Chronic Neck PainNCT07167108
Mulligan Technique for Chronic Neck Pain in Adults
A study testing Conventional program, with addition to Mulligan technique and Conventional Physical Therapy Program in people with Chronic Neck Pain, run by Prof. Mosab Saleem Hamed Amoudi at 1 site in Palestinian Territories.
Trial summary
This study aims to evaluate the effect of the Mulligan Technique, a manual therapy method, on reducing chronic neck pain and improving neck movement in adults aged 18 to 65 years. Participants will receive treatment sessions, and their pain levels and range of motion will be assessed. Read more about this study
- Who is it for?
- Ages 18 to 65 years
- Conditions the study is for
- Chronic Neck Pain
- What is being tested?
- Conventional program, with addition to Mulligan technique and Conventional Physical Therapy Program
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 76 participants
- Where
- 1 sitePalestinian Territories
- Study dates
- 2 Mar 2025to 5 Jun 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
- Age between 18-65 years.
- Chronic mechanical neck pain (≥ 3 months).
- Limited cervical range of motion (ROM).
- Medically diagnosed with non-specific neck pain.
- Able to attend treatment sessions.
Who cannot join
- Radiating pain to the upper limb.
- Signs of nerve root compression or disc herniation.
- History of cervical spine surgery or major trauma.
- Inflammatory joint diseases (e.g., rheumatoid arthritis).
- Osteoporosis or systemic medical conditions affecting bone/joint health.
- Fibromyalgia or central nervous system disorders.
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- Contraindications to manual therapy (e.g., pacemaker, vascular disorders).
- Recent physical therapy or steroid injections (within past 3-12 months).
- Long-term use of corticosteroids or pain medications.
- Pregnancy.
Trial locations and contacts
1 site in 1 country.
Palestinian Territories1 site
PhysioFlex - Physiotherapy and Rehabilitation Center-Nablus
Nablus, Nablus, +970
About this study
Official title: "The Effect of the Mulligan Technique on Chronic Neck Pain and Range of Motion in Adults Aged 18 to 65 Years: A Randomized Controlled Trial"
This study aims to evaluate the effect of the Mulligan Technique, a manual therapy method, on reducing chronic neck pain and improving neck movement in adults aged 18 to 65 years. Participants will receive treatment sessions, and their pain levels and range of motion will be assessed. The goal is to determine if this technique can help improve quality of life for people suffering from chronic neck pain.
Read the detailed description
Seventy-six participants with chronic neck pain, aged between 18 and 65 years, were selected on the basis of selection criteria. The pain intensity was measured using the Visual Analog Scale (VAS), the cervical range of motion (ROM) was measured using the universal goniometer, and the functional disability was measured using the Neck Disability Index (NDI). Patients were randomly assigned to two Groups A and B. Control group (A) (n = 32) received a conventional physical therapy program that included exercises, electrical stimulation, and massage. The experimental group (B) (n=38) received the same conventional program, with the addition of the Mulligan technique. Six participants were excluded from the study. Both groups underwent treatment 3 times per week for 4 weeks, and measurements were taken before and after the treatment period. For data entry and statistical analysis, (SPSS version 20) was used. The independent samples t-test was capture summarize and interpret data and 95 percent of the confidence interval is covered.
- Conditions
- Chronic Neck Pain
- Being tested
- Conventional program, with addition to Mulligan technique, Conventional Physical Therapy Program
- Keywords
- Neck pain, Mobilization, Mulligan Concept, Mobilization with Movement (MWM), Sustained Natural Apophyseal Glide (SNAG), Range of Motion (ROM)
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Conventional program, with addition to Mulligan techniqueOther
Also called Mulligan Concept
The Mulligan Concept is a manual therapy approach developed by New Zealand physiotherapist Brian Mulligan in the 1980s. It includes techniques such as Mobilization with Movement (MWM) and the Sustained Natural Apophyseal Glide (SNAG), which have attracted significant attention for their effectiveness in treating neck pain. Recent research has supported the benefits of physiotherapy interventions like SNAGs in improving cervical range of motion (ROM) and reducing pain.
Conventional Physical Therapy ProgramOther
Included exercises, electrical stimulation, and massage.
| Study group | Role | What they receive |
|---|---|---|
| Control group received a conventional physical therapy program | Active comparator | Control group (A) (n = 32) received a conventional physical therapy program that included exercises, electrical stimulation, and massage. Receives: Other: Conventional Physical Therapy Program |
| The experimental group received conventional program, with addition to Mulligan technique | Experimental | The experimental group (B) (n=38) received the same conventional physical therapy program, with the addition of the Mulligan technique. Receives: Other: Conventional program, with addition to Mulligan technique |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change from baseline in pain intensity measured by Visual Analog Scale (VAS)
Pain intensity will be measured using a 0-10 Visual Analog Scale at baseline and post-intervention. The change in pain scores will be reported.
Measured: Before treatment (baseline) and 4 weeks (end of treatment)
Secondary outcomes (2)
Change from baseline in cervical range of motion (ROM) measured by goniometer (degrees)
Cervical ROM will be measured in degrees using a goniometer at baseline and post-intervention. The difference between baseline and post-treatment ROM will be reported.
Measured: Before treatment (baseline) and 4 weeks (end of treatment)
Change from baseline in neck-related disability measured by the Neck Disability Index (NDI)
Neck-related disability will be assessed using the Neck Disability Index (NDI), a self-reported questionnaire consisting of 10 items scored on a 0-5 scale. The total score ranges from 0 to 50, with higher scores indicating greater disability. The NDI will be administered at baseline and after the intervention. The change in total NDI score from baseline to post-intervention will be reported.
