RecruitingNot ApplicableNCT07103954

MCKENZIE EXERCISES VERSUS MULLIGAN MOBILIZATION IN TEXT NECK SYNDROME

Comparative Effects of McKenzie Exercises vs. Mulligan Mobilization on Pain, Craniovertebral Angle, Functional Disability in Text Neck Syndrome

Sponsor

University of Lahore

Enrollment

64 participants

Start Date

May 1, 2025

Study Type

INTERVENTIONAL

Conditions

Neck Pain Text Neck Syndrome Text Neck Posture

Summary

Neck pain is an important public health issue that affects the whole population. Consequently, there is a significant decrease in the quality of work and life and can have a negative socioeconomic impact on both individuals and society. For the treatment of pain in the spine and extremities, especially the neck, the McKenzie method of mechanical diagnosis and therapy (MMDT) is a popular choice. Mulligan mobilization approach was found to be beneficial for both pain and functioning in individuals with mechanical neck discomfort.

Eligibility

Min Age: 20 YearsMax Age: 45 Years

Inclusion Criteria2

Age 20 to 45 years
\- Both genders will be included. A minimum of three hours must be spent using smartphones every day. More than one year of using any electronic gadgets. Craniovertebral Angle \< 53

Exclusion Criteria1

Any known illness that may cause pain in the upper limbs or neck.(e.g Rheumatoid arthritis) Any cervical spine injuries. Any neurological or cardiovascular issue (e.g epilepsy, hypertension) Pregnancy

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Interventions

OTHERMcKenzie Exercises plus Conventional Physical Therapy

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation. For McKenzie exercises, the participant will be in a comfortable sitting posture with proper back support. He will be asked to perform the following exercises: 1. Retraction in supine and sitting positions 2. Retraction with patient and therapist overpressure 3. Retraction with extension and rotation 4. Rotation with patient and therapist overpressure 5. Lateral flexion 6. Lateral flexion with patient and therapist overpressure • All these exercises will be done with a hold of one or two seconds and the movement is then repeated for five to six times.

OTHERMulligan Mobilization with Conventional Physical Therapy

First of all conventional physical therapy is applied. For this we will use transcutaneous electrical nerve stimulation (TENS) and hot pack, positioned over the neck region, for 15-20 minutes. This will help in improving blood flow and increasing muscle activation. The Mulligan mobilization, the patient will be seated in a comfortable position on a chair and the therapist stood behind to perform the mulligan mobilization. A gliding force will be applied by the therapist on the patient's spinous process or on the facet joint of the superior vertebra of the target segment for treatment. This gliding force will be maintained by the therapist. Then the patient will move his head towards the painful side (flexion, extension, rotation, and lateral flexion), and more pressure will be applied by the patient at the end of active movement. The Mulligan mobilization will be repeated 10 times for 3 sets.