Clinical trial NCT06200038: Effect of Manual Therapy on Non Specific Neck Pain
Official title: Effects of Upper Thoracic Mulligan Mobilization for Pain, Range of Motion and Function in Patients With Mechanical Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Mechanical Neck Pain
Thoracic Mobilization
Mulligan
Range of Motion
Lead sponsor: Abant Izzet Baysal University
Sponsor class: OTHER
First posted: 2024-01-10
Enrollment: 69
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

Brief summary: The aim of this study is to investigate the effects of Mulligan concept Reverse Natural Apophysial Glide Technique (RNAGS)technique applied to the thoracic region on pain, limitation of movement, and functionality in individuals with mechanical neck pain.

Detailed description: When we look at the studies investigating the effectiveness of different treatment modalities in non-specific neck pain (NSNP), there is no method accepted as the gold standard for the treatment of NSNP. One of the preferred treatment options for NSNP is physiotherapy and rehabilitation. Physiotherapy and rehabilitation includes electrotherapy modalities, therapeutic exercises, joint mobilisation and manipulations, myofascial release. Among these treatments, manual therapy, which targets the harmony of structure and function, is one of the most preferred treatment methods by physiotherapists. Manual therapy provides improvement by orienting the body's biomechanics, circulation and body structure by directly affecting the joints, muscles and soft tissues. In the literature, there are studies on both cervical mobilisation and thoracic mobilisation for neck pain. Cervical mobilisation and manipulation in neck pain are controversial because they carry certain risks. It has been reported that mobilisation of the thoracic spine decreases pain in the cervical region and increases mobilisation in this region. When the literature was examined, there was no study examining the effect of the Mulligan concept natural apophyseal reversal technique applied to the thoracic region on NSNP. This study was planned to investigate the effect of natural apophyseal reversal on pain and mobility limitation in individuals diagnosed with NSNP.

Eligibility criteria: Inclusion Criteria:

* Those between the ages of 18-65
* Those with neck pain lasting at least 3 months
* Individuals diagnosed with mechanical neck pain by a specialist physician

Exclusion Criteria:

* Those with a history of spinal surgery
* Those with a history of whiplash injury
* Those with a history of trauma in the cervical and thoracic region
* Pregnancy

Primary outcomes:
measure: Joint Range of Motion Assessment (ROM)
timeFrame: 3 weeks
measure: Pain Assessment
timeFrame: 3 weeks
measure: Neck Disability Status Assessment (NDI)
timeFrame: 3 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Bolu
country: Turkey
facility: Faculty of Health Sciences Bolu Abant İzzet Baysal University
Study officials:
affiliation: Abant Izzet Baysal University
name: Omer Osman PALA, PhD
role: PRINCIPAL_INVESTIGATOR
References: