Effects of Sustained Natural Apophyseal Glides Combined With Kinesiotaping in Patients With Chronic Mechanical Neck Pain: A Randomised Controlled Trial

NCT06437483 | Recruiting

• 1 other identifier: FUI/CTR/2024/7
• Study Type: interventional
• Target: 42
• Locations: 1 country
• Sites: 1

Brief Summary

This study is a randomized controlled trial and its purpose is to determine the combined effects of sustained natural apophyseal glides and kinesiotaping on pain, range of motion and neck disability in patients with chronic mechanical neck pain.

Conditions

Neck Pain

Outcome Measures

Primary Outcomes (3)

• Pain intensity

  It will be documented by using Numeric Pain Rating Scale (NPRS) which is a self- rated scale of 0-10 points where the participants rate their pain verbally or in writing."0" shows no pain whereas "10" represents worst pain. According to guidelines, NPRS scale categorizes pain into no pain (0), mild pain (1-3), moderate pain (4-7) and severe pain (8-10).

  2 weeks

• Cervical Range of Motion

  The range of motion for flexion, extension, and side bending will be documented using a Inclinometer, positioned on the vertex of the head. For rotation, it will be placed on the forehead. Inclinometer demonstrates good Intraclass Correlation Coeffecient (ICC) value of 0.770-0.982.

  2 weeks

• Functional Disability of Neck

  It will be documented by using Neck Disability Index (NDI) which consists of 10 questions addressing various aspects of neck functions to assess the impact of neck pain on a person's daily life. A total score ranges between 0 and 50 with higher scores indicating a high level of disability. Each question contains six answer choices, scored from 0 (no disability) to 5 (complete disability). All sections are then totaled.The scores on NDI are typically classified as: 0-4 (no disability), 5-14 (mild disability), 15-24 (moderate disability), 25-34 (severe disability), above 34 (complete disability).

  2 weeks

Study Arms (2)

Group A

EXPERIMENTAL

Participants in this group will receive Sustained Natural Apophyseal Glides followed by Kinesiotaping in addition to the conventional treatment. This arm of the study will assess the synergistic effects of SNAGs and kinesiotape.

Procedure: Sustained Natural Apophyseal Glides; Procedure: Kinesiotaping; Procedure: Conventional Treatment

Group B

ACTIVE COMPARATOR

Participants in group B will receive Sustained Natural Apophyseal Glides along with the conventional treatment.

Procedure: Sustained Natural Apophyseal Glides; Procedure: Conventional Treatment

Interventions

Sustained Natural Apophyseal Glides PROCEDURE

SNAGs: Therapist will apply an antero-superior accessory glide to the superior spinous process of the involved motion segment (between C3 to C7) by pushing it towards the direction of eyeball at approximately a 45 degree angle, using the thumb. The other thumb will reinforce the glide. Painless accessory glide will be maintained and subject will slowly turn their head towards the painful or restricted side (that elicited symptoms) and sustain the position for a few seconds. In case of symptom-free, the subject will apply overpressure at the end of restricted range of motion. The glide will be maintained till the head returns to the midline. Each session will consist of three sets of six to ten repetitions.

Group A; Group B

Kinesiotaping PROCEDURE

Kinesiotaping (KT): Subject will be in comfortable sitting position. Neck of the subject will be thoroughly cleaned with alcohol and sterile gauze pads before the application of Kinesiotape.The layers of KT will be applied in the form of two strips i.e. "Y strip" and "I strip". and applied over the neck in a position of cervical flexion and contralateral rotation and, pasted up and over either ridge of the spine covering the cervical muscles.It extends from T1-T2 to either side of C1-C2.The second layer is I-strip:The overlaying I-strip will be placed perpendicular to the Y-strip, It will be stretched from the both ends, and the middle portion of the tape will be applied first after which tension is released and ends are applied without tension.

Group A

Conventional Treatment PROCEDURE

Hot pack (moist heat) and TENS will be applied, each for 10 minutes.

Group A; Group B

Eligibility Criteria

• Age: 18 Years - 40 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64)

You may qualify if:

• Mechanical Neck Pain
• Age range: 18-40 years
• Both males and females
• Having pain from at least last 3 months (chronic)
• Pain score greater than 3 on NPRS
• Pain and limitation on neck moverment

You may not qualify if:

• Recent surgery of spine, Temporomandibular joint or shoulder in the previous 12 months.
• Open wound around neck.
• History of traumatic injuries or fractures in the cervical spine.
• History of neurological and cardiac pathologies.
• History of some serious pathologies (e.g., malignancy, inflammatory disorder etc.).
• History of cervical or shoulder neurological movement disorder.
• Cervical spondylolisthesis, cervical radiculopathy, and spinal stenosis.
• Vascular syndromes such as basilar insufficiency.
• Diagnosed psychiatric disorders such as anxiety and depression.
• Interventions including medications, exercise or physical therapy in the last 3 months.
• Any other condition that contraindicates kinesiotaping such as skin sensitivity.

Sponsors & Collaborators

• Foundation University Islamabad: lead

Study Sites (1)

Foundation University College of Physical Therapy

Rawalpindi, Punjab Province, 460000, Pakistan

RECRUITING

MeSH Terms

Conditions

Neck Pain

Condition Hierarchy (Ancestors)

Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Central Study Contacts

Fatima Riaz, MS-MSKPT

CONTACT

0347-0051283; fatimah.riazf16@gmail.com

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: In this study, participants are blinded to their assigned treatment groups.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized Controlled Trial

Study Record Dates

• First Submitted: May 27, 2024
• First Posted: May 31, 2024
• Study Start: November 10, 2023
• Primary Completion: May 30, 2024
• Study Completion: June 30, 2024
• Last Updated: May 31, 2024

Record last verified: 2024-05

Locations

PA (1)