Postural Kyphosis, Cervicothoracic RegionNCT05458206
Effect of Mulligan Snag and Diaphragmatic Release on Thoracic Kyphosis
A study testing mulligan snag mobilization and diaphragmatic release in people with Postural Kyphosis, Cervicothoracic Region, run by Cairo University at 2 sites in Egypt.
Trial summary
the aim of this study is to investigate the efficacy of mulligan snag mobilisation and diaphragmatic release on upper crossed syndrome Read more about this study
- Who is it for?
- Ages 17 to 22 years
- Conditions the study is for
- Postural Kyphosis, Cervicothoracic Region
- What is being tested?
- mulligan snag mobilization and diaphragmatic release
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 60 participants
- Where
- 2 sitesEgypt
- Study dates
- 20 Oct 2022to 20 Mar 2023
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 17 to 22 years
- All sexes
- No healthy volunteers
- Child, Adult
Who may be able to join
- Age ranged from 17 to 22 years .
- Body Mass Index from 20 to 25 kg/m² .
- All participants have an intensity of neck pain on VAS (4-8) (moderate cases) .
- The subjects were chosen from both sexes.
- All participants have kyphosis angle ≥42°
- All participants have mechanical neck pain and FHP (craniovertebral angle CVA < 49) CVA of < 49) .
Who cannot join
- Malignancy
- Fractures of the cervical spine
- Cervical radiculopathy or myelopathy
- Vascular syndromes such as vertebrobasilar insufficiency
- Rheumatoid arthritis
- Neck or upper back surgery
Show all 9Show fewer
- Taking anticoagulants
- Local infection
- Whiplash injury
Trial locations and contacts
2 sites in 1 country.
Egypt2 sites
Faculty of physical therapy Cairo university
Cairo, Giza Governorate, 12613
Faculty of physical therapy
Cairo, Giza Governorate, 12613
About this study
the aim of this study is to investigate the efficacy of mulligan snag mobilisation and diaphragmatic release on upper crossed syndrome
Read the detailed description
Acquired postural disorders can be a consequence, to a large extent, of contemporary living and working conditions. Some of the most typical factors include continuous use of mobile phones and computers, working in sedentary jobs. Prolonged incorrect posture and reduced physical activity present a dis-balance in the musculature . It can also lead to vision issues, as well as headaches, musculoskeletal issues, and pain, as well as a multitude of other symptoms.
Upon the available research studies, there is not study conducted to investigate the effect of mulligan SNAG mobilization and diaphragmatic release in upper crossed syndrome patients this trial has four groups; one will receive diaphragmatic release + conventional, the second will receive mulligan SNAG mobilization, and conventional, the third will receive mulligan SNAG mobilization+diaphragmatic release+conventional, the fourth subjects will receive conventional
- Being tested
- mulligan snag mobilization and diaphragmatic release
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
mulligan snag mobilization and diaphragmatic releaseOther
The patients will be in the supine position. The therapist makes manual contact bilaterally under the costal cartilages of the lower ribs (7th to 10th ). During the patient's inspiration, the therapist will gently pull the points of hand contacts toward the head and slightly laterally. During exhalation, the therapist will deepen hand contact toward the inner coastal margins.
