An interventional study of McKenzie Exercises plus Conventional Physical Therapy and Mulligan Mobilization with Conventional Physical Therapy in Neck Pain, Text Neck Posture and Text Neck Syndrome, sponsored by University of Lahore. Completed at 1 site in Pakistan. Open to participants aged 20 Years to 45 Years. Per ClinicalTrials.gov, last updated 2026-06-30.
Sponsored by University of Lahore · Not applicable, Interventional, and Treatment
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.
Text Neck Syndrome, commonly referred to as turtle neck posture, is the fourth leading cause of disability globally. Different exercises and techniques have been implemented to manage it. Individually, there have been several studies conducted on McKenzie exercises and Mulligan mobilization. This study will provide valuable insights into the comparative effectiveness of McKenzie exercises and Mulligan mobilization for text neck syndrome. This study's findings will contribute to the development of evidence-based guidelines for managing TNS, enhancing clinical decision-making, and improving patient outcomes.
1,232 studies on the registry are indexed under Neck Pain; 255 are open to participants now.
This study's enrollment of 64 is above the median of 52 across 1,004 interventional studies indexed under Neck Pain.
Browse Neck Pain studies →University of Lahore is the lead sponsor of 223 studies on the registry; 40 are open to participants now.
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Exclusion Criteria:
In this group, McKenzie exercises with conventional physical therapy.
Other: McKenzie Exercises plus Conventional Physical Therapy
In this group, Mulligan mobilization with conventional physical therapy. The
Other: Mulligan 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. 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.
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.
Pain Intensity
The pain intensity will be measured using a visual analogue scale. The VAS is a self-reported scale that consists of anchor points for "no pain" and "worst possible pain" on a horizontal line (10 cm long). The patient is asked to mark at a single point along a 10-cm line that most accurately represent his level of pain. This line represents a continuum between the two ends of the scale, with "no pain" on the left end (0 cm) and "worst pain" on the right (10 cm).
Time frame: The pain intensity will be measured using a visual analogue scale at baseline, and change in pain intensity will be measured at 2nd week and 4th week.
Functional disability
It will be measured using the Neck Disability Index (NDI), which was the first instrument created to evaluate neck pain patients' self-rated disabilities. It consists of ten questions in the following domains: Pain Intensity, Personal Care, Lifting, Reading, Headaches, Concentration, Work, Driving, Sleeping, and Recreation. Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). The scores for each section are then added. Scoring is reported on a 0-50 scale, 0 being the best possible score and 50 being the worst.
Time frame: The functional disability will be measured at baseline, and change in function level will be measured at 2nd week and 4th week.
Plan to share: Undecided — In order to keep the privacy of participants and confidentiality.
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This study is completed, as verified in May 2025. You cannot join it, but the record below documents what was studied.
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University of Lahore