Effects of Sustained Natural Apophyseal Glides Versus Cervical Manipulation on Pain and Disability in Wrestle

NCT05474456 | Completed

• 1 other identifier: REC/RCR & AHS/22/0403
• Study Type: interventional
• Target: 56
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be conducted to evaluate effect of sustained natural apophyseal glides and cervical manipulation in pain and disability of neck among wrestler players .All subjects will be selected between ages 18 to 35 years. Data will be collected from players in registered gujranwala wrestling clubs. Study design will be Randomized Clinical Trial. Neck pain disability index questionnaire and NPRS will be used to check the disability in neck and intensity of pain respectively. Informed consent will be taken from all participants. Study will be conducted in 6 weeks' time period. Data will be collected at the start of research and after six week post research date will collected for analysis. Patients will be allocated randomly into two main groups. Group A is the interventional group and group B is the control group. On group A snag will be performed and Group B will be provided by cervical manipulation to compare the effects of both techniques. SPSS will be used for data entry and analysis.

Conditions

Neck Pain; Disability Physical

Keywords

Pain; Neck Injury; Snags; Cervical Manipulation; Disability

Outcome Measures

Primary Outcomes (2)

• Numeric pain Rating scale(NPRS)

  Pain is rated on single 11 point scale in which 0 indicates no pain and 10 indicates possible worst pain. All individuals will be asked to point out the number mention on the scale. The exact values will be recorded and used for analysis.

  6 Weeks

• NECK DISABILITY INDEX (NDI)

  NDI score varies from 0 to 50.Zero is the most desirable state of health.Value 50 is the least desirable state of health.NDI score varies from 0 to 50. Zero is the most desirable state of health.Value 50 is the least desirable state of health. Each of the 10 item is scored 0 to 5. The maximum score therefore 50.All the subjects will be asked to circle or tick the one choice from the given sections which most closely describe their problem. The overall item average score will be recorded.

  6 Weeks

Study Arms (2)

SNAGs Group

EXPERIMENTAL

Group A sustained natural apophyseal glides will be provided to wrestlers in the sitting position. SNAG technique applied on the dorsal side of the neck. The treatment will be given for 6 weeks, 2 sessions per week.

Other: SNAGs

Manipulation Group

ACTIVE COMPARATOR

group bWrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week.

Other: Manipulation

Interventions

SNAGs OTHER

Wrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week.

SNAGs Group

Manipulation OTHER

Wrestlers will be treated with high velocity, low amplitude thrust. The treatment will be given for 6 weeks, 2 sessions per week.

Manipulation Group

Eligibility Criteria

• Age: 18 Years - 35 Years
• Gender Eligibility Details: Professional and Elite Male wrestlers of Pakistan
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• to 35 years male only
• Acute non-specific neck pain

You may not qualify if:

• Patients with history of discogenic cause in neck.
• History of Postoperative patients
• Individuals who was not willing and individuals with systemic disorders
• Any musculoskeletal(MSK) injury that effect their performance like fracture and bruises etc.

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan sports Board

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (6)

• Hidalgo B, Hall T, Bossert J, Dugeny A, Cagnie B, Pitance L. The efficacy of manual therapy and exercise for treating non-specific neck pain: A systematic review. J Back Musculoskelet Rehabil. 2017 Nov 6;30(6):1149-1169. doi: 10.3233/BMR-169615.

  PMID: 28826164 BACKGROUND

• Durall CJ. Therapeutic exercise for athletes with nonspecific neck pain: a current concepts review. Sports Health. 2012 Jul;4(4):293-301. doi: 10.1177/1941738112446138.

  PMID: 23016100 BACKGROUND

• 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

• Verhagen AP. Physiotherapy management of neck pain. J Physiother. 2021 Jan;67(1):5-11. doi: 10.1016/j.jphys.2020.12.005. Epub 2020 Dec 24. No abstract available.

  PMID: 33358545 BACKGROUND

• Moutzouri M, Billis E, Strimpakos N, Kottika P, Oldham JA. The effects of the Mulligan Sustained Natural Apophyseal Glide (SNAG) mobilisation in the lumbar flexion range of asymptomatic subjects as measured by the Zebris CMS20 3-D motion analysis system. BMC Musculoskelet Disord. 2008 Oct 1;9:131. doi: 10.1186/1471-2474-9-131.

  PMID: 18828921 BACKGROUND

• Clark R, Doyle M, Sybrowsky C, Rosenquist R. Epidural steroid injections for the treatment of cervical radiculopathy in elite wrestlers: case series and literature review. Iowa Orthop J. 2012;32:207-14.

  PMID: 23576942 BACKGROUND

MeSH Terms

Conditions

Neck Pain; Pain; Neck Injuries

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Wounds and Injuries

Study Officials

• Sabiha Arshad, M.Phil

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 24, 2022
• First Posted: July 26, 2022
• Study Start: January 1, 2022
• Primary Completion: August 1, 2022
• Study Completion: August 10, 2022
• Last Updated: December 15, 2022

Record last verified: 2022-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)