Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture

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

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

Study Overview

• Status: Not yet recruiting
• Conditions: Forward Head Posture
• Intervention / Treatment: Other: Traditional treatments; Other: muscle energy technique; Other: Mulligan Mobilization

• Study Type: Interventional
• Enrollment (Estimated): 60
• Phase: Not Applicable

Contacts and Locations

• Study Contact: Name: Radwa fayek Lecturer at Basic Science Department MTI University, Doctoral; Phone Number: 02-01004466229; Email: radwa26fayek@yahoo.com

Participation Criteria

Eligibility Criteria

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

Description

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

Study Plan

How is the study designed?

Design Details

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

Number of Arms

3

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Sham Comparator: Group A: Control group (Traditional treament); patients will receive traditional treatment (isometric exercise for deep neck flexors plus sub occipital release).	Other: Traditional treatments; Isometric exercise for deep neck flexors and sub occipital release
Experimental: Group B (muscle energy technique group); Patients will receive muscle energy Technique for upper trapezius, elevator scapulae and sternocleidomastoid	Other: Traditional treatments; Isometric exercise for deep neck flexors and sub occipital release; Other: muscle energy technique; Muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid
Active Comparator: Group C (Mulligan Mobilization Group); Patients will receive Mulligan mobilization	Other: Traditional treatments; Isometric exercise for deep neck flexors and sub occipital release; Other: Mulligan Mobilization; Mulligan mobilization in the form of SNAGS for rotation, lateral flexion, extension and flexion

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Pain	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).	Before the first session and at the end of the treatment program ( one month)
Cervical range of motion	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	Before the first session and after the end of the treatment program ( one month)
Disability measurement	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%).	Before the first session and after the end of the treatment program ( one month)
Cervicovertebral angle	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	Before the first session and after the end of the treatment program ( one month)

Collaborators and Investigators

• Sponsor: Cairo University

Publications and helpful links

Helpful Links

• Related Info

Study record dates

Study Major Dates

• Study Start (Estimated): December 1, 2024
• Primary Completion (Estimated): February 1, 2025
• Study Completion (Estimated): February 1, 2025

Study Registration Dates

• First Submitted: December 7, 2024
• First Submitted That Met QC Criteria: December 12, 2024
• First Posted (Estimated): December 13, 2024

Study Record Updates

• Last Update Posted (Estimated): December 13, 2024
• Last Update Submitted That Met QC Criteria: December 12, 2024
• Last Verified: December 1, 2024

More Information

Terms related to this study

• Keywords: forward head posture; Muscle energy technique; Mulligan Mobilization
• Other Study ID Numbers: P.T.REC/012/005077

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: UNDECIDED

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No
• product manufactured in and exported from the U.S.: No