Mechanical Neck PainNCT06556771
Comparison of Gongs and Kaltenborn Mobilization on Neck Pain
A study testing Gongs mobilization + conventional physical therapy and Kaltenborn mobilization along with traction + conventional therapy in people with Mechanical Neck Pain, run by Riphah International University at 1 site in Pakistan.
Trial summary
The aim of this randomized controlled trial is to find the effect of Gongs mobilization in comparison with Kaltenborn mobilization on mechanical neck pain , range of motion and proprioception.A randomized control trial that will include total 44 participants. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Mechanical Neck Pain
- What is being tested?
- Gongs mobilization + conventional physical therapy and Kaltenborn mobilization along with traction + conventional therapy
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 9 Aug 2024to 10 Jan 2025
- 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 18 to 65 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Participants falling in this category would be recruited into the study.
- • Age 18 -65 years
- Both male and female
- Primary complaint of neck pain with or without radiating to Upper extremity
- Pain confined to posterior aspect of neck with mechanical characteristics such as symptoms provoked by neck movement, by palpation of cervical muscles and by sustained posture.
- Subjects who are willing to participate in study.
- Patients with Mechanical neck pain
Who cannot join
- Participants falling in this category would be excluded from the study.
- Bilateral upper extremity symptoms
- Whiplash injury
- Trauma or tumor around neck
- Previous neck surgery
- Spinal infection
- Cervical radiculopathy and myelopathy
- Vascular syndromes
Trial locations and contacts
1 site in 1 country.
Pakistan1 site, 1 recruiting
- Recruiting
Alam Hospital Attock
Attock City, Punjab Province, 43350
Madiha Ali, MSOMPT, 0331-3360064, madiha.ali@riphah.edu.pk
Komal Shahzad, MS OMPT
About this study
Official title: Comparison of Gongs Mobilization and Kaltenborn Mobilization on Mechanical Neck Pain
The aim of this randomized controlled trial is to find the effect of Gongs mobilization in comparison with Kaltenborn mobilization on mechanical neck pain , range of motion and proprioception.A randomized control trial that will include total 44 participants. The first group will receive Gongs mobilization along with conventional therapy and 2nd group will receive Kaltenborn mobilization along with conventional therapy.
Read the detailed description
: Neck pain is most common problem with point prevalence of almost 13% and lifetime prevalence of approximately 50%. Mechanical neck pain is defined as nonspecific neck pain arising from anywhere in area bounded above by superior nuchal line and below to first thoracic vertebrae tip and laterally to lateral borders of neck and pain increased by neck movement.
Impairment of cervical proprioception is significant issue in individuals with mechanical neck pain leading to disruption in sensorimotor control in neck. These disruptions can effect posture control and balance. Cervical sensorimotor control involves the central processing of sensory inputs, including visual, vestibular, and cervical proprioceptive information. This process leads to the execution of motor programs by cervical muscles, which plays a crucial role in maintaining head posture, balance, and the stability of cervical joints. Disturbances in cervical sensorimotor control, resulting from neck pain, may potentially lead to additional tissue damage, worsen pain through sensitization in both the peripheral and central nervous systems, and promote dysfunctional motion patterns.
According to literature Gongs mobilization which is an end range mobilization technique introduced by Wontae Gong at all. It has significance that movement of the joint facets other than the fixed one are maximally restricted and mobilization is induced using acceleration and gravity. For mechanical neck pain Kaltenborn mobilization also improved symptoms.
Previous studies worked on effectiveness of Kaltenborn mobilization and Gongs mobilization on neck pain. Aim of this study will be to determine which technique is more in improving pain, ROM and proprioception in mechanical neck pain patients. Our study is related to the fact that it will be helpful for future healthcare provider and will have a significant role in health promotion and spread a healthy lifestyle to public.
- Conditions
- Mechanical Neck Pain
- Being tested
- Gongs mobilization + conventional physical therapy, Kaltenborn mobilization along with traction + conventional therapy
- Keywords
- Gongs mobilization, Kaltenborn mobilization , Mechanical neck pain , proprioception
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Gongs mobilization + conventional physical therapyOther
3 per week , mobilization for 5 minutes , exercise 3 sets for 10 repetitions for 4 consecutive weeks
Kaltenborn mobilization along with traction + conventional therapyOther
3 per week , mobilization for 5 minutes , exercise 3 sets for 10 repetitions for 4 consecutive weeks.
| Study group | Role | What they receive |
|---|---|---|
| Group A | Experimental | Gongs mobilization and conventional therapy , sessions 3 per week , mobilization for 5 minutes and 30 minutes session for total 4 weeks. exercise 3 sets for 10 repetitions.
Modality (Hydrocollator pack, TENS for 15 minutes with pulse frequency of 10-200 Hz, pulse width 100 - 250 micro seconds. Receives: Other: Gongs mobilization + conventional physical therapy |
| Group B | Experimental | Kaltenborn mobilization along with cervical traction and conventional therapy:
Intervention will be given 3 times/week 5 minutes mobilization Exercise 3 sets for 10 repetitions and 30 minutes session for 4 consecutive weeks.
Modality including (Hydrocollator pack, TENS for 15 minutes with pulse frequency of 10-200 Hz, pulse width 100 - 250 micro seconds. Intensity tolerated by patients. Receives: Other: Kaltenborn mobilization along with traction + conventional therapy |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numeric Pain Rating Scale NPRS
The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
Measured: 4 weeks
Secondary outcomes (2)
: Goniometer
: It is an instrument that measures the available range of motion at a joint.
Measured: 4 weeks
Cervical Joint Position Error
The patient is sitting 90 cm from the wall, and the starting point (center of target or reference point) of the laser projection is marked. The patient (blindfolded or closed) performs active neck movement and then returns to the starting position as accurately as possible. The final laser position is measured relative to the starting position (distance or angle). The errors are measured after cervical extension and flexion.
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted16 Aug 2024
- Study start9 Aug 2024
- Primary completion30 Dec 2024 (estimated)
- Study completion10 Jan 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Mechanical Neck PainStudies of the same condition, open and under way.
- More trials run by Riphah International 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
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 44 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Madiha Ali, MS OMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06556771
- Sponsor's protocol ID
- Komal Shahzad
- Status last verified
- Aug 2024
- First submitted
- 13 Aug 2024
- Last updated
- 16 Aug 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 16 Aug 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparison of Gongs Mobilization and Kaltenborn Mobilization on Mechanical Neck Pain
- ClinicalTrials.gov ID
- NCT06556771
- Acronym / sponsor ID
- Komal Shahzad
- Conditions
- Mechanical Neck Pain
- Keywords
- Gongs mobilization, Kaltenborn mobilization , Mechanical neck pain , proprioception
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 44 participants (estimated)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 9 Aug 2024 (actual)
- Primary completion
- 30 Dec 2024 (estimated)
- Study completion
- 10 Jan 2025 (estimated)
- First posted
- 16 Aug 2024 (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 randomized controlled trial is to find the effect of Gongs mobilization in comparison with Kaltenborn mobilization on mechanical neck pain , range of motion and proprioception.A randomized control trial that will include total 44 participants. The first group will receive Gongs mobilization along with conventional therapy and 2nd group will receive Kaltenborn mobilization along with conventional therapy.
Detailed description
: Neck pain is most common problem with point prevalence of almost 13% and lifetime prevalence of approximately 50%. Mechanical neck pain is defined as nonspecific neck pain arising from anywhere in area bounded above by superior nuchal line and below to first thoracic vertebrae tip and laterally to lateral borders of neck and pain increased by neck movement.
Impairment of cervical proprioception is significant issue in individuals with mechanical neck pain leading to disruption in sensorimotor control in neck. These disruptions can effect posture control and balance. Cervical sensorimotor control involves the central processing of sensory inputs, including visual, vestibular, and cervical proprioceptive information. This process leads to the execution of motor programs by cervical muscles, which plays a crucial role in maintaining head posture, balance, and the stability of cervical joints. Disturbances in cervical sensorimotor control, resulting from neck pain, may potentially lead to additional tissue damage, worsen pain through sensitization in both the peripheral and central nervous systems, and promote dysfunctional motion patterns.
According to literature Gongs mobilization which is an end range mobilization technique introduced by Wontae Gong at all. It has significance that movement of the joint facets other than the fixed one are maximally restricted and mobilization is induced using acceleration and gravity. For mechanical neck pain Kaltenborn mobilization also improved symptoms.
Previous studies worked on effectiveness of Kaltenborn mobilization and Gongs mobilization on neck pain. Aim of this study will be to determine which technique is more in improving pain, ROM and proprioception in mechanical neck pain patients. Our study is related to the fact that it will be helpful for future healthcare provider and will have a significant role in health promotion and spread a healthy lifestyle to public.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Group A | Experimental | Other: Gongs mobilization + conventional physical therapyGongs mobilization and conventional therapy , sessions 3 per week , mobilization for 5 minutes and 30 minutes session for total 4 weeks. exercise 3 sets for 10 repetitions. Modality (Hydrocollator pack, TENS for 15 minutes with pulse frequency of 10-200 Hz, pulse width 100 - 250 micro seconds. |
| Group B | Experimental | Other: Kaltenborn mobilization along with traction + conventional therapyKaltenborn mobilization along with cervical traction and conventional therapy: Intervention will be given 3 times/week 5 minutes mobilization Exercise 3 sets for 10 repetitions and 30 minutes session for 4 consecutive weeks. Modality including (Hydrocollator pack, TENS for 15 minutes with pulse frequency of 10-200 Hz, pulse width 100 - 250 micro seconds. Intensity tolerated by patients. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (7 listed)
- Participants falling in this category would be recruited into the study.
- • Age 18 -65 years
Key exclusion criteria (8 listed)
- Participants falling in this category would be excluded from the study.
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 |
|---|---|---|
| Gongs mobilization + conventional physical therapy3 per week , mobilization for 5 minutes , exercise 3 sets for 10 repetitions for 4 consecutive weeks | Other | Group A |
| Kaltenborn mobilization along with traction + conventional therapy3 per week , mobilization for 5 minutes , exercise 3 sets for 10 repetitions for 4 consecutive weeks. | Other | Group B |
Primary outcome
Numeric Pain Rating Scale NPRS
Time frame: 4 weeks
The NPRS is a segmented numeric version of the visual analog scale which is used to assess pain. It scores ranges from 0-10, 0 means No pain and 10 means Severe pain. Patient will be asked to verbally report the pain score.
2 secondary outcomes
: Goniometer
Time frame: 4 weeks
Cervical Joint Position Error
Time frame: 4 weeks
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 16 Aug 2024.
- Individual participant dataSharing planned: No
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The Association Between Smartphone Overuse and Mechanical Neck Pain Among Galala University Students
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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.
Madiha Ali, MS OMPT principal investigator
Riphah International University
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Gongs mobilization + conventional physical therapy and Kaltenborn mobilization along with traction + conventional therapy in people with Mechanical Neck Pain, run by Riphah International University at 1 site in Pakistan.
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 7 inclusion and 8 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: status not confirmed, as of the sponsor's last update on 16 Aug 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Pakistan. 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?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Madiha Ali, MS-OMPT (0331-3360064, madiha.ali@riphah.edu.pk), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Numeric Pain Rating Scale NPRS (time frame: 4 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 16 Aug 2024.