Forward Head PostureNCT06732557
Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture
A study testing Traditional treatments, muscle energy technique and Mulligan Mobilization in people with Forward Head Posture, run by Cairo University.
Trial summary
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). Read more about this study
- Who is it for?
- Ages 18 to 45 years
- Conditions the study is for
- Forward Head Posture
- What is being tested?
- Traditional treatments, muscle energy technique and Mulligan Mobilization
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 60 participants
- Where
- No sites listed yet
- Study dates
- Dec 2024to Feb 2025
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
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 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 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
Who cannot join
- cervical spine surgery or injury
- neurologic deficits, infection or inflammation
- cervicogenic headache
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
Radwa fayek Lecturer at Basic Science Department MTI University, Doctoral contact
About this study
Official title: Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture: a Randomized Controlled 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
- Conditions
- Forward Head Posture
- Being tested
- Traditional treatments, muscle energy technique, Mulligan Mobilization
- Keywords
- forward head posture, Mulligan Mobilization, Muscle energy technique
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Traditional treatmentsOther
Isometric exercise for deep neck flexors and sub occipital release
muscle energy techniqueOther
Muscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid
Mulligan MobilizationOther
Mulligan mobilization in the form of SNAGS for rotation, lateral flexion, extension and flexion
| Study group | Role | What they receive |
|---|---|---|
| Group A: Control group (Traditional treament) | Sham comparator | patients will receive traditional treatment (isometric exercise for deep neck flexors plus sub occipital release). Receives: Other: Traditional treatments |
| Group B (muscle energy technique group) | Experimental | Patients will receive muscle energy Technique for upper trapezius, elevator scapulae and sternocleidomastoid Receives: Other: Traditional treatments; Other: muscle energy technique |
| Group C (Mulligan Mobilization Group) | Active comparator | Patients will receive Mulligan mobilization Receives: Other: Traditional treatments; Other: Mulligan Mobilization |
What is being measured
The primary outcome is the main question the study is designed to answer.
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).
Measured: Before the first session and at the end of the treatment program ( one month)
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
Measured: Before the first session and after the end of the treatment program ( one month)
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%).
Measured: Before the first session and after the end of the treatment program ( one month)
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
Measured: Before the first session and after the end of the treatment program ( one month)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 Dec 2024
- Study startDec 2024 (estimated)
- Primary completionFeb 2025 (estimated)
- Study completionFeb 2025 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Forward Head PostureStudies 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
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 60 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mariam Nazih Radwan Meshref, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06732557
- Sponsor's protocol ID
- P.T.REC/012/005077
- Status last verified
- Dec 2024
- First submitted
- 7 Dec 2024
- Last updated
- 13 Dec 2024
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Undecided
Study at a glance
From the registry record, last updated by the sponsor on 13 Dec 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Muscle Energy Technique Versus Mulligan Mobilization on Forward Head Posture: a Randomized Controlled Trial
- ClinicalTrials.gov ID
- NCT06732557
- Acronym / sponsor ID
- P.T.REC/012/005077
- Conditions
- Forward Head Posture
- Keywords
- forward head posture, Mulligan Mobilization, Muscle energy technique
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 60 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- Dec 2024 (estimated)
- Primary completion
- Feb 2025 (estimated)
- Study completion
- Feb 2025 (estimated)
- First posted
- 13 Dec 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.
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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Group A: Control group (Traditional treament) | Sham comparator | Other: Traditional treatmentspatients will receive traditional treatment (isometric exercise for deep neck flexors plus sub occipital release). |
| Group B (muscle energy technique group) | Experimental | Other: Traditional treatments, Other: muscle energy techniquePatients will receive muscle energy Technique for upper trapezius, elevator scapulae and sternocleidomastoid |
| Group C (Mulligan Mobilization Group) | Active comparator | Other: Traditional treatments, Other: Mulligan MobilizationPatients will receive Mulligan mobilization |
Who may qualify
- Ages
- 18 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (4 listed)
- 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
Key exclusion criteria (3 listed)
- cervical spine surgery or injury
- neurologic deficits, infection or inflammation
- cervicogenic headache
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 |
|---|---|---|
| Traditional treatmentsIsometric exercise for deep neck flexors and sub occipital release | Other | Group A: Control group (Traditional treament), Group B (muscle energy technique group), Group C (Mulligan Mobilization Group) |
| muscle energy techniqueMuscle energy technique for upper trapezius, elevator scapulae and sternocleidomastoid | Other | Group B (muscle energy technique group) |
| Mulligan MobilizationMulligan mobilization in the form of SNAGS for rotation, lateral flexion, extension and flexion | Other | Group C (Mulligan Mobilization Group) |
Primary outcome
Pain
Time frame: Before the first session and at the end of the treatment program ( one month)
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).
Cervical range of motion
Time frame: Before the first session and after the end of the treatment program ( one month)
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
Disability measurement
Time frame: Before the first session and after the end of the treatment program ( one month)
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%).
Cervicovertebral angle
Time frame: Before the first session and after the end of the treatment program ( one month)
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
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 13 Dec 2024.
- Individual participant dataSharing planned: Undecided
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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.
Radwa fayek Lecturer at Basic Science Department MTI University, Doctoral contact
Questions about this trial
What is this clinical trial studying?
A study testing Traditional treatments, muscle energy technique and Mulligan Mobilization in people with Forward Head Posture, run by Cairo University.
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 4 inclusion and 3 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: opening soon, as of the sponsor's last update on 13 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Radwa fayek Lecturer at Basic Science Department MTI University, Doctoral (02-01004466229, radwa26fayek@yahoo.com), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Pain (time frame: Before the first session and at the end of the treatment program ( one month)). The study lists 4 primary outcomes in all. 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 13 Dec 2024.