mulligan snag, Apply a passive intervertebral movement in a superior anterior direction along the facet plane. While maintaining this "glide" as the patient actively moves in any range of physiological movement
| Study group | Role | What they receive |
|---|---|---|
| diaphragmatic release, and conventional | Experimental | Diaphragmatic release:
The patients will be positioned in the supine position. The therapist stood at the head of the patient. The therapist makes manual contact bilaterally under the costal cartilages of the lower ribs (7th to 10th ) with hypothenar regions of the hands and the last three fingers. During the patient's inspiration, the therapist will gently pull the points of hand contacts toward the head and slightly laterally, while elevating the ribs simultaneously. During exhalation, the therapist will deepen hand contact toward the inner coastal margins for 5 to 7 minute conventional therapy: the patient will receive chin-in, interscapular exercises, and pectoralis stretch Receives: Other: mulligan snag mobilization and diaphragmatic release |
| mulligan SNAG mobilization, and conventional | Experimental | mulligan snag: Apply a passive intervertebral movement in a superior anterior direction along the facet plane. While maintaining this "glide" as the patient actively moves in any range of physiological movement and then sustains it at the end range position for a few seconds. (3 sets,10 repetitions) conventional therapy: the patient will receive chin-in, interscapular exercises, and pectoralis stretch Receives: Other: mulligan snag mobilization and diaphragmatic release |
| mulligan SNAG mobilization, diaphragmatic release, and conventional | Experimental | Diaphragmatic release:
The patients will be positioned in the supine position. The therapist stood at the head of the patient. The therapist makes manual contact bilaterally under the costal cartilages of the lower ribs (7th to 10th ) with hypothenar regions of the hands and the last three fingers. During the patient's inspiration, the therapist will gently pull the points of hand contacts toward the head and slightly laterally, while elevating the ribs simultaneously. During exhalation, the therapist will deepen hand contact toward the inner coastal margins. (5 to 7 minutes) mulligan snag: Apply a passive intervertebral movement in a superior anterior direction along the facet plane. While maintaining this "glide" as the patient actively moves in any range of physiological movement and then sustains it at the end range position for a few seconds(3 sets,10 repetitions) conventional therapy: the patient will receive chin-in, interscapular exercises, and pectoralis stretch Receives: Other: mulligan snag mobilization and diaphragmatic release |
| the conventional therapy | Active comparator | the patient will receive chin-in, inter-scapular exercises, and pectoralis stretch (3 sets,10 repetitions) Receives: Other: mulligan snag mobilization and diaphragmatic release |
What is being measured
The primary outcome is the main question the study is designed to answer.
pain intensity
The scale that will be used is the Visual analogue scale;each subject will be instructed to put point on a line from no pain to tolerable pain
Measured: up to four weeks
Secondary outcomes (1)
cervical range of motion
theCROM device will placed on patient's head while he/she seated and looking forward the difference between the ponter value and the value after movement will be recorded as the motion angle of the cervical vertebrae
Measured: up to four weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted14 Jul 2022
- Study start20 Oct 2022
- Primary completion20 Mar 2023
- Study completion20 Mar 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Postural Kyphosis, Cervicothoracic RegionStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Model description
- EFFECT OF MULLIGAN SNAG MOBILISATION AND DIAPHRAGMATIC RELEASE
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 60 participants (actual)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mariam omran Grase, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05458206
- Sponsor's protocol ID
- p.t.REC/012/003548
- Status last verified
- Nov 2022
- First submitted
- 11 Jul 2022
- Last updated
- 25 Jul 2023
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 25 Jul 2023. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of Mulligan Snag and Diaphragmatic Release on Thoracic Kyphosis
- ClinicalTrials.gov ID
- NCT05458206
- Acronym / sponsor ID
- p.t.REC/012/003548
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 60 participants (actual)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 20 Oct 2022 (actual)
- Primary completion
- 20 Mar 2023 (actual)
- Study completion
- 20 Mar 2023 (actual)
- First posted
- 14 Jul 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
the aim of this study is to investigate the efficacy of mulligan snag mobilisation and diaphragmatic release on upper crossed syndrome
Detailed description
Acquired postural disorders can be a consequence, to a large extent, of contemporary living and working conditions. Some of the most typical factors include continuous use of mobile phones and computers, working in sedentary jobs. Prolonged incorrect posture and reduced physical activity present a dis-balance in the musculature . It can also lead to vision issues, as well as headaches, musculoskeletal issues, and pain, as well as a multitude of other symptoms.
Upon the available research studies, there is not study conducted to investigate the effect of mulligan SNAG mobilization and diaphragmatic release in upper crossed syndrome patients this trial has four groups; one will receive diaphragmatic release + conventional, the second will receive mulligan SNAG mobilization, and conventional, the third will receive mulligan SNAG mobilization+diaphragmatic release+conventional, the fourth subjects will receive conventional
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 4
- Model description
- EFFECT OF MULLIGAN SNAG MOBILISATION AND DIAPHRAGMATIC RELEASE
| Arm | Type | Receives |
|---|---|---|
| diaphragmatic release, and conventional | Experimental | Other: mulligan snag mobilization and diaphragmatic releaseDiaphragmatic release: The patients will be positioned in the supine position. The therapist stood at the head of the patient. The therapist makes manual contact bilaterally under the costal cartilages of the lower ribs (7th to 10th ) with hypothenar regions of the hands and the last three fingers. During the patient's inspiration, the therapist will gently pull the points of hand contacts toward the head and slightly laterally, while elevating the ribs simultaneously. During exhalation, the therapist will deepen hand contact toward the inner coastal margins for 5 to 7 minute conventional therapy: the patient will receive chin-in, interscapular exercises, and pectoralis stretch |
| mulligan SNAG mobilization, and conventional | Experimental | Other: mulligan snag mobilization and diaphragmatic releasemulligan snag: Apply a passive intervertebral movement in a superior anterior direction along the facet plane. While maintaining this "glide" as the patient actively moves in any range of physiological movement and then sustains it at the end range position for a few seconds. (3 sets,10 repetitions) conventional therapy: the patient will receive chin-in, interscapular exercises, and pectoralis stretch |
| mulligan SNAG mobilization, diaphragmatic release, and conventional | Experimental | Other: mulligan snag mobilization and diaphragmatic releaseDiaphragmatic release: The patients will be positioned in the supine position. The therapist stood at the head of the patient. The therapist makes manual contact bilaterally under the costal cartilages of the lower ribs (7th to 10th ) with hypothenar regions of the hands and the last three fingers. During the patient's inspiration, the therapist will gently pull the points of hand contacts toward the head and slightly laterally, while elevating the ribs simultaneously. During exhalation, the therapist will deepen hand contact toward the inner coastal margins. (5 to 7 minutes) mulligan snag: Apply a passive intervertebral movement in a superior anterior direction along the facet plane. While maintaining this "glide" as the patient actively moves in any range of physiological movement and then sustains it at the end range position for a few seconds(3 sets,10 repetitions) conventional therapy: the patient will receive chin-in, interscapular exercises, and pectoralis stretch |
| the conventional therapy | Active comparator | Other: mulligan snag mobilization and diaphragmatic releasethe patient will receive chin-in, inter-scapular exercises, and pectoralis stretch (3 sets,10 repetitions) |
Who may qualify
- Ages
- 17 to 22 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult
Key inclusion criteria (6 listed)
- Age ranged from 17 to 22 years .
- Body Mass Index from 20 to 25 kg/m² .
- All participants have an intensity of neck pain on VAS (4-8) (moderate cases) .
- The subjects were chosen from both sexes.
- All participants have kyphosis angle ≥42°
Key exclusion criteria (9 listed)
- Malignancy
- Fractures of the cervical spine
- Cervical radiculopathy or myelopathy
- Vascular syndromes such as vertebrobasilar insufficiency
- Rheumatoid arthritis
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| mulligan snag mobilization and diaphragmatic releaseThe patients will be in the supine position. The therapist makes manual contact bilaterally under the costal cartilages of the lower ribs (7th to 10th ). During the patient's inspiration, the therapist will gently pull the points of hand contacts toward the head and slightly laterally. During exhalation, the therapist will deepen hand contact toward the inner coastal margins. mulligan snag, Apply a passive intervertebral movement in a superior anterior direction along the facet plane. While maintaining this "glide" as the patient actively moves in any range of physiological movement | Other | diaphragmatic release, and conventional, mulligan SNAG mobilization, and conventional, mulligan SNAG mobilization, diaphragmatic release, and conventional, the conventional therapy |
Primary outcome
pain intensity
Time frame: up to four weeks
The scale that will be used is the Visual analogue scale;each subject will be instructed to put point on a line from no pain to tolerable pain
1 secondary outcome
cervical range of motion
Time frame: up to four weeks
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Jul 2023.
Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
The record lists no contact. Use the official record to reach the sponsor.
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing mulligan snag mobilization and diaphragmatic release in people with Postural Kyphosis, Cervicothoracic Region, run by Cairo University at 2 sites in Egypt.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Jul 2023. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Egypt. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
pain intensity (time frame: up to four weeks). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Jul 2023.