Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture
ConditionForward Head Posture
Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-45
SponsorCairo University
About this trial
sixty patients with forward head posture will be randomized to three groups Group A: will receive traditional treatment ( isometric exercise for deep neck flexors plus sub occipital release).
Group B: will receive traditional treatment plus muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid.
Group C: will receive traditional treatment plus mulligan mobilization
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age between 18 to 45 years
Non specific neck pain reproduced by neck movement
Neck pain at least within the last three months
Limitation in cervical range of motion
Disqualifiers
cervical spine surgery or injury
neurologic deficits, infection or inflammation
cervicogenic headache
Trial design
Design model
Parallel
Treatments tested in this trial
Traditional treatments
Other interventionIsometric exercise for deep neck flexors and sub occipital release
muscle energy technique
Other interventionMuscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid
Mulligan Mobilization
Other interventionMulligan mobilization in the form of SNAGS for rotation, lateral flexion, extension and flexion
Treatment groups
60 Participants
are divided into 3 treatment groupsGroup A: Group A: Control group (Traditional treament)Sham comparator 1 intervention
Group B: Group B (muscle energy technique group)Experimental treatment 2 interventions
Group C: Group C (Mulligan Mobilization Group)Active comparator 2 interventions
Trial outcomes
Primary outcomes
1
Pain
Pain will be measured by visual analogue scale which is a valid and reliable scale for measuring pain starts with zero (represents no pain) and ends with 10 (represents maximum pain).
Time frame
Before the first session and at the end of the treatment program ( one month)2
Cervical range of motion
Cervical range of motion in will be measured by cervical range of motion basic assessment device (CROM) the angle of cervical range of motion will be recorded in degrees to determine the limitation in range of motion
Time frame
Before the first session and after the end of the treatment program ( one month)3
Disability measurement
Disability will be measured by neck disability index(NDI) is a valid and reliable scale. The NDI consists of ten questions in the following domains: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation. Scoring: Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). All section scores are then totaled. Scoring is reported on a 0-50 scale, 0 being the best possible score and 50 being the worst. Alternately, the score can be reported from 0-100. The score is often reported as a percentage (0-100%).
Time frame
Before the first session and after the end of the treatment program ( one month)4
Cervicovertebral angle
Cervicovertebral angle (CVA) Will be measure by kinovea: Normal range is between 55 and 86, If the angle is less than 50 degrees, it will be considered to be FHP. Adhesive markers (8 mm in diameter) will be placed on the participant's C7 spinous process and tragus of the ear. The physical therapist will observe the participant from the lateral side while standing and then take a picture of the participant from a fixed distance (75 cm) and height (150 cm), then with the help of an application sealed by a password which is called KINOVEA, the angle will be measured by placing each vector as following a line from the tragus of the ear to the C7 spinous process and another horizontal line through the C7 spinous. The angle will be recorded in degrees
Time frame
Before the first session and after the end of the treatment program ( one month)Locations
Sponsors and contacts
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Source ClinicalTrials.gov
This trial is not recruiting at the moment. You can still explore other options: