Maitland Mobilization Versus Mulligan Mobilization in Sub-Acute and Chronic Non-Specific Neck Pain

Imam Abdulrahman Bin Faisal University

Status: Unknown

Conditions: Nonspecific Neck Pain

Treatments: Other: mulligan mobilization; Other: maitland mobilization

Study type: Interventional

Funder types: Other

Identifiers

NCT03089021

IRB -PGS-2016-03-143

Details and patient eligibility

About

This study investigate the short term effect of Maitland in comparison to Mulligan mobilization with sub-acute and chronic non specific neck pain to improve neck pain, pain pressure threshold, rang of motion, joint position sense, disability, and to evaluate the interaction with psychological factors.

Study design: experimental study

Full description

44 patients with sub-acute or chronic neck pain will be randomized into Maitland group: 22 patients receive central postro anterior or unilateral postero anterior. Mulligan group: 22 patients receive sustain natural apophyseal glides. The treatment will be 2 times /week for three weeks. Measurement will be taken pre intervention and after three weeks for neck pain, pain pressure threshold, range of motion, joint position sense, and disability using a numeric pain rating scale, pain pressure threshold test, cervical range of motion device, and neck disability index, depression, anxiety, fear avoidance believe and pain catestrophizing respectively.

Enrollment: 22 estimated patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Patients aged between 20 to 50 years.

  • Neck pain more than one week without radicular symptoms.
  • Pain on posterior neck from superior nuchal line to first thoracic vertebra.

Exclusion criteria

• • Patient contraindicate to mobilization (pregnancy, whiplash injury, tumor, fracture, metabolic diseases, rheumatoid arthritis, osteoporosis and resting blood pressure higher than 140/90 mmHg).

  • Cervical radiculopathy.
  • Fibromyalgia pain syndrome.
  • Previous neck surgery.
  • Neck pain associate with vertigo caused by vertebrobasilar insufficiency or chronic headache.
  • Patient received physical therapy treatment in the previous three months.
  • Psychiatric disorders.
  • Vestibular system deficits.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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22 participants in 2 patient groups

mulligan mobilization

Experimental group

Description:

mobilization for spinous process or facet with neck movement 10 repetetions for 3 times.

Treatment:

Other: mulligan mobilization

maitland mobilization

Experimental group

Description:

maitland mobilization for spinous process or facet joint for 2 min and repeated 3 times.

Treatment:

Other: maitland mobilization