Chronic Non-specific Neck PainNCT07290374
Mckenzie Versus Maitland Cervical Mobilization Technique in Management of Non-specific Neck Pain.
A study testing Mckenzie exercises, Maitland mobilization for cervical spine and The conventional treatment group in people with Chronic Non-specific Neck Pain, run by Cairo University.
Trial summary
This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception. Read more about this study
- Who is it for?
- Ages 18 to 29 years
- Conditions the study is for
- Chronic Non-specific Neck Pain
- What is being tested?
- Mckenzie exercises, Maitland mobilization for cervical spine and The conventional treatment group
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 45 participants
- Where
- No sites listed yet
- Study dates
- 12 Dec 2025to 15 Apr 2026
- Phase
- Interventional
- Are there results?
- Not yet: the study is under way
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 29 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- 45 Subjects diagnosed and referred from orthopedist with chronic NSNP.
- All participants will have neck pain with mobility deficit according to ICF classification of neck pain..
- Duration of symptoms is more than 3 months to be chronic.
- Subjects of both genders will be involved in the study.
- Subject are young adult with the age span between 18 \&29 years because this period is characterized by extensive changes, handling choices and opportunities such as moving out from home, choice of education and career, and establishing an adult lifestyle.
- All participants will be selected with body mass index (BMI) between 18.5 and 24.9kg/cm2 which is considered the normal range of BMI.
Who cannot join
- History of cervical surgery.
- Whiplash injuries.
- Inflammatory arthropathy.
- Myelopathy.
- If neck pain is associated with radiculopathy.
- Vertebrobasilar insufficiency.
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- Red flags suggesting of cancer or infection .
- Fracture.
- Diabetic patients.
- Hypertensive patients.
- Obese subjects.
- Vertigo.
- Thoracic outlet syndrome.
Trial locations and contacts
No sites are listed yet. Contact the study team or a site near you to ask about taking part.
About this study
This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception.
Read the detailed description
Neck pain is the second leading cause of disability worldwide among people with musculoskeletal disorders , and neck pain is responsible for a substantial burden to society .
Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach.
45 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive Mckenzie exercise in the form of repeated movements in the direction of painful \& restricted movement .Group B: will receive Maitland's cervical mobilization in the form of posterior-anterior (PA) glide.Group C: will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises).
- Conditions
- Chronic Non-specific Neck Pain
- Being tested
- Mckenzie exercises, Maitland mobilization for cervical spine, The conventional treatment group
- Keywords
- Maitland, Mckenzie, neck pain
- Medical subject headings
- Neck Pain
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Mckenzie exercisesOther
Fifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions:
- Repeated movements in the direction of the dysfunction.
- Repeated movements with patient overpressure.
- Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times.
This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
Maitland mobilization for cervical spineOther
Fifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM.
This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises.
The conventional treatment groupOther
Fifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of:
- Source of superficial heat using hot packs for 15 minutes.
- Postural correction exercises.
- Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation).
- Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles).
- Chin tuck exercises.
- Scapular stabilization exercises.
| Study group | Role | What they receive |
|---|---|---|
| Mckenzie exercises group | Experimental | This group will receive Mckenzie exercises and the conventional treatment 3 sessions per week for four weeks Receives: Other: Mckenzie exercises |
| Maitland mobilization for cervical spine group | Experimental | This group will receive Maitland mobilization for cervical spine and the conventional treatment 3 sessions per week for four weeks Receives: Other: Maitland mobilization for cervical spine |
| The onventional treatment group | Active comparator | This group will receive only the conventional treatment 3 sessions per week for four weeks Receives: Other: The conventional treatment group |
What is being measured
The primary outcome is the main question the study is designed to answer.
Cervical proprioception
Cervical proprioception will be assessed using CROM device.
Measured: 4 weeks
Cervical range of motion
Cervical ROM will be assessed using CROM device.
Measured: 4 weeks
Secondary outcomes (2)
Neck function
Arabic version of neck disability index will be used to assess neck function
Measured: 4 weeks
Pain intensity
Numerical Rating Scale will be used to assess pain intensity
Measured: 4 weeks
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Dec 2025
- Study start12 Dec 2025 (estimated)
- Primary completion15 Apr 2026 (estimated)
- Study completion15 Apr 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Chronic Non-specific Neck PainStudies of the same condition, open and under way.
- More trials run by Cairo UniversityThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind
- Who is masked
- Participant, Outcomes assessor
- Enrolment
- 45 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Cairo University
- Sponsor type
- University, hospital or other
- Responsible party
- Principal investigator, Mahmoud Salah Abd-Elfattah, Cairo University
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT07290374
- Sponsor's protocol ID
- P.T.REC/012/006047
- Status last verified
- Dec 2025
- First submitted
- 5 Dec 2025
- Last updated
- 18 Dec 2025
- Results posted
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Dec 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Mckenzie Versus Maitland Cervical Mobilization Technique in Management of Non-specific Neck Pain.
