Neck pain therapy may also improve balance
NCT ID NCT07673575
First seen Jun 29, 2026 · Last updated Jun 30, 2026 · Updated 1 time
Summary
This study investigates whether a specific manual therapy technique called Mulligan SNAG can improve postural stability (balance) in people with chronic neck pain and mobility problems. Participants will receive either conventional exercises alone or exercises plus the SNAG technique. The researchers will measure changes in balance, pain, neck movement, and fear of movement to see if adding SNAG provides extra benefits.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Mulligan cervical sustained natural apophyseal glide (SNAG)
- What this could lead to
- If effective, this manual therapy could offer a drug-free way to improve balance and reduce pain in people with chronic neck pain.
- What could go wrong
- This is a small, early-stage study with only 44 participants. Results may not apply to everyone, and the therapy may not outperform standard exercises.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 44 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Aug 2026
An estimate. Start dates often move.
- Expected to finish
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Nov 2026
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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20 to 45 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
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
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As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Faculty of Physical Therapy Delta University
Gamasa, Egypt