Instrumental Soft Tissue Mobilization: The treatments will administered 3 days a week for a total of 12 sessions over 4 weeks.
Mobilization: The treatments will administered 3 days a week for a total of 12 sessions over 4 weeks.
Study summary
The study will include a total of 40 individuals aged 18-65 years with chronic neck pain for at least three months. Participants will be randomly assigned to two groups: the Mulligan mobilization group (n=20) and the AYDM group (n=20). Both groups will receive a total of 12 treatment sessions, 3 days a week for 4 weeks. Assessments will be performed before and after treatment. Pain intensity will be assessed using the Visual Analog Scale (VAS), cervical awareness using the Fremantle Neck Awareness Questionnaire (FNA), and functionality using the Copenhagen Neck Functional Disability Scale (CNFDS). In addition, measurements of cervical joint range of motion, deep neck flexor muscle endurance, quality of life (SF-36), and depression level (Beck Depression Scale) will be taken.
Eligibility
Sex
ALL
Min age
18 Years
Max age
65 Years
Healthy volunteers
No
Inclusion Criteria:
* • Volunteering to participate in the study
* Being between 18 and 65 years of age
* Having experienced mechanical neck pain for at least 3 months
* Not having any contraindications for manual therapy
Exclusion Criteria:
* Receiving a diagnosis of a psychiatric illness
* Having a history of spinal surgery
* Having other musculoskeletal problems that may affect the cervical region (such as scoliosis, shoulder pathologies, thoracic outlet syndrome)
* Having received physiotherapy for neck and back problems within the last year.
Primary outcome measure(s)
Pain Intensity — Baseline and at the end of treatment (week 4) Visual Pain Scale.Participants' pain intensity will be assessed using the Visual Analog Scale (VAS). The Visual Analog Scale is a validated and reliable scale that quantitatively determines the intensity of pain perceived by an individual. The scale consists of a 10 cm long horizontal or vertical line, with one end of the line defined as "0 = no pain" and the other end as "10 = unbearable pain".
Range of motion — Baseline and at the end of treatment (week 4) To assess the active range of motion of the cervical joint, the tape measure method described by Hsieh et al. (1986) was used. This method is reported to be a practical and reliable measurement tool for assessing cervical range of motion in clinical practice.
Cervical awareness — Baseline and at the end of treatment (week 4) Fremantle Neck Awareness Questionnaire
Copenhagen Neck Functional Disability Scale — Baseline and at the end of treatment (week 4) Neck Functional Disability is a 15-item questionnaire. Total score(0-30) indicate higher disability
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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