- ClinicalTrials.gov ID
- NCT07290374
- Acronym / sponsor ID
- P.T.REC/012/006047
- Conditions
- Chronic Non-specific Neck Pain
- Keywords
- Maitland, Mckenzie, neck pain
- Study type
- Interventional
- Recruitment status
- Not yet recruiting
- Enrolment
- 45 participants (estimated)
- Lead sponsor
- Cairo UniversityUniversity, hospital or other
- Study start
- 12 Dec 2025 (estimated)
- Primary completion
- 15 Apr 2026 (estimated)
- Study completion
- 15 Apr 2026 (estimated)
- First posted
- 18 Dec 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study will be conducted to compare between Mckenzie exercises and Maitland cervical mobilization technique in management of non-specific neck pain as regard to neck pain, cervical range of motion, neck function and cervical proprioception.
Detailed description
Neck pain is the second leading cause of disability worldwide among people with musculoskeletal disorders , and neck pain is responsible for a substantial burden to society .
Current guidelines advocate a multimodal approach including different types of exercise and manual therapy for managing non-specific neck pain and there is little evidence of what specific intervention of this multimodal approach is most beneficial. This means that there is a gap in literature regarding this point in general. If effectiveness of each intervention is clear, this will inform selection of individual components of the multimodal approach.
45 Subjects of both genders with a primary complaint of neck pain more than 12 weeks will participate in this study.Group A will receive Mckenzie exercise in the form of repeated movements in the direction of painful \& restricted movement .Group B: will receive Maitland's cervical mobilization in the form of posterior-anterior (PA) glide.Group C: will receive only the conventional physical therapy program prescribed in the form of ( hot packs , stretching exercises, isometric strengthening exercises and postural correction exercises).
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Double blind (participant, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Mckenzie exercises group | Experimental | Other: Mckenzie exercisesThis group will receive Mckenzie exercises and the conventional treatment 3 sessions per week for four weeks |
| Maitland mobilization for cervical spine group | Experimental | Other: Maitland mobilization for cervical spineThis group will receive Maitland mobilization for cervical spine and the conventional treatment 3 sessions per week for four weeks |
| The onventional treatment group | Active comparator | Other: The conventional treatment groupThis group will receive only the conventional treatment 3 sessions per week for four weeks |
Who may qualify
- Ages
- 18 to 29 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (6 listed)
- 45 Subjects diagnosed and referred from orthopedist with chronic NSNP.
- All participants will have neck pain with mobility deficit according to ICF classification of neck pain..
- Duration of symptoms is more than 3 months to be chronic.
- Subjects of both genders will be involved in the study.
- Subject are young adult with the age span between 18 \&29 years because this period is characterized by extensive changes, handling choices and opportunities such as moving out from home, choice of education and career, and establishing an adult lifestyle.
Key exclusion criteria (13 listed)
- History of cervical surgery.
- Whiplash injuries.
- Inflammatory arthropathy.
- Myelopathy.
- If neck pain is associated with radiculopathy.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Mckenzie exercisesFifteen participants will receive Mckenzie exercises prescribed by McKenzie for cervical dysfunction from sitting position with the following progressions: 1. Repeated movements in the direction of the dysfunction. 2. Repeated movements with patient overpressure. 3. Repeated movements with therapist overpressure. All exercises will be performed while maintaining retraction position with repetition of 10 to 15 times. This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises. | Other | Mckenzie exercises group |
| Maitland mobilization for cervical spineFifteen participants will receive Mailand mobilization for cervical spine: With one or two oscillations per second for one-minute, central postero-anterior (P/A) glide over spinous process in case of central or bilateral symptoms and unilateral postero-anterior (P/A) glide over articular process in case of unilateral symptoms. Grade 1 or 2 will be applied to relieve pain while grade 3 or 4 will be applied to increase ROM. This group will also receive the conventional treatment prescribed for chronic Non-specific neck pain in the form of hot packs, postural correction, stretching, Isometric strengthening and scapular stabilization exercises. | Other | Maitland mobilization for cervical spine group |
| The conventional treatment groupFifteen participants will receive only the conventional physical therapy program prescribed for chronic non-specific neck pain in the form of: 1. Source of superficial heat using hot packs for 15 minutes. 2. Postural correction exercises. 3. Isometric strengthening exercises for neck muscles in all directions (Flexion, extension, side bending and rotation). 4. Stretching for common tight muscles (Trapezius, levator scapulae and sternocleidomastoid muscles). 5. Chin tuck exercises. 6. Scapular stabilization exercises. | Other | The onventional treatment group |
Primary outcome
Cervical proprioception
Time frame: 4 weeks
Cervical proprioception will be assessed using CROM device.
Cervical range of motion
Time frame: 4 weeks
Cervical ROM will be assessed using CROM device.
2 secondary outcomes
Neck function
Time frame: 4 weeks
Pain intensity
Time frame: 4 weeks
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Dec 2025.
- Individual participant dataSharing planned: No
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Questions about this trial
What is this clinical trial studying?
A study testing Mckenzie exercises, Maitland mobilization for cervical spine and The conventional treatment group in people with Chronic Non-specific Neck Pain, run by Cairo University.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 6 inclusion and 13 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: opening soon, as of the sponsor's last update on 18 Dec 2025. Status can change between updates, so confirm with the study contact before making plans.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Mahmoud Salah Abd-elfattah, Assistant lecturer (+201068419431, mahmoud.salah@cu.edu.eg), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Cervical proprioception (time frame: 4 weeks). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Dec 2025.