Neck PainNCT06796452
Effect of First and Second Rib Mobilization in Patients With Non-Specific Neck Pain
A study testing Ribs Mobilization and Conventional treatment in people with Neck Pain and Mobilization, run by Riphah International University at 1 site in Pakistan.
Trial summary
This study will be a randomized controlled trial.Non-probability convenient sampling will be used to collect the data. Sample size of 44 subjects with age group between 20-45 years will be taken. Data will be collected from the patients having present complaint of nonspecific Neck pain. Read more about this study
- Who is it for?
- Ages 20 to 45 years
- Conditions the study is for
- Neck Pain, Mobilization
- What is being tested?
- Ribs Mobilization and Conventional treatment
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 44 participants
- Where
- 1 sitePakistan
- Study dates
- 1 Mar 2025to 13 Jul 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 20 to 45 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Neurological tests will be negative
- Both genders having age between 20 to 45 years
- Participants should have primary complaint of neck pain
- Neck Disability Index (NDI) score of 20% or greater (i.e. 10 points or greater on a 0 to 50 scale)
- a pain intensity of ≥4 on the 10-point Numerical Pain Rating Scale (NPRS)
Who cannot join
- First and second rib fracture and dislocation
- Past surgical history of cervical and thoracic region
- Thoracic Outlet syndrome and Cervical radiculopathy
- Congenital anomalies of spine and ribs
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Effect of First and Second Rib Mobilization on Pain, Range of Motion, Muscle Endurance and Disability in Patients With Non-Specific Neck Pain
This study will be a randomized controlled trial.Non-probability convenient sampling will be used to collect the data. Sample size of 44 subjects with age group between 20-45 years will be taken. Data will be collected from the patients having present complaint of nonspecific Neck pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Neck Disability Index (NDI), Muscle endurance by Muscle endurance test using stopwatch and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random computer generated numbers method. Group A will receive first and second rib mobilization, and Group B will receive conventional treatment. Outcome measures will be measured prior and after 4 weeks. Data will be analyzed by SPSS version 25.
Read the detailed description
the effect of First Rib Mobilization in Mechanical Neck Pain with Radiculopathy for Pain Relief in which fifty patients with age between 21- 60 years, who fulfilled the study sample selection criteria were registered in the study. After sample selection of 50 subjects (by scientific calculator) by using convenient sampling technique, a written consent was signed from each participant before any assessment and management. All subjects were treated by applying Maitland grade I, II first rib mobilization for a session comprising on 20 minutes. The subjects were treated thrice in a week for next 2 weeks. The participants were assessed before and after treatment. Numeric Pain Rating Scale (NPRS) was used to record pain severity level. A self-structured validated questionnaire was used to collect the demographics. Pain was assessed before and after first rib mobilization by using paired sample t-test was done to see the changes in the mean pain score. The study concluded that First Rib Mobilization was an effective treatment for subjects with mechanical neck ache and radicular symptoms.
Despite the extensive research on non-specific neck pain (NSNP) and various therapeutic interventions, there is a notable gap in the literature regarding the specific effects of first and second rib mobilization on pain, range of motion, muscle endurance, and disability in patients with NSNP. While studies have explored manual therapies, proprioceptive exercises, and virtual reality as complementary interventions, the direct impact of rib mobilization, especially involving both the first and second ribs, remains under-investigated. Additionally, most existing studies focus on short-term outcomes, and there is limited evidence on the long-term effects of rib mobilization techniques.
- Conditions
- Neck Pain, Mobilization
- Being tested
- Ribs Mobilization, Conventional treatment
- Keywords
- Cervical ribs, Endurance
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Ribs MobilizationOther
Three sets of 6-8 repetitions in each session and conventional(Baseline) Physical therapy Treatment.
Conventional treatmentOther
- Hot pack for 8 min
- Maitland Generalized Cervical Mobilizations (6-8 REPS,3 sets)
- Isometric Strengthening Exercise
| Study group | Role | What they receive |
|---|---|---|
| Ribs Mobilization | Experimental | will receive Maitland first and second Rib Mobilization with three sets of 6-8 repetitions in each session and conventional(Baseline) Physical therapy Treatment. Receives: Other: Ribs Mobilization |
| Conventional Treatment | Active comparator | will only receive Baseline Physical therapy treatment Receives: Other: Conventional treatment |
What is being measured
The primary outcome is the main question the study is designed to answer.
Numerical Pain Rating Scale
Patient level of pain will be assessed using this scale by interview method. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain".
