Biofeedback and Mulligan neck therapy for mechanical neck pain in women
Official title: Comparative Effectiveness of Biofeedback Exercises and the Mulligan Concept on Pain, Cervical Mobility, and Posture in Females With Mechanical Neck Pain: A Randomized Controlled Trial
Run by Al Hayah University In Cairo · NCT07866040 · Data updated 2026-11-12
This study tests whether adding biofeedback-guided deep cervical flexor training to Mulligan mobilization and standard neck exercises helps reduce pain and improve movement in women aged 18–45 with mechanical neck pain.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 18 Years to 45 Years |
| Sex | Women only |
| Enrollment | 50 (estimated) |
| Sponsor | Al Hayah University In Cairo Academic / other |
| Locations | 1 site (Badr, Cairo Governorate) |
| Status | Recruiting |
| Started | October 6, 2026 |
| Main results expected | December 6, 2026 |
| Study ends | December 6, 2026 |
| Registry record updated | October 8, 2026 |
| Trial ID | NCT07866040 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are women 18–45 years with mechanical neck pain for more than four weeks, without prior cervical surgery, BMI 18.5–29.9, and able to participate fully in assessments and treatment.
✕Probably not a fit
Patients with non-mechanical neck pain, recent cervical spine trauma, systemic musculoskeletal diseases, or those unable to follow instructions may not benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Fifty adult women with mechanical neck pain lasting more than four weeks are randomly assigned to two groups. Group M receives Mulligan upper cervical mobilization plus conventional cervical exercises, while Group B receives the same treatment plus biofeedback-guided deep cervical flexor training. The intervention targets pain, mobility, posture, and function using sensor-guided activation of deep neck muscles. Outcomes focus on changes in pain levels, range of motion, and postural alignment over the study period. The trial is conducted at Badr University in Cairo under the lead sponsorship of Al Hayah University in Cairo with Badr University as a collaborating site.
Why it matters
Potential benefit: If successful, adding biofeedback-guided deep cervical flexor training could enhance pain relief and neck function for women with mechanical neck pain.
How similar studies have gone: Previous work suggests that manual therapy plus targeted exercises can help neck pain, and biofeedback approaches have shown promise in motor control training, though this specific combination is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Female adults aged 18 to 45 years * Diagnosed with mechanical neck pain (MNP) for more than 4 weeks duration * Able to understand and follow instructions related to physical assessments * No history of cervical spine surgery * Body Mass Index (BMI) between 18.5 and 29.9 kg/m² * Physically active or sedentary individuals, as assessed by baseline physical activity questionnaire * Screened for faulty postural alignment (visual inspection from front, side, and back in relaxed standing, including assessment for forward head posture, rounded shoulders, and asymmetries) * Willing to provide informed consent and participate in all study procedures Exclusion Criteria: * History of systemic diseases affecting musculoskeletal function (e.g., rheumatoid arthritis, fibromyalgia) * Current pregnancy or postpartum period * Recent trauma or fracture in the cervical or thoracolumbar spine * Use of medications that affect muscle performance or pain perception * Involvement in other physiotherapy or rehabilitation programs during the study period
Where it's running
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Badr University
Badr, Cairo Governorate, Egypt Recruiting
Study contacts
- Study coordinator: Doha H. Mostafa Afify, Ph.D
- Email: Doha.h.afifi@gmail.com
- Phone: 01003169353
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.