Sustained Natural Apophyseal Glides and Mechanical Cervical Traction in the Management of Cervical Radiculopathy

NCT03362567 | Completed DMC

• 1 other identifier: IPHOAU/12/673
• Study Type: interventional
• Target: 47
• Locations: 0 countries
• Sites: N/A

Brief Summary

Sustained natural apophyseal glides (SNAGS), is a form of manual therapy, involved a combination of a sustained facet glide with active motion, followed by overpressure. Natural apophseal glides (NAGS), a modification of SNAGS, involves a mid to end-range facet joint mobilisation applied anterocranially or posterioanteriorly along the plane of treatment, combined with a small amount of manual traction which increases movement within the spine, and decreases symptomatic pain . A study reported that Natural Apophyseal Glides (NAGS) and Sustained Natural Apophyseal Glides (SNAGS) demonstrated significant effects in reducing pain and disability in subjects with chronic neck pain . This technique, SNAGS, is however an evolving manual therapy techniques which its effectiveness has not been thoroughly investigated in cervical radiculopathy treatment raised author's curiosity to compare and document efficacy of SNAGS with cervical traction in Nigeria since comparative studies evaluating SNAGS and manual cervical traction relative efficacies among Nigerians are yet to be documented if at all available. Consequently, the quest is to look for a quicker and a better way of relieving cervical radiculopathy in this environment . The more reason why we have to compare it with a conventional mechanical traction.

Conditions

Cervical Radiculopathy

Keywords

Cervical Radiculopathy; Sustained Natural Apophyseal Glides; Mechanical Cervical Traction; Pain Intensity; Neck Disability

Outcome Measures

Primary Outcomes (1)

• Visual analogue scale

  Visual analogue scale is a scale with 10 points indicating the severity of pain. o indicate no pain and 10 indicate excruciating pain. 5 indicate moderate pain. Patient is asked to point to the scale indicating the perception of his or her pain intensity

  6 weeks

Secondary Outcomes (1)

• Neck disability index

  6 weeks

Study Arms (2)

SNAGS Group

EXPERIMENTAL

Subjects in SNAGS group were treated with application of sustained natural apophyseal glides, twice weekly for six weeks

Other: Sustained Natural Apophyseal Glides; Other: Mechanical Cervical Traction

MCT Group

EXPERIMENTAL

subjects in MCT received mechanical cervical traction, for 15 minutes each session twice in a week for six weeks

Other: Sustained Natural Apophyseal Glides; Other: Mechanical Cervical Traction

Interventions

Sustained Natural Apophyseal Glides OTHER

Subjects in SNAGS group were treated with sustained natural apophyseal glides, twice weekly for six weeks

Also known as: SNAGS

MCT Group; SNAGS Group

Mechanical Cervical Traction OTHER

subjects in MCT received mechanical cervical traction, for 15 minutes each session twice in a week for six weeks

Also known as: MCT

MCT Group; SNAGS Group

Eligibility Criteria

• Age: 25 Years - 75 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

Sponsors & Collaborators

• Obafemi Awolowo University: lead

Related Publications (1)

• Ali A, Shakil-Ur-Rehman S, Sibtain F. The efficacy of Sustained Natural Apophyseal Glides with and without Isometric Exercise Training in Non-specific Neck Pain. Pak J Med Sci. 2014 Jul;30(4):872-4.

  PMID: 25097535 BACKGROUND

MeSH Terms

Conditions

Radiculopathy; Pain

Condition Hierarchy (Ancestors)

Peripheral Nervous System Diseases; Neuromuscular Diseases; Nervous System Diseases; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Adesola O Ojoawo, Phd

  Obafemi Awolowo University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Dr and Senior Lecturer

Model Details: The study involved 47 patients with cervical radiculopathy which were purposively recruited from the Physiotherapy Department Outpatient Clinic of Usmanu Danfodio University Teaching Hospital, Sokoto for the study. Subjects were randomly allocated to Sustained Natural Apophyseal Glides (SNAGS)and Mechanical Cervical Traction (MCT) group. All the subjects were treated using cryotherapy for seven minutes. Subjects in SNAGS group were then treated with sustained natural apophyseal glides, twice weekly for six weeks while subjects in MCT received mechanical cervical traction, for 15 minutes each session twice in a week for six weeks. Visual analogue scale, neck disability index questionnaires and inclinometer were used to assess pain intensity, disability and cervical range of motion respectively at the beginning, 3rd and 6th week of treatment

Study Record Dates

• First Submitted: November 28, 2017
• First Posted: December 5, 2017
• Study Start: July 28, 2016
• Primary Completion: April 15, 2017
• Study Completion: April 15, 2017
• Last Updated: December 5, 2017

Record last verified: 2017-12