Mobilization With Movement Technique on the Stiffness of Cervical Muscles in Individuals With Mechanical Neck Pain

Istanbul Gelisim University

Status: Completed

Conditions: Neck Pain

Treatments: Other: Mobilisation with movement; Other: Sham mobilisation

Study type: Interventional

Funder types: Other

Identifiers

NCT06396104

IUC001

Details and patient eligibility

About

Mobilisation with movement (Mulligan Sustained Natural Apophyseal Glides (SNAG)). method has been shown to have significant effects on pain, joint range of motion, and functionality in patients with neck pain. However, there is a lack of studies examining the effects of this technique on muscle stiffness associated with neck pain. Considering the immediate effects of a single session of lumbar SNAG application on lumbar muscle stiffness in patients with low back pain, it raises curiosity about the effects it would have on cervical spinal segments and surrounding muscles. The aim of this study is to investigate the immediate effects of Mulligan SNAG application on muscle stiffness, pain, and joint range of motion in patients with mechanical neck pain.

Full description

This study is designed as a parallel double-blind randomized controlled trial. Patients will be divided into two groups: the Mobilization with Movement Group (MMG) and the Sham Group (SG). The MMG will receive cervical mobilization (SNAG) treatment. The SG, on the other hand, will receive active joint movements without the 'sliding' motion applied to the spinal segment. Prior to and immediately after the intervention, participants will undergo myometric evaluation of neck muscles, joint range of motion measurements, and pressure pain threshold measurements bilaterally, followed by assessment of the individual's pain and level of disability using questionnaires related to pain and pain-associated disability. A 2-minute break will be provided after the intervention before reassessment is conducted. Patients will not be followed up.

Enrollment: 40 patients

Sex: All

Ages: 20 to 50 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Having widespread neck pain lasting more than 3 months
• Pain symptoms that increase with neck movements or palpation
• Volunteering to participate in the study

Exclusion criteria

• History of neck trauma
• Previous cervical surgery
• Cervical radiculopathy or myelopathy
• Fibromyalgia syndrome diagnosis
• Any physiotherapy intervention in the previous 12 months
• Sign of vertebrobasilar insufficiency
• Upper cervical spine ligament instability
• Those using steroids or muscle relaxants

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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40 participants in 2 patient groups

Mobilization with movement group

Experimental group

Treatment:

Other: Mobilisation with movement

Sham group

Sham Comparator group

Treatment:

Other: Sham mobilisation