ClinicalTrials.gg
CompletedNCT07808372GONG-MAITUpdated Sep 8, 2026

Comparative Effects of Gong's Mobilization and Maitland Mobilization in Patients With Cervical Spondylosis

An interventional study of Gong's Mobilization and Maitland Cervical Mobilization in Cervical Spondylosis, Neck Pain and Manipulation, sponsored by University of Faisalabad. Completed at 1 site in Pakistan. Open to participants aged 40 Years to 60 Years. Per ClinicalTrials.gov, last updated 2026-09-08.

Sponsored by University of Faisalabad · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Registered 4 months after the study started (first participant enrolled Apr 2026, registered Sep 2026).
Phase
Not applicable
Study type
Interventional
Enrollment
50
Allocation
Randomized
Ages
40 Years to 60 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 12 studies in Spondylosis with a site in Pakistan — 3 open to participants now, 3 under way, none of them phase 3. Spondylosis · Pakistan.

Enrollment
5th of 12
50 · median 42
Started
2026
with 2 others
No phase
12 of 12
3 open now
Registered
11th of 12
by date
Lead sponsor
1 of 12
University of Faisalabad

Among the 12 studies in Spondylosis with a site in Pakistan, this one is the 5th largest by enrollment, is one of 3 that started in 2026, is one of 12 with no phase, and was the 11th registered.

Spondylosis

142 studies on the registry are indexed under Spondylosis; 42 are open to participants now.

Browse Spondylosis studies →

Open to participants now

3 of the 12 studies in Spondylosis with a site in Pakistan are open now. Recruiting first, the newest first:

All 3 open studies →

A study can be open while its sites in Pakistan have not opened yet or have stopped. Only those recruiting at a site in Pakistan →

Who these studies take

Of the 28 Spondylosis studies recruiting now, 12 (43%) set no upper age limit and 11 (39%) stop at 75 or younger; 1 take children under 18; 2 take healthy volunteers.

This study: 40 Years to 60 Years · all sexes · no healthy volunteers.

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02

Study 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. 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.

03

Conditions studied

  • Cervical Spondylosis
  • Neck Pain
  • Manipulation
04

Who can participate

Ages eligible
40 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria: • Individuals aged 40-60 years

  • 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.

Exclusion Criteria:

  • 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.
    • 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
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
50 participants (actual)

Study arms

  • Experimental
    Gong's Mobilization Group

    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.

    Behavioral: Gong's Mobilization

  • Active comparator
    Maitland Mobilization Group

    Participants in this group received Maitland cervical mobilisation combined with the same conventional physiotherapy programme for four weeks, with three treatment sessions per week.

    Behavioral: Maitland Cervical Mobilization

Interventions

  • BehavioralGong's Mobilization

    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

  • BehavioralMaitland Cervical Mobilization

    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.

06

What researchers measure

Primary outcomes

  1. 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.

    Time frame: Baseline and after 4 weeks of treatment

  2. 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.

    Time frame: Baseline and after 4 weeks of treatment

  3. 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.

    Time frame: 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.

    Time frame: Baseline (Week 0, before the first treatment session) and post-intervention (Week 4, after completion of the treatment program).

07

Study locations

1 site
  • Department of Rehabilitation Sciences, The University of Faisalabad
    Faisalābad, Punjab Province 38000, Pakistan
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Ran from Apr 2026 to primary completion in May 2026, 0 months.

Of 53 non-industry interventional studies with no phase under Spondylosis, half reached primary completion within 14 months of starting (the median), counting those still running; a quarter within 6 and three quarters within 42. This study's 0 months is below that.

Counting every sponsor, half of 58 studies reached it within 27 months; a quarter within 6 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Sep 2, 2026
First posted
Sep 8, 2026
StartActual
Apr 24, 2026
Primary completionActual
May 22, 2026
CompletionActual
Aug 16, 2026
Last update
Sep 8, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 8, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07808372
Lead sponsor
University of Faisalabad
Responsible party
Sponsor
First posted
Sep 8, 2026
Start date
Apr 24, 2026
Primary completion
May 22, 2026
Completion
Aug 16, 2026
Last update
Sep 8, 2026

Study contacts

DR Adeera Azam, PT
principal investigator · The university of faisalabad

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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