Measured: 4 weeks
Universal Goniometer
The range of motion will be measured using universal goniometer
Measured: 4 weeks
Secondary outcomes (2)
Muscle Endurance Test using Stopwatch
Muscle endurance of neck extensors and flexors will be measured by using stopwatch for readings
Measured: 4 weeks
Neck Disability Index
Neck disability will be assessed using this scale. The Neck Disability Index (NDI) scores disability on a scale of 0 to 50, with 0 representing no disability and 50 representing complete disability. A score can also be converted to a percentage by doubling it. Here's a breakdown of the scoring and interpretation:
0-4 points (0-8%): No disability. 5-14 points (10-28%): Mild disability. 15-24 points (30-48%): Moderate disability. 25-34 points (50-64%): Severe disability. 35-50 points (70-100%): Complete disability. The NDI consists of 10 questions, each scored from 0 to 5, with higher numbers indicating a higher self-reported disability. The total score is the sum of the scores from each question
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 posted28 Jan 2025
- Study start1 Mar 2025
- Primary completion1 Jul 2025
- Study completion13 Jul 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for 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
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 44 participants (actual)
Sponsor and investigators
- Lead sponsor
- Riphah International University
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Syed Sramad Hussain Bukhari, MSOMPT, Principal investigator, Riphah International University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06796452
- Sponsor's protocol ID
- REC/RCR&AHS/24/0156
- Status last verified
- Jul 2025
- First submitted
- 22 Jan 2025
- Last updated
- 15 Jul 2025
- 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 15 Jul 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Effect of First and Second Rib Mobilization on Pain, Range of Motion, Muscle Endurance and Disability in Patients With Non-Specific Neck Pain
- ClinicalTrials.gov ID
- NCT06796452
- Acronym / sponsor ID
- REC/RCR&AHS/24/0156
- Conditions
- Neck Pain, Mobilization
- Keywords
- Cervical ribs, Endurance
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 44 participants (actual)
- Lead sponsor
- Riphah International UniversityUniversity, hospital or other
- Study start
- 1 Mar 2025 (actual)
- Primary completion
- 1 Jul 2025 (actual)
- Study completion
- 13 Jul 2025 (actual)
- First posted
- 28 Jan 2025 (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.
This study will be a randomized controlled trial.Non-probability convenient sampling will be used to collect the data. Sample size of 44 subjects with age group between 20-45 years will be taken. Data will be collected from the patients having present complaint of nonspecific Neck pain. Outcome measures will be taken using Numeric pain rating scale (NPRS) for pain, Neck Disability Index (NDI), Muscle endurance by Muscle endurance test using stopwatch and Universal Goniometer (GU) for Range of motion. An informed consent will be taken. Subjects will be selected on the basis of inclusion and exclusion criteria and will be equally divided into two groups by random computer generated numbers method. Group A will receive first and second rib mobilization, and Group B will receive conventional treatment. Outcome measures will be measured prior and after 4 weeks. Data will be analyzed by SPSS version 25.
Detailed description
the effect of First Rib Mobilization in Mechanical Neck Pain with Radiculopathy for Pain Relief in which fifty patients with age between 21- 60 years, who fulfilled the study sample selection criteria were registered in the study. After sample selection of 50 subjects (by scientific calculator) by using convenient sampling technique, a written consent was signed from each participant before any assessment and management. All subjects were treated by applying Maitland grade I, II first rib mobilization for a session comprising on 20 minutes. The subjects were treated thrice in a week for next 2 weeks. The participants were assessed before and after treatment. Numeric Pain Rating Scale (NPRS) was used to record pain severity level. A self-structured validated questionnaire was used to collect the demographics. Pain was assessed before and after first rib mobilization by using paired sample t-test was done to see the changes in the mean pain score. The study concluded that First Rib Mobilization was an effective treatment for subjects with mechanical neck ache and radicular symptoms.
Despite the extensive research on non-specific neck pain (NSNP) and various therapeutic interventions, there is a notable gap in the literature regarding the specific effects of first and second rib mobilization on pain, range of motion, muscle endurance, and disability in patients with NSNP. While studies have explored manual therapies, proprioceptive exercises, and virtual reality as complementary interventions, the direct impact of rib mobilization, especially involving both the first and second ribs, remains under-investigated. Additionally, most existing studies focus on short-term outcomes, and there is limited evidence on the long-term effects of rib mobilization techniques.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Ribs Mobilization | Experimental | Other: Ribs Mobilizationwill receive Maitland first and second Rib Mobilization with three sets of 6-8 repetitions in each session and conventional(Baseline) Physical therapy Treatment. |
| Conventional Treatment | Active comparator | Other: Conventional treatmentwill only receive Baseline Physical therapy treatment |
Who may qualify
- Ages
- 20 to 45 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Neurological tests will be negative
- Both genders having age between 20 to 45 years
- Participants should have primary complaint of neck pain
- Neck Disability Index (NDI) score of 20% or greater (i.e. 10 points or greater on a 0 to 50 scale)
- a pain intensity of ≥4 on the 10-point Numerical Pain Rating Scale (NPRS)
Key exclusion criteria (4 listed)
- First and second rib fracture and dislocation
- Past surgical history of cervical and thoracic region
- Thoracic Outlet syndrome and Cervical radiculopathy
- Congenital anomalies of spine and ribs
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 |
|---|---|---|
| Ribs MobilizationThree sets of 6-8 repetitions in each session and conventional(Baseline) Physical therapy Treatment. | Other | Ribs Mobilization |
| Conventional treatment* Hot pack for 8 min * Maitland Generalized Cervical Mobilizations (6-8 REPS,3 sets) * Isometric Strengthening Exercise | Other | Conventional Treatment |
Primary outcome
Numerical Pain Rating Scale
Time frame: 4 weeks
Patient level of pain will be assessed using this scale by interview method. This scale ranges from 0 to 10. 0 indicates "no pain" and 10 indicates "worst pain".
Universal Goniometer
Time frame: 4 weeks
The range of motion will be measured using universal goniometer
2 secondary outcomes
Muscle Endurance Test using Stopwatch
Time frame: 4 weeks
Neck Disability Index
Time frame: 4 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 15 Jul 2025.
- Individual participant dataSharing planned: No
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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.
Syed Sramad Hussain Bukhari, MSOMPT 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 Ribs Mobilization and Conventional treatment in people with Neck Pain and Mobilization, 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 5 inclusion and 4 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 15 Jul 2025. 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?
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?
Numerical Pain Rating Scale (time frame: 4 weeks). The study lists 2 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 15 Jul 2025.