Clinical trial NCT06620965: A Comparison of the Effectiveness of PNF and Mulligan Mobilization Techniques with Neck Pain
Official title: A Comparison of the Effectiveness of PNF and Mulligan Mobilization Techniques with Classic Physiotherapy Modalities in People with Neck Pain
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Neck Pain
Keywords: Neck pain
Rehabilitation
Lead sponsor: Kahramanmaras Sutcu Imam University
Sponsor class: OTHER
First posted: 2024-10-01
Enrollment: 39
Sex: ALL
Minimum age (years): 18
Maximum age (years): 55
Standard ages: ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: There are two groups: the Mulligan group, which applies Mulligan mobilization techniques, and the PNF group, which applies PNF techniques.
Primary purpose: TREATMENT

Brief summary: The aim of this study is to compare the effectiveness of PNF (Proprioceptive Neuromuscular Facilitation) and Mulligan Mobilization techniques with classical physiotherapy modalities in individuals with neck pain.

Detailed description: Forty individuals with neck pain aged between 18-55 years will be randomly divided into two groups, PNF and Mulligan group. Classical physiotherapy modalities will be applied to all individuals 5 days a week. PNF group will receive PNF techniques three days a week and Mulligan group will receive Mulligan mobilization techniques three days a week. Participants will be treated for 4 weeks. The pain level of the patients whose demographic data were recorded; Visual Analog Scale (VAS), pressure pain threshold; algometer, range of motion (ROM); universal goniometer, functionality; Neck Disability Index, kinesiophobia; Tampa Kinesiophobia Scale, quality of life; SF-36 Quality of Life Scale, mood; Beck Depression Inventory, cervical muscle performance level; cervical performance tests will be measured before and after treatment.

Post-treatment pain intensity, kinesiophobia and depression level; the effectiveness of pressure pain threshold, ROM, functionality, quality of life and cervical muscle performance level will be compared within and between groups.

Eligibility criteria: Inclusion Criteria:

* Complaint of neck pain for at least 3 months
* Volunteer between the ages of 18-55
* Receiving a diagnosis of chronic neck pain by a physician

Exclusion Criteria:

* Having undergone a surgical procedure for the spine
* Exercise therapy and/or physical therapy within the last 1 year
* History of fracture in the cervical region
* Radiculopathy, myelopathy (motor and sensory loss), or neurological impairment
* Presence of Cardiac Pacemaker
* Positive vertebrobasilar artery test
* Having a blood clotting disorder
* Presence of cancer
* Being diagnosed with rheumatoid arthritis
* Those with systemic diseases targeting the cervical region
* Presence of active infection

Primary outcomes:
measure: Visual Analog Scale (VAS)
timeFrame: From enrollment to the end of treatment at 4 weeks
measure: Pressure pain threshold test
timeFrame: From enrollment to the end of treatment at 4 weeks
measure: Assessment of Joint Range of Motion (ROM)
timeFrame: From enrollment to the end of treatment at 4 weeks
measure: Assessment of Functional Level
timeFrame: From enrollment to the end of treatment at 4 weeks
measure: Assessment of Kinesiophobia
timeFrame: From enrollment to the end of treatment at 4 weeks
measure: Assessment of Quality of Life
timeFrame: From enrollment to the end of treatment at 4 weeks
measure: Emotional State Assessment
timeFrame: From enrollment to the end of treatment at 4 weeks
measure: Assessment of Muscular Endurance
timeFrame: From enrollment to the end of treatment at 4 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Kahramanmaraş
country: Turkey
facility: Kahramanmaraş Sütçü İmam University Health Practice and Research Hospital
Study officials:
affiliation: Kahramanmaraş Sütçü İmam Univerisity
name: Faruk Danışman, Ph.D
role: PRINCIPAL_INVESTIGATOR
References: