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RecruitingNCT07838623Updated Sep 24, 2026

Comparison Between Kaltenborn and Mulligan Mobilization in Forward Head Posture

An interventional study of Kaltenborn mobilization and Mulligan Mobilization in Forward Head Posture, sponsored by Foundation University Islamabad. Recruiting at 1 site in Pakistan. Open to participants aged 18 Years to 40 Years. Per ClinicalTrials.gov, last updated 2026-09-24.

Sponsored by Foundation University Islamabad · Not applicable, Interventional, and Treatment

From the registry’s dates

  • Started Jul 2026; still recruiting 3 months later.
Phase
Not applicable
Study type
Interventional
Enrollment
44
Allocation
Randomized
Ages
18 Years to 40 Years
Sex
All
01

Where this study stands

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

Among 16 studies in Neck Pain by Foundation University Islamabad — 7 open to participants now, 8 under way, none of them phase 3. Neck Pain · Foundation University Islamabad.

Planned enrollment
6th of 16
44 · median 41
Started
2026
with 1 other
No phase
16 of 16
7 open now
Registered
15th of 16
by date

Among the 16 studies in Neck Pain by Foundation University Islamabad, this one is the 6th largest by planned enrollment, is one of 2 that started in 2026, is one of 16 with no phase, and was the 15th registered.

By phase

16 studies; the count open now beside each. This study's row is marked.

No phasethis study16 · 7 open

By the year they started

First in 2017; this study’s year is marked. 2 started in 2026.

Size and results

Median enrollment 41 across the 16 interventional studies. Of the 3 that completed or were terminated, 0 (0%) have results posted.

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Watch this landscapeDownload CSVWith an account: a weekly mail of what changed among 16 studies in Neck Pain by Foundation University Islamabad, or all of them as a file.
02

Study summary

This randomized controlled trial will compare the effectiveness of Kaltenborn mobilization and Mulligan mobilization in individuals with Forward Head Posture.

The study will compare their effects in neck pain, craniovertebral angle, cervical range of motion, cervical proprioception, and deep neck flexor endurance after a two-week treatment program.

Read the detailed description

Participants aged 18-40 years will be recruited and randomly allocated into two groups of through purposive sampling. Group A will receive Kaltenborn mobilization, progressing from Grades I-II to Grade III, while Group B will receive Mulligan SNAGs with gradually increased repetitions and overpressure. Both groups will also receive conventional treatment three times weekly for two weeks, completing six sessions with progression according to symptoms and tolerance.

03

Conditions studied

  • Forward Head Posture

Browse trials for

Keywords

  • Cervical Pain
  • Priprioception
  • Joint Range of Motion
04

Who can participate

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

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Both male and female
  • aged between 18 to 40 years
  • CVA of \<48
  • Pain on NPRS 3-8
  • Hypo-mobility of cervical spine
  • Joint Position Error > 4.5 in any of the cervical range
  • Participants who gave consent

Exclusion criteria

Exclusion Criteria:

  • Acute musculoskeletal injuries of the cervical spine and shoulder in the last 6 months
  • Diagnosed cases of pathological conditions like spondylosis, cervical myelopathy
  • Whiplash injury of cervical spine in last 6 months
  • Neck and shoulder surgery
  • Diagnosed cases of osteoporosis
  • Rheumatoid arthritis
  • Uncontrolled diabetes and hypertension
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
44 participants (estimated)

Study arms

  • Experimental
    Kaltenborn mobilization group

    Procedure: Kaltenborn mobilization

  • Experimental
    Mulligan mobilization group

    Procedure: Mulligan Mobilization

Interventions

  • ProcedureKaltenborn mobilization

    All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Kaltenborn mobilization involves applying graded, sustained cervical joint glides and distraction to hypomobile segments, beginning with Grade I-II techniques for pain relief and progressing to Grade III to improve joint mobility and reduce stiffness.

  • ProcedureMulligan Mobilization

    All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Mulligan mobilization (SNAGs) involves applying a sustained anterosuperior glide to the affected cervical segment while the participant actively performs the restricted movement in a pain-free range, with gentle overpressure added at the end range as tolerated.

06

What researchers measure

Primary outcomes

  1. Cervical Pain

    Numeric Pain Rating Scale (NPRS) will be used to measure Pain, 0 means no pain and 10 means worst pain ever.

    Time frame: Baseline and after 2 weeks of treatment.

  2. Cervical Range of Motion

    A bubble inclinometer will be used to measure cervical range of motion.

    Time frame: Baseline and after 2 weeks of treatment

  3. CranioVertebral Angle

    Kinovea software will be used to measure Craniovertebral Angle.

    Time frame: baseline and after 2 weeks of treatment.

  4. Cervical Joint Proprioception

    Cervical Joint Proprioception will be measured via Joint position error test.

    Time frame: Baseline and after 2 weeks of treatment

  5. Deep Neck Flexor Muscle Endurance

    Deep Neck Flexor Muscle Endurance will be measured by Deep Neck Flexor Muscle Endurance test.

    Time frame: Baseline and after 2 weeks of treatment

07

Study locations

1 of 1 sites recruiting
08

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

Started Jul 2026 (actual). Primary completion is estimated for Dec 2026, 4 months after the start.

Of 763 non-industry interventional studies with no phase under Neck Pain, half reached primary completion within 7 months of starting (the median), counting those still running; a quarter within 3 and three quarters within 15. This study's planned 4 months is below that.

Counting every sponsor, half of 772 studies reached it within 7 months; a quarter within 3 and three quarters within 15.

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

Registered
Sep 18, 2026
First posted
Sep 24, 2026
StartActual
Jul 22, 2026
Primary completionEst.
Dec 18, 2026
CompletionEst.
Jan 18, 2027
Last update
Sep 24, 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 24, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07838623
Responsible party
Sponsor
First posted
Sep 24, 2026
Start date
Jul 22, 2026
Primary completion
Dec 18, 2026 (estimated)
Completion
Jan 18, 2027 (estimated)
Last update
Sep 24, 2026

Study contacts

Neha Jamshaid, DPT
Contact
nehajamshaid6@gmail.com
+92313-5275964
Quratulain Saeed, MS-OMPT
Contact
quratulain.saeed@fui.edu.pk
+92331 5562889

Oversight

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

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