Clinical trial NCT06396104: Mobilization With Movement Technique on the Stiffness of Cervical Muscles in Individuals With Mechanical Neck Pain
Official title: The Effect of Mobilization With Movement Technique on the Stiffness of Cervical Muscles in Individuals With Mechanical Neck Pain: A Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Neck Pain
Manual Therapy
Sham Treatment
Lead sponsor: Istanbul Gelisim University
Sponsor class: OTHER
Collaborators: name: Istanbul Kent University
name: Istanbul University - Cerrahpasa
name: Istanbul Demiroglu Bilim University
First posted: 2024-05-02
Enrollment: 40
Sex: ALL
Minimum age (years): 20
Maximum age (years): 50
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: A Parallel, double blind, randomised controlled trial
Primary purpose: TREATMENT

Brief summary: 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.

Detailed 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.

Eligibility criteria: 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

Primary outcomes:
measure: Muscle stiffness
timeFrame: Baseline and immediately after application.
Secondary outcomes:
measure: Joint Range of Motion
timeFrame: Baseline and immediately after application.
measure: Numeric Pain Rating Scale
timeFrame: Baseline and immediately after application.
measure: Neck Disability Index
timeFrame: Baseline
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Istanbul Kent University
Study officials:
References: