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.

Study Overview

• Status: Completed
• Conditions: Physical Therapy; Dry Needling Technique; Mulligan Mobilization
• Intervention / Treatment: Other: Bridge technique MWM; Other: Dry Needling

• Study Type: Interventional
• Enrollment (Actual): 40
• Phase: Not Applicable

Contacts and Locations

Study Locations

• Palestinian Territory, occupied
  • Palestine
    • Betlehem, Palestine, Palestinian Territory, occupied, p150
      • Al Quds University

Participation Criteria

Eligibility Criteria

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

Description

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

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
Active Comparator: Group 1 Bridge technique mobilization with movement; 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	Other: Bridge technique MWM; 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.
Active Comparator: Group 2 Dry Needling; Participants in this group received two sessions per week of D.N. treatment for the trapezius muscle.	Other: Dry Needling; Participants in this group received two sessions per week of D.N. treatment for the trapezius muscle.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Numeric Visual analogue scale (VAS)	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.	pre and 1 day post treatment
Quality of life Questionnaire (QoL)	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	pre and 1 day post treatment
The Northwick Park Neck Pain Questionnaire (NPQ)	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.	pre and 1 day post treatment
Neck Disability Index (NDI)	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.	pre and 1 day post treatment

Collaborators and Investigators

• Sponsor: Al-Quds University

Study record dates

Study Major Dates

• Study Start (Actual): May 1, 2020
• Primary Completion (Actual): August 20, 2020
• Study Completion (Actual): December 1, 2020

Study Registration Dates

• First Submitted: August 14, 2025
• First Submitted That Met QC Criteria: August 14, 2025
• First Posted (Actual): August 21, 2025

Study Record Updates

• Last Update Posted (Actual): August 21, 2025
• Last Update Submitted That Met QC Criteria: August 14, 2025
• Last Verified: March 1, 2020

More Information

Terms related to this study

• Other Study ID Numbers: 117/REC/2020

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