Comparison Between Kaltenborn and Mulligan Mobilization in Forward Head Posture

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18-40
SponsorFoundation University Islamabad

About this trial

This randomized controlled trial will compare the effectiveness of Kaltenborn mobilization and Mulligan mobilization in individuals with Forward Head Posture.

The study will compare their effects in neck pain, craniovertebral angle, cervical range of motion, cervical proprioception, and deep neck flexor endurance after a two-week treatment program.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Both male and female

aged between 18 to 40 years

CVA of <48

Pain on NPRS 3-8

Disqualifiers

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

Trial design

Design model

Parallel

Treatments tested in this trial

  • Kaltenborn mobilization

    Procedure/Surgery

    All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Kaltenborn mobilization involves applying graded, sustained cervical joint glides and distraction to hypomobile segments, beginning with Grade I-II techniques for pain relief and progressing to Grade III to improve joint mobility and reduce stiffness.

  • Mulligan Mobilization

    Procedure/Surgery

    All participants will receive conventional treatment consisting of a 10-minute hot pack and active cervical range-of-motion exercises. The program will also include postural correction exercises, with stretching of tight cervical and shoulder muscles and strengthening of the deep neck flexors and scapular stabilizers. Mulligan mobilization (SNAGs) involves applying a sustained anterosuperior glide to the affected cervical segment while the participant actively performs the restricted movement in a pain-free range, with gentle overpressure added at the end range as tolerated.

Treatment groups

44 Participants
are divided into 2 treatment groups
Group A: Kaltenborn mobilization groupExperimental treatment 1 intervention
Group B: Mulligan mobilization groupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Cervical Pain

Numeric Pain Rating Scale (NPRS) will be used to measure Pain, 0 means no pain and 10 means worst pain ever.

Time frame
Baseline and after 2 weeks of treatment.
2

Cervical Range of Motion

A bubble inclinometer will be used to measure cervical range of motion.

Time frame
Baseline and after 2 weeks of treatment
3

CranioVertebral Angle

Kinovea software will be used to measure Craniovertebral Angle.

Time frame
baseline and after 2 weeks of treatment.
4

Cervical Joint Proprioception

Cervical Joint Proprioception will be measured via Joint position error test.

Time frame
Baseline and after 2 weeks of treatment

Secondary outcomes

Other outcomes

Sponsors and contacts

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