Cervical SpondylosisGONG-MAITNCT07808372
Comparative Effects of Gong's Mobilization and Maitland Mobilization in Patients With Cervical Spondylosis
A study testing Gong's Mobilization and Maitland Cervical Mobilization in people with Cervical Spondylosis and Neck Pain, run by University of Faisalabad at 1 site in Pakistan.
Trial summary
Cervical spondylosis is a degenerative condition of the cervical spine that may cause neck pain, reduced cervical range of motion, muscle weakness, and functional disability. Manual therapy is commonly used as part of conservative physiotherapy management. Read more about this study
- Who is it for?
- Ages 40 to 60 years
- Conditions the study is for
- Cervical Spondylosis, Neck Pain, Manipulation
- What is being tested?
- Gong's Mobilization and Maitland Cervical Mobilization
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 50 participants
- Where
- 1 sitePakistan
- Study dates
- 24 Apr 2026to 16 Aug 2026
- 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 40 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Both genders, male \& female.
- Participants with a physician/orthopaedic diagnosis of cervical spondylosis, confirmed by cervical spine radiography (X-ray) demonstrating degenerative changes such as intervertebral disc-space narrowing, osteophyte formation, or facet/vertebral joint degeneration.
- Limited range of motion
- Symptoms present for more than one month
- Limited cervical range of motion for over 2 months.
Who cannot join
- Participants were excluded if they reported a history of
- Cervical Radiculopathy: Patients who exhibit evidence of constriction of the normal cervical nerve roots, as indicated by positive findings from the Upper Limb Tension Test (ULTT1), Spurling's test, the cervical distraction test, and neurological examination.
- Neck Sprain and Periarthritis of the Shoulder (Adhesive Capsulitis).
- Rheumatic Myofibrositis: People with a medical history or a doctor's diagnosis of rheumatic or inflammatory musculoskeletal diseases.
- Neurological conditions (Neurasthenia): Patients having history of illness and neurological examination indicate that they have neurological problems compromising neck mobility or pain perception
- Fracture of the cervical spine.
Show all 10Show fewer
- Cervical instability/subluxation/spondylolisthesis.
- Cervical Instability: Those who tested positive for upper cervical instability, either the Sharp-Purser Test or the Transverse Ligament Stress Test, were removed.
- Vestibular basilar insufficiency, Cervicogenic headache, vertigo, dizziness
- Thoracic outlet syndrome
Trial locations and contacts
1 site in 1 country.
Pakistan1 site
Department of Rehabilitation Sciences, The University of Faisalabad
Faisalābad, Punjab Province, 38000
About this study
Official title: Comparative Effects of Gong's Mobilization and Maitland Cervical Mobilization on Pain, Range of Motion, and Muscle Strength in Patients With Cervical Spondylosis
Cervical spondylosis is a degenerative condition of the cervical spine that may cause neck pain, reduced cervical range of motion, muscle weakness, and functional disability. Manual therapy is commonly used as part of conservative physiotherapy management. This randomised controlled trial compares Gong's mobilisation with Maitland cervical mobilisation in patients with cervical spondylosis. This randomised controlled trial aims to compare the effects of Gong's mobilisation and Maitland's mobilisation on pain intensity, cervical range of motion, cervical muscle strength, and functional disability in individuals with cervical spondylosis. A total of 50 participants diagnosed with cervical spondylosis were randomly allocated into two equal groups using a computer-generated randomisation method. Group A received Gong's mobilisation combined with conventional physiotherapy, while Group B received Maitland mobilisation combined with the same conventional physiotherapy programme. Conventional treatment included transcutaneous electrical nerve stimulation (TENS) and cervical isometrics. Outcome measures included the Numeric Pain Rating Scale (NPRS) for pain intensity, a universal goniometer for cervical range of motion, Manual Muscle Testing (MMT) for cervical muscle strength, and the Neck Disability Index (NDI) for functional disability. Assessments were performed at baseline and after completion of the treatment period. The findings of this study were intended to determine the comparative effectiveness of Gong's mobilisation and Maitland mobilisation and to provide evidence-based recommendations for the physiotherapy management of patients with cervical spondylosis.
