Clinical trial Recruiting at 1 site Interventional Ages 18 to 40

Kaltenborn vs Mulligan mobilization for forward head posture

Official title: Comparison Between Kaltenborn and Mulligan Mobilization in Forward Head Posture

Run by Foundation University Islamabad · NCT07838623 · Data updated 2026-11-12

This randomized trial tests whether Kaltenborn mobilization or Mulligan mobilization helps people with forward head posture reduce neck pain and improve neck movement and awareness.

Quick facts

Study typeInterventional
Ages18 Years to 40 Years
SexAll
Enrollment44 (estimated)
SponsorFoundation University Islamabad
Academic / other
Locations1 site (Islamabad, Punjab Province)
StatusRecruiting
StartedJuly 22, 2026
Main results expectedDecember 18, 2026
Study endsJanuary 18, 2027
Registry record updatedSeptember 24, 2026
Trial IDNCT07838623 on ClinicalTrials.gov

Is this trial a fit for you?

Likely a good fit

Adults aged 18–40 with forward head posture, neck pain (NPRS 3–8), hypo-mobility, and cervical proprioception or joint position errors above threshold.

Probably not a fit

Patients without forward head posture or with excluded cervical pathologies may not benefit, and certain comorbidities could limit improvement.

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

In this randomized study, adults aged 18–40 with forward head posture and neck pain will be assigned to Kaltenborn mobilization or Mulligan SNAG mobilization for two weeks, alongside conventional therapy. Outcomes include neck pain, craniovertebral angle, cervical range of motion, cervical proprioception, and deep neck flexor endurance. Group A progresses Kaltenborn mobilization from Grades I–II to III, while Group B uses Mulligan SNAGs with increasing repetitions and overpressure; both receive standard care three times weekly for two weeks. The trial will assess whether these manual therapy approaches differentially improve function and posture in this population.

Why it matters

Potential benefit: If successful, patients may experience reduced neck pain and better neck mobility and posture.

How similar studies have gone: Prior studies on manual therapy for forward head posture show mixed results; this trial aims to clarify comparative effectiveness of two approaches.

Who can join: the full rules

Show full inclusion / exclusion criteria
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:

* 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

Where it's running

  • Foundation University College of Physical Therapy
    Islamabad, Punjab Province, Pakistan
    Recruiting

Study contacts

Similar studies

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How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.