobilization will be applied to this group in addition to the exercises in the home exercise group. In painless directions, each session will be applied in 3 sets, a set of 10 repetitions. Sixty seconds of rest will be given between sets.	Other: Mulligan mobilization; Mulligan mobilization: Mulligan mobilization will be applied to this group in addition to the exercises in the home exercise group. In painless directions, each session will be applied in 3 sets, a set of 10 repetitions.Sixty seconds of rest will be given between sets.
Other: Cervical stabilization; In addition to the exercises in the home exercise group, this group will be given cervical stabilization training that focuses on the deep neck muscles.	Other: Cervical stabilization; Cervical stabilization group: In addition to the exercises in the home exercise group, this group will be given cervical stabilization training that focuses on the deep neck muscles.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain Intensity	Pain intensity will be evaluated with the Visual Analogue Scale. The Visual Analogue Scale is a horizontal scale in the range of 0-10 cm, where 0 is the lowest pain and 10 the highest pain. The patient will be asked to mark the pain felt in the neck area on this line and the point marked will be measured with a ruler and recorded in cm.	5 minutes
Neck Disability	Neck Disability will be measured by Neck Disability Index. The Neck Disability Index is a frequently used scale to evaluate the level of disability due to neck pain. It consists of 10 items and 6 options under each item. Options are scored between 0-5 points. An increasing score indicates a higher level of disability.	5 minutes
Cervical Range of Motion	Cervical Range of Motion will be assessed by Baseline Bubble Inclinometer as degree of flexion-extension, rotation and lateral flexion and will be recorded.	5 minutes
Head Posture	Head posture will be evaluated using the craniovertebral angle. The decrease in the craniovertebral angle indicates an increased anterior head posture.	5 minutes
Proprioception	The "joint position sense error test" defined by Revel et al. Will be used to evaluate cervical proprioception.	5 minutes
Muscle Endurance	"Cervical Deep Flexor Muscle Endurance Test" will be used.	3 minutes
Neck Awareness	The Fremantle Neck Awareness Questionnaire, which consists of few and short questions, does not take time, is easy to access, evaluates neck perception, attention and proprioceptive awareness, will be used. An increase in the score obtained from the questionnaire indicates a decrease in neck awareness.	5 minutes

Collaborators and Investigators

• Sponsor: Serbay SEKEROZ
• Collaborators: The Scientific and Technological Research Council of Turkey
• Investigators: Study Director: Emine Aslan Telci, Professor, Professor

Study record dates

Study Major Dates

• Study Start (Anticipated): December 1, 2020
• Primary Completion (Anticipated): December 1, 2021
• Study Completion (Anticipated): July 1, 2022

Study Registration Dates

• First Submitted: November 22, 2020
• First Submitted That Met QC Criteria: November 22, 2020
• First Posted (Actual): November 24, 2020

Study Record Updates

• Last Update Posted (Actual): November 24, 2020
• Last Update Submitted That Met QC Criteria: November 22, 2020
• Last Verified: November 1, 2020

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: 60116787-020/53905

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No