Comparison of Gongs and Kaltenborn Mobilization on Neck Pain

Comparison of Gongs Mobilization and Kaltenborn Mobilization on Mechanical Neck Pain

The aim of this randomized controlled trial is to find the effect of Gongs mobilization in comparison with Kaltenborn mobilization on mechanical neck pain , range of motion and proprioception.A randomized control trial that will include total 44 participants. The first group will receive Gongs mobilization along with conventional therapy and 2nd group will receive Kaltenborn mobilization along with conventional therapy.

Study Overview

• Status: Recruiting
• Conditions: Mechanical Neck Pain
• Intervention / Treatment: Other: Gongs mobilization + conventional physical therapy; Other: Kaltenborn mobilization along with traction + conventional therapy

Detailed Description

: Neck pain is most common problem with point prevalence of almost 13% and lifetime prevalence of approximately 50%. Mechanical neck pain is defined as nonspecific neck pain arising from anywhere in area bounded above by superior nuchal line and below to first thoracic vertebrae tip and laterally to lateral borders of neck and pain increased by neck movement.

Impairment of cervical proprioception is significant issue in individuals with mechanical neck pain leading to disruption in sensorimotor control in neck. These disruptions can effect posture control and balance. Cervical sensorimotor control involves the central processing of sensory inputs, including visual, vestibular, and cervical proprioceptive information. This process leads to the execution of motor programs by cervical muscles, which plays a crucial role in maintaining head posture, balance, and the stability of cervical joints. Disturbances in cervical sensorimotor control, resulting from neck pain, may potentially lead to additional tissue damage, worsen pain through sensitization in both the peripheral and central nervous systems, and promote dysfunctional motion patterns.

According to literature Gongs mobilization which is an end range mobilization technique introduced by Wontae Gong at all. It has significance that movement of the joint facets other than the fixed one are maximally restricted and mobilization is induced using acceleration and gravity. For mechanical neck pain Kaltenborn mobilization also improved symptoms.

Previous studies worked on effectiveness of Kaltenborn mobilization and Gongs mobilization on neck pain. Aim of this study will be to determine which technique is more in improving pain, ROM and proprioception in mechanical neck pain patients. Our study is related to the fact that it will be helpful for future healthcare provider and will have a significant role in health promotion and spread a healthy lifestyle to public.

• Study Type: Interventional
• Enrollment (Estimated): 44
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Madiha Ali, MS-OMPT; Phone Number: 0331-3360064; Email: madiha.ali@riphah.edu.pk

Study Locations

• Pakistan
  • Punjab
    • Attock City, Punjab, Pakistan, 43350
      • Recruiting
      • Alam Hospital Attock
      • Contact: Madiha Ali, MSOMPT; Phone Number: 0331-3360064; Email: madiha.ali@riphah.edu.pk
      • Principal Investigator: Komal Shahzad, MS OMPT

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Adult; Older Adult
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Participants falling in this category would be recruited into the study.

• • Age 18 -65 years

  • Both male and female
  • Primary complaint of neck pain with or without radiating to Upper extremity
  • Pain confined to posterior aspect of neck with mechanical characteristics such as symptoms provoked by neck movement, by palpation of cervical muscles and by sustained posture.
  • Subjects who are willing to participate in study.
  • Patients with Mechanical neck pain

Exclusion Criteria:

• Participants falling in this category would be excluded from the study.

  • Bilateral upper extremity symptoms
  • Whiplash injury
  • Trauma or tumor around neck
  • Previous neck surgery
  • Spinal infection
  • Cervical radiculopathy and myelopathy
  • Vascular syndromes

Study Plan

How is the study designed?

Design Details

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

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: Group A; Gongs mobilization and conventional therapy , sessions 3 per week , mobilization for 5 minutes and 30 minutes session for total 4 weeks. exercise 3 sets for 10 repetitions. Modality (Hydrocollator pack, TENS for 15 minutes with pulse frequency of 10-200 Hz, pulse width 100 - 250 micro seconds.	Other: Gongs mobilization + conventional physical therapy; 3 per week , mobilization for 5 minutes , exercise 3 sets for 10 repetitions for 4 consecutive weeks
Experimental: Group B; Kaltenborn mobilization along with cervical traction and conventional therapy: Intervention will be given 3 times/week 5 minutes mobilization Exercise 3 sets for 10 repetitions and 30 minutes session for 4 consecutive weeks. Modality including (Hydrocollator pack, TENS for 15 minutes with pulse frequency of 10-200 Hz, pulse width 100 - 250 micro seconds. Intensity tolerated by patients.	Other: Kaltenborn mobilization along with traction + conventional therapy; 3 per week , mobilization for 5 minutes , exercise 3 sets for 10 repetitions for 4 consecutive weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Pain Rating Scale NPRS	The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.	4 weeks

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cervical Joint Position Error	The patient is sitting 90 cm from the wall, and the starting point (center of target or reference point) of the laser projection is marked. The patient (blindfolded or closed) performs active neck movement and then returns to the starting position as accurately as possible. The final laser position is measured relative to the starting position (distance or angle). The errors are measured after cervical extension and flexion.	4 weeks
: Goniometer	: It is an instrument that measures the available range of motion at a joint.	4 weeks

Collaborators and Investigators

• Sponsor: Riphah International University
• Investigators: Principal Investigator: Madiha Ali, MS OMPT, Riphah International University

Study record dates

Study Major Dates

• Study Start (Actual): August 9, 2024
• Primary Completion (Estimated): December 30, 2024
• Study Completion (Estimated): January 10, 2025

Study Registration Dates

• First Submitted: August 13, 2024
• First Submitted That Met QC Criteria: August 13, 2024
• First Posted (Actual): August 16, 2024

Study Record Updates

• Last Update Posted (Actual): August 16, 2024
• Last Update Submitted That Met QC Criteria: August 13, 2024
• Last Verified: August 1, 2024

More Information

Terms related to this study

• Keywords: Gongs mobilization, Kaltenborn mobilization , Mechanical neck pain , proprioception
• Additional Relevant MeSH Terms: Pain; Neurologic Manifestations; Neck Pain
• Other Study ID Numbers: Komal Shahzad

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

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