Mulligan Cervical SNAGs to help balance in chronic neck pain with mobility deficits
Official title: EFFECT OF MULLIGAN CERVICAL SUSTAINED NATURAL APOPHYSEAL GLIDE ON POSTURAL STABILITY IN PATIENTS WITH CHRONIC NECK PAIN
Run by Cairo University · NCT07673575 · Data updated 2026-11-12
This trial tests whether adding Mulligan cervical SNAGs to conventional exercises can improve balance and reduce pain for adults with chronic neck pain and mobility issues.
Quick facts
| Study type | Interventional |
|---|---|
| Ages | 20 Years to 45 Years |
| Sex | All |
| Enrollment | 44 (estimated) |
| Sponsor | Cairo University Academic / other |
| Locations | 1 site (Gamasa) |
| Status | Recruiting |
| Started | July 20, 2026 |
| Main results expected | October 20, 2026 |
| Study ends | November 1, 2026 |
| Registry record updated | October 21, 2026 |
| Trial ID | NCT07673575 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults aged 20–45 with chronic neck pain (≥3 months) and diagnosed mobility deficits, including restricted cervical ROM and pain with movement.
✕Probably not a fit
Individuals without cervical hypomobility, insufficient ROM improvement, or whose balance deficits are not primarily related to neck mobility may not experience benefit.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This interventional study investigates the effect of Mulligan Cervical SNAGs on postural stability in adults with chronic neck pain and mobility deficits. Participants will receive a combination of SNAGs and a standard exercise program, with outcomes including balance indices (OSI, APSI, MLSI), pain, functional disability, range of motion, proprioception, and kinesiophobia. Measurements will be taken using tools such as the Biodex Balance System, NPRS, Arabic Neck Disability Index, digital inclinometer, and Arabic TSK-11. The study aims to determine whether adding SNAGs offers superior improvements in balance and related measures compared with exercise alone. The findings could inform rehabilitation strategies for improving sensorimotor control and reducing disability in this population.
Why it matters
Potential benefit: If successful, patients may experience better balance, reduced pain, and improved neck mobility, potentially lowering risk of falls and improving daily function.
How similar studies have gone: Previous work supports SNAG techniques for mobility and pain relief; this study extends to balance outcomes in chronic neck pain, with broader evidence still emerging.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * The patients will be selected according to the following criteria: 1. Adults aged between 20 and 45 years 2. Body mass index from 18.5 - 24.99 kg/ m2. 3. Chronic neck pain lasting ≥3 months 4. Diagnosis of neck pain with mobility deficits, including restricted cervical ROM, and pain provoked with movement 5. Presence of cervical hypomobility confirmed by segmental mobility assessment on clinical examination 6. Pain intensity ≥3/10 on the numerical Pain Rating Scale 7. Reduced cervical range of motion in at least one direction measured objectively (by digital inclinometer) 8. Ability to stand independently without assistive devices (required for postural stability assessment) Exclusion Criteria: * The patients will be excluded if they present with: 1. Specific causes of neck pain, such as fracture, tumor, infection, inflammatory disease, or cervical myelopathy, confirmed by X Ray and physical examination 2. Cervical radiculopathy or neurological deficits (e.g., dermatomal sensory loss, reflex changes, or muscle weakness) 3. History of cervical spine surgery or recent trauma (within the last 6 months) 4. Vestibular disorders or conditions affecting balance (e.g., vertigo unrelated to cervical origin) 5. Temporomandibular disorders, significant shoulder pathology, and shoulder surgeries that may influence cervical movement or outcomes 6. Participation in physiotherapy or manual therapy for neck pain within the previous 3 months 7. Pregnancy or any medical condition contraindicates manual therapy 8. History of chronic ankle instability 9. Any lower limb pathology affecting balance
Where it's running
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Faculty of Physical Therapy Delta University
Gamasa, Egypt Recruiting
Study contacts
- Study coordinator: Menna-Allah A Elnaggar, demonstrator
- Email: me370433@gmail.com
- Phone: +201069014391
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.