Read the detailed description
This randomised controlled trial was conducted to compare the effects of Gong's mobilisation and Maitland cervical mobilisation in patients with cervical spondylosis. The study evaluated changes in pain intensity, cervical range of motion, cervical muscle strength, and functional disability following a four-week physiotherapy intervention. A total of 50 participants with clinically diagnosed cervical spondylosis were randomly allocated into two equal groups using a computer-generated randomisation method. Group A received Gong's mobilisation combined with conventional physiotherapy, while Group B received Maitland cervical mobilisation combined with the same conventional physiotherapy programme. Both groups received treatment three times per week for four weeks, for a total of 12 treatment sessions. Outcome assessments were performed before and after the treatment period. Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS); cervical range of motion was assessed using a universal goniometer; cervical muscle strength was assessed using Manual Muscle Testing (MMT); and functional disability was assessed using the Neck Disability Index (NDI). Participant recruitment, treatment, and data collection were conducted at two clinical settings in Faisalabad, Punjab, Pakistan: Madina Teaching Hospital and Irfan Medical City. Participants were selected according to predefined eligibility criteria and were randomly allocated to the two intervention groups using a computer-generated randomisation sequence. The study aimed to determine whether Gong's mobilisation or Maitland cervical mobilisation produced greater improvements in clinical outcomes when combined with conventional physiotherapy. The findings were intended to contribute to evidence-based physiotherapy management of patients with cervical spondylosis.
- Conditions
- Cervical Spondylosis, Neck Pain, Manipulation
- Being tested
- Gong's Mobilization, Maitland Cervical Mobilization
- Medical subject headings
- Spondylosis, Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Gong's MobilizationBehavioural
Gong's Mobilization was performed with the participant in a sitting position with the cervical spine maintained in a neutral position. The physiotherapist stabilised the selected cervical vertebra using the thumb while supporting the participant's cheek to minimise unwanted movement. Gentle pressure was applied along the cervical facet joint to glide the vertebra and facilitate cervical retraction and extension. At the end range, the physiotherapist increased cervical extension using the weight of the head and gravity. The technique was also applied unilaterally for lateral flexion and bilaterally for extension, using controlled three-point pressure to stabilise selected cervical segments while facilitating movement at the targeted segment. Gong's mobilisation was performed according to a standardised treatment protocol and was combined with conventional physiotherapy. Treatment was provided for 40 minutes per session, three sessions per week for four consecutive weeks, for a total of
Maitland Cervical MobilizationBehavioural
Maitland cervical mobilisation was performed with the participant positioned prone. The physiotherapist positioned the thumbs over the targeted hypomobile cervical segment and applied unilateral posteroanterior (PA) oscillatory pressure to the affected cervical segment according to standardised Maitland mobilisation procedures. The mobilisation was performed in repeated bouts with appropriate rest intervals between applications. Following the mobilisation, participants performed the prescribed cervical exercises included in the conventional physiotherapy programme. Treatment was provided for 40 minutes per session, three sessions per week for four consecutive weeks, for a total of 12 sessions.
| Study group | Role | What they receive |
|---|---|---|
| Gong's Mobilization Group | Experimental | Participants in this group received Gong's Mobilisation in combination with conventional physiotherapy, including Transcutaneous Electrical Nerve Stimulation (TENS) and cervical isometrics. Treatment was administered according to a standardised protocol throughout the intervention period. Receives: Behavioral: Gong's Mobilization |
| Maitland Mobilization Group | Active comparator | Participants in this group received Maitland cervical mobilisation combined with the same conventional physiotherapy programme for four weeks, with three treatment sessions per week. Receives: Behavioral: Maitland Cervical Mobilization |
What is being measured
The primary outcome is the main question the study is designed to answer.
Change in Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS)
Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), an 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain). A reduction in score indicated improvement in pain following the intervention.
Measured: Baseline and after 4 weeks of treatment
Change in Cervical Range of Motion as Measured by a Universal Goniometer
Cervical range of motion (ROM) was measured using a universal goniometer. Movements assessed include cervical flexion, extension, right and left side bending, and right and left rotation. Measurements are recorded in degrees, with higher values indicating greater cervical mobility and improved functional movement following the intervention.
Measured: Baseline and after 4 weeks of treatment
Change in Cervical Muscle Strength as Measured by Manual Muscle Testing (MMT)
Cervical muscle strength was assessed using Manual Muscle Testing (MMT) for the cervical flexor, extensor, and lateral flexor muscles. Muscle strength was graded using the standard MMT scale, with higher grades indicating greater muscle strength and functional improvement following the intervention.
Measured: Baseline (Week 0, before the first treatment session) and post-intervention (Week 4, after completion of the treatment program).
Secondary outcomes (1)
Change in Neck Disability as Measured by the Neck Disability Index (NDI)
The Neck Disability Index (NDI) was a validated self-administered questionnaire used to assess functional disability associated with neck pain. It consisted of 10 items evaluating pain intensity, personal care, lifting, reading, headaches, concentration, work, driving, sleeping, and recreation. Each item was scored from 0 to 5, with a total score ranging from 0 to 50, where higher scores indicated greater disability and lower scores indicated improved functional status following the intervention.
Measured: Baseline (Week 0, before the first treatment session) and post-intervention (Week 4, after completion of the treatment program).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Sep 2026
- Study start24 Apr 2026
- Primary completion22 May 2026
- Study completion16 Aug 2026
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Cervical SpondylosisStudies 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
- Model description
- Computer-generated randomization sequence; 25 participants were allocated to each group
- Masking
- None (open label)
- Enrolment
- 50 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Faisalabad
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- DR Adeera Azam, PT, Principal investigator, The university of faisalabad
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07808372
- Sponsor's protocol ID
- 2024-MS-PT-029
- Acronym
- GONG-MAIT
- Status last verified
- Sep 2026
- First submitted
- 2 Sep 2026
- Last updated
- 8 Sep 2026
- 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 8 Sep 2026. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Comparative Effects of Gong's Mobilization and Maitland Cervical Mobilization on Pain, Range of Motion, and Muscle Strength in Patients With Cervical Spondylosis
- ClinicalTrials.gov ID
- NCT07808372
- Acronym / sponsor ID
- GONG-MAIT / 2024-MS-PT-029
- Conditions
- Cervical Spondylosis, Neck Pain, Manipulation
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 50 participants (actual)
- Lead sponsor
- University of FaisalabadUniversity, hospital or other
- Study start
- 24 Apr 2026 (actual)
- Primary completion
- 22 May 2026 (actual)
- Study completion
- 16 Aug 2026 (actual)
- First posted
- 8 Sep 2026 (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.
Cervical spondylosis is a degenerative condition of the cervical spine that may cause neck pain, reduced cervical range of motion, muscle weakness, and functional disability. Manual therapy is commonly used as part of conservative physiotherapy management. This randomised controlled trial compares Gong's mobilisation with Maitland cervical mobilisation in patients with cervical spondylosis. This randomised controlled trial aims to compare the effects of Gong's mobilisation and Maitland's mobilisation on pain intensity, cervical range of motion, cervical muscle strength, and functional disability in individuals with cervical spondylosis. A total of 50 participants diagnosed with cervical spondylosis were randomly allocated into two equal groups using a computer-generated randomisation method. Group A received Gong's mobilisation combined with conventional physiotherapy, while Group B received Maitland mobilisation combined with the same conventional physiotherapy programme. Conventional treatment included transcutaneous electrical nerve stimulation (TENS) and cervical isometrics. Outcome measures included the Numeric Pain Rating Scale (NPRS) for pain intensity, a universal goniometer for cervical range of motion, Manual Muscle Testing (MMT) for cervical muscle strength, and the Neck Disability Index (NDI) for functional disability. Assessments were performed at baseline and after completion of the treatment period. The findings of this study were intended to determine the comparative effectiveness of Gong's mobilisation and Maitland mobilisation and to provide evidence-based recommendations for the physiotherapy management of patients with cervical spondylosis.
Detailed description
This randomised controlled trial was conducted to compare the effects of Gong's mobilisation and Maitland cervical mobilisation in patients with cervical spondylosis. The study evaluated changes in pain intensity, cervical range of motion, cervical muscle strength, and functional disability following a four-week physiotherapy intervention. A total of 50 participants with clinically diagnosed cervical spondylosis were randomly allocated into two equal groups using a computer-generated randomisation method. Group A received Gong's mobilisation combined with conventional physiotherapy, while Group B received Maitland cervical mobilisation combined with the same conventional physiotherapy programme. Both groups received treatment three times per week for four weeks, for a total of 12 treatment sessions. Outcome assessments were performed before and after the treatment period. Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS); cervical range of motion was assessed using a universal goniometer; cervical muscle strength was assessed using Manual Muscle Testing (MMT); and functional disability was assessed using the Neck Disability Index (NDI). Participant recruitment, treatment, and data collection were conducted at two clinical settings in Faisalabad, Punjab, Pakistan: Madina Teaching Hospital and Irfan Medical City. Participants were selected according to predefined eligibility criteria and were randomly allocated to the two intervention groups using a computer-generated randomisation sequence. The study aimed to determine whether Gong's mobilisation or Maitland cervical mobilisation produced greater improvements in clinical outcomes when combined with conventional physiotherapy. The findings were intended to contribute to evidence-based physiotherapy management of patients with cervical spondylosis.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
- Model description
- Computer-generated randomization sequence; 25 participants were allocated to each group
| Arm | Type | Receives |
|---|---|---|
| Gong's Mobilization Group | Experimental | Behavioral: Gong's MobilizationParticipants in this group received Gong's Mobilisation in combination with conventional physiotherapy, including Transcutaneous Electrical Nerve Stimulation (TENS) and cervical isometrics. Treatment was administered according to a standardised protocol throughout the intervention period. |
| Maitland Mobilization Group | Active comparator | Behavioral: Maitland Cervical MobilizationParticipants in this group received Maitland cervical mobilisation combined with the same conventional physiotherapy programme for four weeks, with three treatment sessions per week. |
Who may qualify
- Ages
- 40 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (5 listed)
- Both genders, male \& female.