Measured: Before treatment (baseline) and 4 weeks (end of treatment)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted11 Sep 2025
- Study start2 Mar 2025
- Primary completion1 Jun 2025
- Study completion5 Jun 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Neck PainStudies of the same condition, open and under way.
- 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
- None (open label)
- Enrolment
- 76 participants (actual)
Sponsor and investigators
- Lead sponsor
- Prof. Mosab Saleem Hamed Amoudi
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor-investigator, Prof. Mosab Saleem Hamed Amoudi, Arab American University (Palestine)
- Investigators
- Amoudi, Study director, Arab American University (Palestine)Mosab S Amoudi, Principal investigator, Arab American University - Jenin
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07167108
- Sponsor's protocol ID
- AAUJ-PT-2025-01
- Status last verified
- Mar 2025
- First submitted
- 26 Aug 2025
- Last updated
- 11 Sep 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 11 Sep 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- "The Effect of the Mulligan Technique on Chronic Neck Pain and Range of Motion in Adults Aged 18 to 65 Years: A Randomized Controlled Trial"
- ClinicalTrials.gov ID
- NCT07167108
- Acronym / sponsor ID
- AAUJ-PT-2025-01
- Conditions
- Chronic Neck Pain
- Keywords
- Neck pain, Mobilization, Mulligan Concept, Mobilization with Movement (MWM), Sustained Natural Apophyseal Glide (SNAG), Range of Motion (ROM)
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 76 participants (actual)
- Lead sponsor
- Prof. Mosab Saleem Hamed AmoudiUniversity, hospital or other
- Study start
- 2 Mar 2025 (actual)
- Primary completion
- 1 Jun 2025 (actual)
- Study completion
- 5 Jun 2025 (actual)
- First posted
- 11 Sep 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 aims to evaluate the effect of the Mulligan Technique, a manual therapy method, on reducing chronic neck pain and improving neck movement in adults aged 18 to 65 years. Participants will receive treatment sessions, and their pain levels and range of motion will be assessed. The goal is to determine if this technique can help improve quality of life for people suffering from chronic neck pain.
Detailed description
Seventy-six participants with chronic neck pain, aged between 18 and 65 years, were selected on the basis of selection criteria. The pain intensity was measured using the Visual Analog Scale (VAS), the cervical range of motion (ROM) was measured using the universal goniometer, and the functional disability was measured using the Neck Disability Index (NDI). Patients were randomly assigned to two Groups A and B. Control group (A) (n = 32) received a conventional physical therapy program that included exercises, electrical stimulation, and massage. The experimental group (B) (n=38) received the same conventional program, with the addition of the Mulligan technique. Six participants were excluded from the study. Both groups underwent treatment 3 times per week for 4 weeks, and measurements were taken before and after the treatment period. For data entry and statistical analysis, (SPSS version 20) was used. The independent samples t-test was capture summarize and interpret data and 95 percent of the confidence interval is covered.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Control group received a conventional physical therapy program | Active comparator | Other: Conventional Physical Therapy ProgramControl group (A) (n = 32) received a conventional physical therapy program that included exercises, electrical stimulation, and massage. |
| The experimental group received conventional program, with addition to Mulligan technique | Experimental | Other: Conventional program, with addition to Mulligan techniqueThe experimental group (B) (n=38) received the same conventional physical therapy program, with the addition of the Mulligan technique. |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- Age between 18-65 years.
- Chronic mechanical neck pain (≥ 3 months).
- Limited cervical range of motion (ROM).
- Medically diagnosed with non-specific neck pain.
- Able to attend treatment sessions.
Key exclusion criteria (10 listed)
- Radiating pain to the upper limb.
- Signs of nerve root compression or disc herniation.
- History of cervical spine surgery or major trauma.
- Inflammatory joint diseases (e.g., rheumatoid arthritis).
- Osteoporosis or systemic medical conditions affecting bone/joint health.
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 |
|---|---|---|
| Conventional program, with addition to Mulligan techniqueAlso: Mulligan ConceptThe Mulligan Concept is a manual therapy approach developed by New Zealand physiotherapist Brian Mulligan in the 1980s. It includes techniques such as Mobilization with Movement (MWM) and the Sustained Natural Apophyseal Glide (SNAG), which have attracted significant attention for their effectiveness in treating neck pain. Recent research has supported the benefits of physiotherapy interventions like SNAGs in improving cervical range of motion (ROM) and reducing pain. | Other | The experimental group received conventional program, with addition to Mulligan technique |
| Conventional Physical Therapy ProgramIncluded exercises, electrical stimulation, and massage. | Other | Control group received a conventional physical therapy program |
Primary outcome
Change from baseline in pain intensity measured by Visual Analog Scale (VAS)
Time frame: Before treatment (baseline) and 4 weeks (end of treatment)
Pain intensity will be measured using a 0-10 Visual Analog Scale at baseline and post-intervention. The change in pain scores will be reported.
2 secondary outcomes
Change from baseline in cervical range of motion (ROM) measured by goniometer (degrees)
Time frame: Before treatment (baseline) and 4 weeks (end of treatment)
Change from baseline in neck-related disability measured by the Neck Disability Index (NDI)
Time frame: Before treatment (baseline) and 4 weeks (end of treatment)
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 11 Sep 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.
Amoudi study director
Arab American University (Palestine)
Mosab S Amoudi principal investigator
Arab American University - Jenin
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Conventional program, with addition to Mulligan technique and Conventional Physical Therapy Program in people with Chronic Neck Pain, run by Prof. Mosab Saleem Hamed Amoudi at 1 site in Palestinian Territories.
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 10 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 11 Sep 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 Palestinian Territories. 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?
Change from baseline in pain intensity measured by Visual Analog Scale (VAS) (time frame: Before treatment (baseline) and 4 weeks (end of treatment)). 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 11 Sep 2025.