[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-studies-list:{\"conditionNormalized\":\"cervical-spine-dysfunction\",\"overallStatus\":[\"RECRUITING\",\"AVAILABLE\",\"NOT_YET_RECRUITING\"],\"orderBy\":\"LastUpdateSubmitDate:desc\",\"size\":25,\"offset\":0}":3,"health-study-condition:cervical-spine-dysfunction":28},{"pageToken":4,"total":5,"offset":6,"count":5,"results":7},null,1,0,[8],{"id":9,"slug":10,"hasResults":11,"nctId":12,"briefTitle":13,"officialTitle":14,"acronym":4,"eligibilityCriteria":15,"healthyVolunteers":11,"sex":16,"minAge":17,"maxAge":18,"enrollmentInfo":19,"targetDuration":4,"studyType":22,"phases":23,"briefSummary":25,"conditions":26,"keywords":30,"overallStatus":36,"whyStopped":4,"lastUpdateSubmitDate":37,"lastUpdatePostDateStruct":38,"startDateStruct":41,"completionDateStruct":43,"leadSponsor":45,"locationsCount":5},"100659568","biofeedback-exercises-versus-mulligan-concept-on-pain-mobility-and-posture-in-females-with-mechanical-neck-pain-100659568",false,"NCT07866040","Biofeedback Exercises Versus Mulligan Concept on Pain, Mobility, and Posture in Females With Mechanical Neck Pain","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","Inclusion Criteria:\n\n* Female adults aged 18 to 45 years\n* Diagnosed with mechanical neck pain (MNP) for more than 4 weeks duration\n* Able to understand and follow instructions related to physical assessments\n* No history of cervical spine surgery\n* Body Mass Index (BMI) between 18.5 and 29.9 kg\u002Fm²\n* Physically active or sedentary individuals, as assessed by baseline physical activity questionnaire\n* 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)\n* Willing to provide informed consent and participate in all study procedures\n\nExclusion Criteria:\n\n* History of systemic diseases affecting musculoskeletal function (e.g., rheumatoid arthritis, fibromyalgia)\n* Current pregnancy or postpartum period\n* Recent trauma or fracture in the cervical or thoracolumbar spine\n* Use of medications that affect muscle performance or pain perception\n* Involvement in other physiotherapy or rehabilitation programs during the study period","FEMALE","18 Years","45 Years",{"count":20,"type":21},50,"ESTIMATED","INTERVENTIONAL",[24],"NA","This study compares two physical therapy treatment approaches for females suffering from mechanical neck pain - pain in the neck that comes from the muscles, joints, or soft tissues rather than from nerve damage or disease. Mechanical neck pain is very common and can cause significant pain, stiffness, difficulty moving the head, and problems with daily activities.\n\nFifty adult females aged 18 to 45 years with mechanical neck pain lasting more than 4 weeks will be randomly divided into two equal groups. Group M (25 participants) will receive upper cervical spine manual therapy using the Mulligan mobilization technique, which involves gentle joint movements to restore normal neck joint motion, combined with standard cervical exercises. Group B (25 participants) will receive the same Group M treatment plus biofeedback-guided deep cervical flexor training. This additional exercise uses a pressure sensor placed behind the neck to help the patient learn to activate the deep stabilizing muscles of the neck, which are often weakened in people with neck pain.\n\nBoth groups will attend 3 treatment sessions per week for 4 consecutive weeks (12 sessions total). Each session lasts approximately 45 minutes. Before each session, all participants receive suboccipital release, myofascial release, and stretching exercises as preparation.\n\nThe researchers will measure pain intensity, upper cervical flexion range of motion, the flexion-rotation test (which assesses upper neck rotation), the Neck Disability Index (which measures how neck pain affects daily activities), and pressure pain threshold (which measures sensitivity to pressure over neck muscles). All measurements are taken before treatment begins and after the 4-week intervention period.\n\nThe study aims to determine whether adding biofeedback-guided deep cervical flexor training to the Mulligan manual therapy approach produces greater improvements in pain, neck mobility, disability, and muscle sensitivity compared to the Mulligan approach alone.",[27,28,29],"Neck Pain","Cervical Spine Dysfunction","Forward Head Posture",[31,32,33,34,35],"Mechanical neck pain","Biofeedback","Deep cervical flexor","Mulligan concept","Cervical range of motion","RECRUITING","2026-10-05",{"date":39,"type":40},"2026-10-08","ACTUAL",{"date":42,"type":40},"2026-10-06",{"date":44,"type":21},"2026-12-06",{"name":46,"class":47},"Al Hayah University In Cairo","OTHER"]