- Participants with a physician/orthopaedic diagnosis of cervical spondylosis, confirmed by cervical spine radiography (X-ray) demonstrating degenerative changes such as intervertebral disc-space narrowing, osteophyte formation, or facet/vertebral joint degeneration.
- Limited range of motion
- Symptoms present for more than one month
- Limited cervical range of motion for over 2 months.
Key exclusion criteria (10 listed)
- Participants were excluded if they reported a history of
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 |
|---|---|---|
| Gong's MobilizationGong's Mobilization was performed with the participant in a sitting position with the cervical spine maintained in a neutral position. The physiotherapist stabilised the selected cervical vertebra using the thumb while supporting the participant's cheek to minimise unwanted movement. Gentle pressure was applied along the cervical facet joint to glide the vertebra and facilitate cervical retraction and extension. At the end range, the physiotherapist increased cervical extension using the weight of the head and gravity. The technique was also applied unilaterally for lateral flexion and bilaterally for extension, using controlled three-point pressure to stabilise selected cervical segments while facilitating movement at the targeted segment. Gong's mobilisation was performed according to a standardised treatment protocol and was combined with conventional physiotherapy. Treatment was provided for 40 minutes per session, three sessions per week for four consecutive weeks, for a total of | Behavioural | Gong's Mobilization Group |
| Maitland Cervical MobilizationMaitland cervical mobilisation was performed with the participant positioned prone. The physiotherapist positioned the thumbs over the targeted hypomobile cervical segment and applied unilateral posteroanterior (PA) oscillatory pressure to the affected cervical segment according to standardised Maitland mobilisation procedures. The mobilisation was performed in repeated bouts with appropriate rest intervals between applications. Following the mobilisation, participants performed the prescribed cervical exercises included in the conventional physiotherapy programme. Treatment was provided for 40 minutes per session, three sessions per week for four consecutive weeks, for a total of 12 sessions. | Behavioural | Maitland Mobilization Group |
Primary outcome
Change in Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS)
Time frame: Baseline and after 4 weeks of treatment
Pain intensity was assessed using the Numeric Pain Rating Scale (NPRS), an 11-point scale ranging from 0 (no pain) to 10 (worst imaginable pain). A reduction in score indicated improvement in pain following the intervention.
Change in Cervical Range of Motion as Measured by a Universal Goniometer
Time frame: Baseline and after 4 weeks of treatment
Cervical range of motion (ROM) was measured using a universal goniometer. Movements assessed include cervical flexion, extension, right and left side bending, and right and left rotation. Measurements are recorded in degrees, with higher values indicating greater cervical mobility and improved functional movement following the intervention.
Change in Cervical Muscle Strength as Measured by Manual Muscle Testing (MMT)
Time frame: Baseline (Week 0, before the first treatment session) and post-intervention (Week 4, after completion of the treatment program).
Cervical muscle strength was assessed using Manual Muscle Testing (MMT) for the cervical flexor, extensor, and lateral flexor muscles. Muscle strength was graded using the standard MMT scale, with higher grades indicating greater muscle strength and functional improvement following the intervention.
1 secondary outcome
Change in Neck Disability as Measured by the Neck Disability Index (NDI)
Time frame: Baseline (Week 0, before the first treatment session) and post-intervention (Week 4, after completion of the treatment program).
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 8 Sep 2026.
- 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.
DR Adeera Azam, PT principal investigator
The university of faisalabad
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Gong's Mobilization and Maitland Cervical Mobilization in people with Cervical Spondylosis and Neck Pain, run by University of Faisalabad 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 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 8 Sep 2026. 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?
Change in Pain Intensity Measured by the Numeric Pain Rating Scale (NPRS) (time frame: Baseline and after 4 weeks of treatment). The study lists 3 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 8 Sep 2026.