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Chronic Non-specific Neck PainNCT07290374

Mckenzie Versus Maitland Cervical Mobilization Technique in Management of Non-specific Neck Pain.

A study testing Mckenzie exercises, Maitland mobilization for cervical spine and The conventional treatment group in people with Chronic Non-specific Neck Pain, run by Cairo University.

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Trial summary

This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception. Read more about this study

Who is it for?
Ages 18 to 29 years
Conditions the study is for
Chronic Non-specific Neck Pain
What is being tested?
Mckenzie exercises, Maitland mobilization for cervical spine and The conventional treatment group
Could I receive a placebo?
No, everyone receives an active treatment
How many people
45 participants
Where
No sites listed yet
Study dates
12 Dec 2025to 15 Apr 2026
Phase
Interventional

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 29 years
  • All sexes
  • No healthy volunteers
  • Adult

Who may be able to join

  • 45 Subjects diagnosed and referred from orthopedist with chronic NSNP.
  • All participants will have neck pain with mobility deficit according to ICF classification of neck pain..
  • Duration of symptoms is more than 3 months to be chronic.
  • Subjects of both genders will be involved in the study.
  • Subject are young adult with the age span between 18 \&29 years because this period is characterized by extensive changes, handling choices and opportunities such as moving out from home, choice of education and career, and establishing an adult lifestyle.
  • All participants will be selected with body mass index (BMI) between 18.5 and 24.9kg/cm2 which is considered the normal range of BMI.

Who cannot join

  • History of cervical surgery.
  • Whiplash injuries.
  • Inflammatory arthropathy.
  • Myelopathy.
  • If neck pain is associated with radiculopathy.
  • Vertebrobasilar insufficiency.
Show all 13Show fewer
  • Red flags suggesting of cancer or infection .
  • Fracture.
  • Diabetic patients.
  • Hypertensive patients.
  • Obese subjects.
  • Vertigo.
  • Thoracic outlet syndrome.

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Mahmoud Salah Abd-elfattah, Assistant lecturer contact

+201068419431

mahmoud.salah@cu.edu.eg

Mahmoud Salah Abd-Elfattah, Assistant lecturer contact

01068419431

mahmoud.salah@cu.edu.eg

About this study

This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception.

Read the detailed description

Neck pain is the second leading cause of disability worldwide among people with musculoskeletal disorders , and neck pain is responsible for a substantial burden to society .

Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach.

45 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive Mckenzie exercise in the form of repeated movements in the direction of painful \& restricted movement .Group B: will receive Maitland's cervical mobilization in the form of posterior-anterior (PA) glide.Group C: will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises).

Being tested
Mckenzie exercises, Maitland mobilization for cervical spine, The conventional treatment group
Keywords
Maitland, Mckenzie, neck pain
Medical subject headings
Neck Pain

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Mckenzie exercisesOther

    Fifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions:

    1. Repeated movements in the direction of the dysfunction.
    2. Repeated movements with patient overpressure.
    3. Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times.

    This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.

  • Maitland mobilization for cervical spineOther

    Fifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM.

    This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.

  • The conventional treatment groupOther

    Fifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of:

    1. Source of superficial heat using hot packs for 15 minutes.
    2. Postural correction exercises.
    3. Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation).
    4. Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles).
    5. Chin tuck exercises.
    6. Scapular stabilization exercises.
Study groups in NCT07290374
Study groupRoleWhat they receive
Mckenzie exercises groupExperimentalThis group will receive Mckenzie exercises and the conventional treatment 3 sessions per week for four weeks
Receives: Other: Mckenzie exercises
Maitland mobilization for cervical spine groupExperimentalThis group will receive Maitland mobilization for cervical spine and the conventional treatment 3 sessions per week for four weeks
Receives: Other: Maitland mobilization for cervical spine
The onventional treatment groupActive comparatorThis group will receive only the conventional treatment 3 sessions per week for four weeks
Receives: Other: The conventional treatment group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Cervical proprioception

    Cervical proprioception will be assessed using CROM device.

    Measured: 4 weeks

  2. Cervical range of motion

    Cervical ROM will be assessed using CROM device.

    Measured: 4 weeks

Secondary outcomes (2)
  1. Neck function

    Arabic version of neck disability index will be used to assess neck function

    Measured: 4 weeks

  2. Pain intensity

    Numerical Rating Scale will be used to assess pain intensity

    Measured: 4 weeks

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted18 Dec 2025
  2. Study start12 Dec 2025 (estimated)
  3. Primary completion15 Apr 2026 (estimated)
  4. Study completion15 Apr 2026 (estimated)

Resources

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
45 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07290374
Sponsor's protocol ID
P.T.REC/012/006047
Status last verified
Dec 2025
First submitted
5 Dec 2025
Last updated
18 Dec 2025
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

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